How to Intervene in the Caries Process in Older Adults: A Joint ORCA and EFCD Expert Delphi Consensus Statement ...

• Main Authors: 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
• Format: Text
• Language: English
• Published: Karger 2020
• Subjects: 610 Medicine & health; Orca
• Online Access: https://dx.doi.org/10.7892/boris.149719; https://boris.unibe.ch/149719/

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 ...