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 |
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Online Access: | https://boris.unibe.ch/149719/7/document.pdf https://boris.unibe.ch/149719/ |
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ftunivbern:oai:boris.unibe.ch:149719 2023-08-20T04:09:05+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 2020-12-08 application/pdf https://boris.unibe.ch/149719/7/document.pdf https://boris.unibe.ch/149719/ eng eng Karger https://boris.unibe.ch/149719/ info:eu-repo/semantics/openAccess 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; . (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), pp. 459-465. Karger 10.1159/000510843 <http://dx.doi.org/10.1159/000510843> 610 Medicine & health info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion PeerReviewed 2020 ftunivbern https://doi.org/10.1159/000510843 2023-07-31T22:03:29Z 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 BORIS (Bern Open Repository and Information System, University of Bern) Caries Research 54 5-6 459 465 |
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BORIS (Bern Open Repository and Information System, University of Bern) |
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ftunivbern |
language |
English |
topic |
610 Medicine & health |
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610 Medicine & health 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 |
610 Medicine & health |
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. |
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://boris.unibe.ch/149719/7/document.pdf https://boris.unibe.ch/149719/ |
genre |
Orca |
genre_facet |
Orca |
op_source |
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; . (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), pp. 459-465. Karger 10.1159/000510843 <http://dx.doi.org/10.1159/000510843> |
op_relation |
https://boris.unibe.ch/149719/ |
op_rights |
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 |
_version_ |
1774721787077066752 |