How to Intervene in the Caries Process in Older Adults: A Joint ORCA and EFCD Expert Delphi Consensus Statement
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. Ba...
Published in: | Caries Research |
---|---|
Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , |
Other Authors: | |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Karger
2020
|
Subjects: | |
Online Access: | https://hdl.handle.net/1805/27832 |
id |
ftiupui:oai:scholarworks.iupui.edu:1805/27832 |
---|---|
record_format |
openpolar |
spelling |
ftiupui:oai:scholarworks.iupui.edu:1805/27832 2023-10-09T21:55:02+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 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 Cariology, Operative Dentistry and Dental Public Health, School of Dentistry 2020 application/pdf https://hdl.handle.net/1805/27832 en eng Karger 10.1159/000510843 Caries Research Paris, S., Banerjee, A., Bottenberg, P., Breschi, L., Campus, G., Doméjean, S., Ekstrand, K., Giacaman, R. A., Haak, R., Hannig, M., Hickel, R., Juric, H., Lussi, A., Machiulskiene, V., Manton, D., Jablonski-Momeni, A., Santamaria, R., Schwendicke, F., Splieth, C. H., … Opdam, N. (2020). How to Intervene in the Caries Process in Older Adults: A Joint ORCA and EFCD Expert Delphi Consensus Statement. Caries Research, 54(5–6), 1–7. https://doi.org/10.1159/000510843 https://hdl.handle.net/1805/27832 Attribution-NonCommercial 4.0 International http://creativecommons.org/licenses/by-nc/4.0/ Publisher older adults seniors caries treatment Article 2020 ftiupui https://doi.org/10.1159/000510843 2023-09-22T14:27:18Z 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 Indiana University - Purdue University Indianapolis: IUPUI Scholar Works Caries Research 54 5-6 459 465 |
institution |
Open Polar |
collection |
Indiana University - Purdue University Indianapolis: IUPUI Scholar Works |
op_collection_id |
ftiupui |
language |
English |
topic |
older adults seniors caries treatment |
spellingShingle |
older adults seniors caries treatment 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 |
older adults seniors caries treatment |
description |
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 |
Cariology, Operative Dentistry and Dental Public Health, School of Dentistry |
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 |
Karger |
publishDate |
2020 |
url |
https://hdl.handle.net/1805/27832 |
genre |
Orca |
genre_facet |
Orca |
op_source |
Publisher |
op_relation |
10.1159/000510843 Caries Research Paris, S., Banerjee, A., Bottenberg, P., Breschi, L., Campus, G., Doméjean, S., Ekstrand, K., Giacaman, R. A., Haak, R., Hannig, M., Hickel, R., Juric, H., Lussi, A., Machiulskiene, V., Manton, D., Jablonski-Momeni, A., Santamaria, R., Schwendicke, F., Splieth, C. H., … Opdam, N. (2020). How to Intervene in the Caries Process in Older Adults: A Joint ORCA and EFCD Expert Delphi Consensus Statement. Caries Research, 54(5–6), 1–7. https://doi.org/10.1159/000510843 https://hdl.handle.net/1805/27832 |
op_rights |
Attribution-NonCommercial 4.0 International http://creativecommons.org/licenses/by-nc/4.0/ |
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_ |
1779318821303091200 |