How to intervene in the caries process in adults: proximal and secondary caries? An EFCD-ORCA-DGZ expert Delphi consensus statement. ...

• Main Authors: Schwendicke, Falk, Splieth, Christian H, Bottenberg, Peter, Breschi, Lorenzo, Campus, Guglielmo Giuseppe, Doméjean, Sophie, Ekstrand, Kim, Giacaman, Rodrigo A, Haak, Rainer, Hannig, Matthias, Hickel, Reinhard, Juric, Hrvoje, Lussi, Adrian, Machiulskiene, Vita, Manton, David, Jablonski-Momeni, Anahita, Opdam, Niek, Paris, Sebastian, Santamaria, Ruth, Tassery, Hervé, Zandona, Andrea, Zero, Domenick, Zimmer, Stefan, Banerjee, Avijit
• Format: Article in Journal/Newspaper
• Language: English
• Published: University of Bern 2020
• Subjects: Caries Consensus Decision-making Fluoride Infiltration Recommendations Restorations Sealing; Orca
• Online Access: https://dx.doi.org/10.48350/148266; https://boris-portal.unibe.ch/handle/20.500.12422/38008

OBJECTIVES To provide consensus recommendations on how to intervene in the caries process in adults, specifically proximal and secondary carious lesions. METHODS Based on two systematic reviews, a consensus conference and followed by an e-Delphi consensus process were held with EFCD/ORCA/DGZ delegates. RESULTS Managing an individual's caries risk using non-invasive means (oral hygiene measures including flossing/interdental brushes, fluoride application) is recommended, as both proximal and secondary carious lesions may be prevented or their activity reduced. For proximal lesions, only cavitated lesions (confirmed by visual-tactile, or radiographically extending into the middle/inner dentine third) should be treated invasively/restoratively. Non-cavitated lesions may be successfully arrested using non-invasive measures in low-risk individuals or if radiographically confined to the enamel. In high-risk individuals or if radiographically extended into dentine, for these lesions, additional micro-invasive ...