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, E...
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Online Access: | https://hal.uca.fr/hal-03376057 https://doi.org/10.1159/000510843 |
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ftinserm:oai:HAL:hal-03376057v1 2023-05-15T17:53:39+02:00 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, Haak, Rainer Hannig, Matthias Hickel, Reinhard Juric, Hrvoje Lussi, Adrian Machiulskiene, Vita Manton, David Jablonski-Momeni, Anahita Santamaria, Ruth Schwendicke, Falk Splieth, Christian, Tassery, Hervé Zandona, Andrea Zero, Domenick Zimmer, Stefan Opdam, Niek Giacaman, Rodrigo a. Splieth, Christian h. Centre de Recherche en Odontologie Clinique (CROC) Université Clermont Auvergne (UCA) 2020-12-22 https://hal.uca.fr/hal-03376057 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://hal.uca.fr/hal-03376057 doi:10.1159/000510843 PUBMED: 33291110 ISSN: 0008-6568 EISSN: 1421-976X Caries Research https://hal.uca.fr/hal-03376057 Caries Research, Karger, 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 ftinserm https://doi.org/10.1159/000510843 2022-06-23T21:41:47Z 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 Inserm: HAL (Institut national de la santé et de la recherche médicale) Caries Research 54 5-6 459 465 |
institution |
Open Polar |
collection |
Inserm: HAL (Institut national de la santé et de la recherche médicale) |
op_collection_id |
ftinserm |
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, Haak, Rainer Hannig, Matthias Hickel, Reinhard Juric, Hrvoje Lussi, Adrian Machiulskiene, Vita Manton, David Jablonski-Momeni, Anahita Santamaria, Ruth Schwendicke, Falk Splieth, Christian, Tassery, Hervé Zandona, Andrea Zero, Domenick Zimmer, Stefan Opdam, Niek Giacaman, Rodrigo a. Splieth, Christian h. 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 |
Centre de Recherche en Odontologie Clinique (CROC) Université Clermont Auvergne (UCA) |
format |
Article in Journal/Newspaper |
author |
Paris, Sebastian Banerjee, Avijit Bottenberg, Peter Breschi, Lorenzo Campus, Guglielmo Doméjean, Sophie Ekstrand, Kim Giacaman, Rodrigo, Haak, Rainer Hannig, Matthias Hickel, Reinhard Juric, Hrvoje Lussi, Adrian Machiulskiene, Vita Manton, David Jablonski-Momeni, Anahita Santamaria, Ruth Schwendicke, Falk Splieth, Christian, Tassery, Hervé Zandona, Andrea Zero, Domenick Zimmer, Stefan Opdam, Niek Giacaman, Rodrigo a. Splieth, Christian h. |
author_facet |
Paris, Sebastian Banerjee, Avijit Bottenberg, Peter Breschi, Lorenzo Campus, Guglielmo Doméjean, Sophie Ekstrand, Kim Giacaman, Rodrigo, Haak, Rainer Hannig, Matthias Hickel, Reinhard Juric, Hrvoje Lussi, Adrian Machiulskiene, Vita Manton, David Jablonski-Momeni, Anahita Santamaria, Ruth Schwendicke, Falk Splieth, Christian, Tassery, Hervé Zandona, Andrea Zero, Domenick Zimmer, Stefan Opdam, Niek Giacaman, Rodrigo a. Splieth, Christian h. |
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://hal.uca.fr/hal-03376057 https://doi.org/10.1159/000510843 |
genre |
Orca |
genre_facet |
Orca |
op_source |
ISSN: 0008-6568 EISSN: 1421-976X Caries Research https://hal.uca.fr/hal-03376057 Caries Research, Karger, 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://hal.uca.fr/hal-03376057 doi:10.1159/000510843 PUBMED: 33291110 |
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 |
_version_ |
1766161360521003008 |