How to Intervene in the Caries Process in Older Adults: A Joint ORCA and EFCD Expert Delphi Consensus Statement
International audience Aim : To provide recommendations for dental clinicians for the management of dental caries in older adults with special emphasis on root caries lesions. Methods : A consensus workshop followed by a Delphi consensus process were conducted with an expert panel nominated by ORCA,...
Published in: | Caries Research |
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Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , |
Other Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
HAL CCSD
2020
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Subjects: | |
Online Access: | https://uca.hal.science/hal-03376057 https://uca.hal.science/hal-03376057/document https://uca.hal.science/hal-03376057/file/Paris2020How-CCBYNC.pdf https://doi.org/10.1159/000510843 |
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ftclermontuniv:oai:HAL:hal-03376057v1 |
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openpolar |
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Open Polar |
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HAL Clermont Auvergne (Université Blaise Pascal Clermont-Ferrand/Université d'Auvergne) |
op_collection_id |
ftclermontuniv |
language |
English |
topic |
Caries prevention Caries treatment Older adults Root caries Seniors [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie |
spellingShingle |
Caries prevention Caries treatment Older adults Root caries Seniors [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie Paris, Sebastian Banerjee, Avijit Bottenberg, Peter Breschi, Lorenzo Campus, Guglielmo Doméjean, Sophie Ekstrand, Kim Giacaman, Rodrigo, A. Haak, Rainer Hannig, Matthias Hickel, Reinhard Juric, Hrvoje Lussi, Adrian Machiulskiene, Vita Manton, David Jablonski-Momeni, Anahita Santamaria, Ruth Schwendicke, Falk Splieth, Christian, H. Tassery, Hervé Zandona, Andrea Zero, Domenick Zimmer, Stefan Opdam, Niek How to Intervene in the Caries Process in Older Adults: A Joint ORCA and EFCD Expert Delphi Consensus Statement |
topic_facet |
Caries prevention Caries treatment Older adults Root caries Seniors [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie |
description |
International audience Aim : To provide recommendations for dental clinicians for the management of dental caries in older adults with special emphasis on root caries lesions. Methods : A consensus workshop followed by a Delphi consensus process were conducted with an expert panel nominated by ORCA, EFCD, and DGZ boards. Based on a systematic review of the literature, as well as non-systematic literature search, recommendations for clinicians were developed and consented in a two-stage Delphi process. Results : Demographic and epidemiologic changes will significantly increase the need of management of older adults and root caries in the future. Ageing is associated with a decline of intrinsic capacities and an increased risk of general diseases. As oral and systemic health are linked, bidirectional consequences of diseases and interventions need to be considered. Caries prevention and treatment in older adults must respond to the patient’s individual abilities for self-care and cooperation and often involves the support of caregivers. Systemic interventions may involve dietary counselling, oral hygiene instruction, the use of fluoridated toothpastes, and the stimulation of salivary flow. Local interventions to manage root lesions may comprise local biofilm control, application of highly fluoridated toothpastes or varnishes as well as antimicrobial agents. Restorative treatment is often compromised by the accessibility of such root caries lesions as well as the ability of the senior patient to cooperate. If optimum restorative treatment is impossible or inappropriate, long-term stabilization, e.g., by using glass-ionomer cements, and palliative treatments that aim to maintain oral function as long and as well as possible may be the treatment of choice for the individual. |
author2 |
Charité - UniversitätsMedizin = Charité - University Hospital Berlin King‘s College London Vrije Universiteit Brussel Bruxelles (VUB) Alma Mater Studiorum Università di Bologna = University of Bologna (UNIBO) Universität Bern = University of Bern = Université de Berne (UNIBE) Università degli Studi di Sassari = University of Sassari Sassari (UNISS) Centre de Recherche en Odontologie Clinique (CROC) Université Clermont Auvergne 2017-2020 (UCA 2017-2020 ) IT University of Copenhagen (ITU) Universidad de Talca Leipzig University / Universität Leipzig University of Saarland / Universität des Saarlandes Homburg, Germany Ludwig Maximilian University Munich = Ludwig Maximilians Universität München (LMU) University of Zagreb Universitäts Klinikum Freiburg = University Medical Center Freiburg (Uniklinik) Lithuanian University of health Sciences (LSMU) University Medical Center Groningen Groningen (UMCG) University of Melbourne Philipps Universität Marburg = Philipps University of Marburg Universität Greifswald - University of Greifswald Aix-Marseille Université - Faculté d'odontologie (AMU ODONTO) Aix Marseille Université (AMU) Tufts University Medford University of Indianapolis Universität Witten/Herdecke Radboud University Nijmegen |
format |
Article in Journal/Newspaper |
author |
Paris, Sebastian Banerjee, Avijit Bottenberg, Peter Breschi, Lorenzo Campus, Guglielmo Doméjean, Sophie Ekstrand, Kim Giacaman, Rodrigo, A. Haak, Rainer Hannig, Matthias Hickel, Reinhard Juric, Hrvoje Lussi, Adrian Machiulskiene, Vita Manton, David Jablonski-Momeni, Anahita Santamaria, Ruth Schwendicke, Falk Splieth, Christian, H. Tassery, Hervé Zandona, Andrea Zero, Domenick Zimmer, Stefan Opdam, Niek |
author_facet |
Paris, Sebastian Banerjee, Avijit Bottenberg, Peter Breschi, Lorenzo Campus, Guglielmo Doméjean, Sophie Ekstrand, Kim Giacaman, Rodrigo, A. Haak, Rainer Hannig, Matthias Hickel, Reinhard Juric, Hrvoje Lussi, Adrian Machiulskiene, Vita Manton, David Jablonski-Momeni, Anahita Santamaria, Ruth Schwendicke, Falk Splieth, Christian, H. Tassery, Hervé Zandona, Andrea Zero, Domenick Zimmer, Stefan Opdam, Niek |
author_sort |
Paris, Sebastian |
title |
How to Intervene in the Caries Process in Older Adults: A Joint ORCA and EFCD Expert Delphi Consensus Statement |
title_short |
How to Intervene in the Caries Process in Older Adults: A Joint ORCA and EFCD Expert Delphi Consensus Statement |
title_full |
How to Intervene in the Caries Process in Older Adults: A Joint ORCA and EFCD Expert Delphi Consensus Statement |
title_fullStr |
How to Intervene in the Caries Process in Older Adults: A Joint ORCA and EFCD Expert Delphi Consensus Statement |
title_full_unstemmed |
How to Intervene in the Caries Process in Older Adults: A Joint ORCA and EFCD Expert Delphi Consensus Statement |
title_sort |
how to intervene in the caries process in older adults: a joint orca and efcd expert delphi consensus statement |
publisher |
HAL CCSD |
publishDate |
2020 |
url |
https://uca.hal.science/hal-03376057 https://uca.hal.science/hal-03376057/document https://uca.hal.science/hal-03376057/file/Paris2020How-CCBYNC.pdf https://doi.org/10.1159/000510843 |
genre |
Orca |
genre_facet |
Orca |
op_source |
ISSN: 0008-6568 EISSN: 1421-976X Caries Research https://uca.hal.science/hal-03376057 Caries Research, 2020, 54 (5-6), pp.459-465. ⟨10.1159/000510843⟩ |
op_relation |
info:eu-repo/semantics/altIdentifier/doi/10.1159/000510843 info:eu-repo/semantics/altIdentifier/pmid/33291110 hal-03376057 https://uca.hal.science/hal-03376057 https://uca.hal.science/hal-03376057/document https://uca.hal.science/hal-03376057/file/Paris2020How-CCBYNC.pdf doi:10.1159/000510843 PUBMED: 33291110 |
op_rights |
http://creativecommons.org/licenses/by-nc/ info:eu-repo/semantics/OpenAccess |
op_doi |
https://doi.org/10.1159/000510843 |
container_title |
Caries Research |
container_volume |
54 |
container_issue |
5-6 |
container_start_page |
459 |
op_container_end_page |
465 |
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1810470322919440384 |
spelling |
ftclermontuniv:oai:HAL:hal-03376057v1 2024-09-15T18:28:53+00:00 How to Intervene in the Caries Process in Older Adults: A Joint ORCA and EFCD Expert Delphi Consensus Statement Paris, Sebastian Banerjee, Avijit Bottenberg, Peter Breschi, Lorenzo Campus, Guglielmo Doméjean, Sophie Ekstrand, Kim Giacaman, Rodrigo, A. Haak, Rainer Hannig, Matthias Hickel, Reinhard Juric, Hrvoje Lussi, Adrian Machiulskiene, Vita Manton, David Jablonski-Momeni, Anahita Santamaria, Ruth Schwendicke, Falk Splieth, Christian, H. Tassery, Hervé Zandona, Andrea Zero, Domenick Zimmer, Stefan Opdam, Niek Charité - UniversitätsMedizin = Charité - University Hospital Berlin King‘s College London Vrije Universiteit Brussel Bruxelles (VUB) Alma Mater Studiorum Università di Bologna = University of Bologna (UNIBO) Universität Bern = University of Bern = Université de Berne (UNIBE) Università degli Studi di Sassari = University of Sassari Sassari (UNISS) Centre de Recherche en Odontologie Clinique (CROC) Université Clermont Auvergne 2017-2020 (UCA 2017-2020 ) IT University of Copenhagen (ITU) Universidad de Talca Leipzig University / Universität Leipzig University of Saarland / Universität des Saarlandes Homburg, Germany Ludwig Maximilian University Munich = Ludwig Maximilians Universität München (LMU) University of Zagreb Universitäts Klinikum Freiburg = University Medical Center Freiburg (Uniklinik) Lithuanian University of health Sciences (LSMU) University Medical Center Groningen Groningen (UMCG) University of Melbourne Philipps Universität Marburg = Philipps University of Marburg Universität Greifswald - University of Greifswald Aix-Marseille Université - Faculté d'odontologie (AMU ODONTO) Aix Marseille Université (AMU) Tufts University Medford University of Indianapolis Universität Witten/Herdecke Radboud University Nijmegen 2020-12-22 https://uca.hal.science/hal-03376057 https://uca.hal.science/hal-03376057/document https://uca.hal.science/hal-03376057/file/Paris2020How-CCBYNC.pdf https://doi.org/10.1159/000510843 en eng HAL CCSD Karger info:eu-repo/semantics/altIdentifier/doi/10.1159/000510843 info:eu-repo/semantics/altIdentifier/pmid/33291110 hal-03376057 https://uca.hal.science/hal-03376057 https://uca.hal.science/hal-03376057/document https://uca.hal.science/hal-03376057/file/Paris2020How-CCBYNC.pdf doi:10.1159/000510843 PUBMED: 33291110 http://creativecommons.org/licenses/by-nc/ info:eu-repo/semantics/OpenAccess ISSN: 0008-6568 EISSN: 1421-976X Caries Research https://uca.hal.science/hal-03376057 Caries Research, 2020, 54 (5-6), pp.459-465. ⟨10.1159/000510843⟩ Caries prevention Caries treatment Older adults Root caries Seniors [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie info:eu-repo/semantics/article Journal articles 2020 ftclermontuniv https://doi.org/10.1159/000510843 2024-07-29T23:38:48Z International audience Aim : To provide recommendations for dental clinicians for the management of dental caries in older adults with special emphasis on root caries lesions. Methods : A consensus workshop followed by a Delphi consensus process were conducted with an expert panel nominated by ORCA, EFCD, and DGZ boards. Based on a systematic review of the literature, as well as non-systematic literature search, recommendations for clinicians were developed and consented in a two-stage Delphi process. Results : Demographic and epidemiologic changes will significantly increase the need of management of older adults and root caries in the future. Ageing is associated with a decline of intrinsic capacities and an increased risk of general diseases. As oral and systemic health are linked, bidirectional consequences of diseases and interventions need to be considered. Caries prevention and treatment in older adults must respond to the patient’s individual abilities for self-care and cooperation and often involves the support of caregivers. Systemic interventions may involve dietary counselling, oral hygiene instruction, the use of fluoridated toothpastes, and the stimulation of salivary flow. Local interventions to manage root lesions may comprise local biofilm control, application of highly fluoridated toothpastes or varnishes as well as antimicrobial agents. Restorative treatment is often compromised by the accessibility of such root caries lesions as well as the ability of the senior patient to cooperate. If optimum restorative treatment is impossible or inappropriate, long-term stabilization, e.g., by using glass-ionomer cements, and palliative treatments that aim to maintain oral function as long and as well as possible may be the treatment of choice for the individual. Article in Journal/Newspaper Orca HAL Clermont Auvergne (Université Blaise Pascal Clermont-Ferrand/Université d'Auvergne) Caries Research 54 5-6 459 465 |