How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement
This paper provides recommendations for dentists for the treatment of dental caries in children, with an emphasis on early childhood caries (ECC), primary teeth, and occlusal surfaces in permanent teeth. A consensus workshop followed by an e-Delphi consensus process was conducted with an expert pane...
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ftunivbruxelles:oai:dipot.ulb.ac.be:2013/321636 2023-05-15T17:53:42+02:00 How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement Splieth, Christian H Banerjee, Avijit Bottenberg, Peter Breschi, Lorenzo Campus, Guglielmo Ekstrand, Kim Rud Giacaman, Rodrigo A Haak, Rainer Hannig, Matthias Hickel, Reinhard Juric, Hrvoje Lussi, Adrian Machiulskiene, Vita Manton, David J. Jablonski-Momeni, Anahita Opdam, Niek J.M. Paris, Sebastian Santamaría, Ruth M. Schwendicke, Falk Tassery, Hervé Ferreira Zandona, Andrea Zero, Domenick T. Zimmer, Stefan Doméjean, Sophie 2020-12 1 full-text file(s): application/pdf http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/321636 https://dipot.ulb.ac.be/dspace/bitstream/2013/321636/1/doi_305280.pdf en eng uri/info:doi/10.1159/000507692 https://dipot.ulb.ac.be/dspace/bitstream/2013/321636/1/doi_305280.pdf http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/321636 1 full-text file(s): info:eu-repo/semantics/openAccess Caries research, 54 (4 Sciences bio-médicales et agricoles Stomatologie - odontologie Caries treatment Children Early childhood caries Fluoride Permanent molars Primary teeth Restoration Sealant info:eu-repo/semantics/article info:ulb-repo/semantics/articlePeerReview info:ulb-repo/semantics/openurl/article 2020 ftunivbruxelles 2022-06-12T22:00:52Z This paper provides recommendations for dentists for the treatment of dental caries in children, with an emphasis on early childhood caries (ECC), primary teeth, and occlusal surfaces in permanent teeth. A consensus workshop followed by an e-Delphi consensus process was conducted with an expert panel nominated by the European Organization for Caries Research (ORCA) and European Federation of Conservative Dentistry (EFCD)/German Association of Conservative Dentistry (DGZ) boards. Based on 3 systematic reviews and a nonsystematic literature search, recommendations were developed. The caries decline has led to a more polarized disease distribution in children and adolescents along social gradients which should be taken into account when managing the caries process at all levels, such as the individual, the group, or a population. The control or reduction of caries activity is the basis for successful caries management. In children, caries management requires adequate daily oral hygiene and fluoride application via toothpaste, ensured by caregivers, and especially for ECC prevention an emphasis on sugar intake reduction is needed. These noninvasive interventions are also suitable to arrest or control initial or even cavitated dentine caries lesions in the absence of irreversible pulpitis. Fluoride varnish or silver diammine fluoride can be added as supplementary agents. In pits and fissures, composite resin materials can be used as preventive sealants and for defect-oriented minimally invasive restorations. In primary molars, preformed metal crowns are more successful than multisurface fillings, especially in caries-active patients. With persisting high caries activity, multiple lesions, and limited cooperation, caries control should consist of robust measures with high success rates, even including extraction in selected cases. This applies especially to treatments performed under general anesthesia. info:eu-repo/semantics/published Article in Journal/Newspaper Orca DI-fusion : dépôt institutionnel de l'Université libre de Bruxelles (ULB) |
institution |
Open Polar |
collection |
DI-fusion : dépôt institutionnel de l'Université libre de Bruxelles (ULB) |
op_collection_id |
ftunivbruxelles |
language |
English |
topic |
Sciences bio-médicales et agricoles Stomatologie - odontologie Caries treatment Children Early childhood caries Fluoride Permanent molars Primary teeth Restoration Sealant |
spellingShingle |
Sciences bio-médicales et agricoles Stomatologie - odontologie Caries treatment Children Early childhood caries Fluoride Permanent molars Primary teeth Restoration Sealant Splieth, Christian H Banerjee, Avijit Bottenberg, Peter Breschi, Lorenzo Campus, Guglielmo Ekstrand, Kim Rud Giacaman, Rodrigo A Haak, Rainer Hannig, Matthias Hickel, Reinhard Juric, Hrvoje Lussi, Adrian Machiulskiene, Vita Manton, David J. Jablonski-Momeni, Anahita Opdam, Niek J.M. Paris, Sebastian Santamaría, Ruth M. Schwendicke, Falk Tassery, Hervé Ferreira Zandona, Andrea Zero, Domenick T. Zimmer, Stefan Doméjean, Sophie How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement |
topic_facet |
Sciences bio-médicales et agricoles Stomatologie - odontologie Caries treatment Children Early childhood caries Fluoride Permanent molars Primary teeth Restoration Sealant |
description |
This paper provides recommendations for dentists for the treatment of dental caries in children, with an emphasis on early childhood caries (ECC), primary teeth, and occlusal surfaces in permanent teeth. A consensus workshop followed by an e-Delphi consensus process was conducted with an expert panel nominated by the European Organization for Caries Research (ORCA) and European Federation of Conservative Dentistry (EFCD)/German Association of Conservative Dentistry (DGZ) boards. Based on 3 systematic reviews and a nonsystematic literature search, recommendations were developed. The caries decline has led to a more polarized disease distribution in children and adolescents along social gradients which should be taken into account when managing the caries process at all levels, such as the individual, the group, or a population. The control or reduction of caries activity is the basis for successful caries management. In children, caries management requires adequate daily oral hygiene and fluoride application via toothpaste, ensured by caregivers, and especially for ECC prevention an emphasis on sugar intake reduction is needed. These noninvasive interventions are also suitable to arrest or control initial or even cavitated dentine caries lesions in the absence of irreversible pulpitis. Fluoride varnish or silver diammine fluoride can be added as supplementary agents. In pits and fissures, composite resin materials can be used as preventive sealants and for defect-oriented minimally invasive restorations. In primary molars, preformed metal crowns are more successful than multisurface fillings, especially in caries-active patients. With persisting high caries activity, multiple lesions, and limited cooperation, caries control should consist of robust measures with high success rates, even including extraction in selected cases. This applies especially to treatments performed under general anesthesia. info:eu-repo/semantics/published |
format |
Article in Journal/Newspaper |
author |
Splieth, Christian H Banerjee, Avijit Bottenberg, Peter Breschi, Lorenzo Campus, Guglielmo Ekstrand, Kim Rud Giacaman, Rodrigo A Haak, Rainer Hannig, Matthias Hickel, Reinhard Juric, Hrvoje Lussi, Adrian Machiulskiene, Vita Manton, David J. Jablonski-Momeni, Anahita Opdam, Niek J.M. Paris, Sebastian Santamaría, Ruth M. Schwendicke, Falk Tassery, Hervé Ferreira Zandona, Andrea Zero, Domenick T. Zimmer, Stefan Doméjean, Sophie |
author_facet |
Splieth, Christian H Banerjee, Avijit Bottenberg, Peter Breschi, Lorenzo Campus, Guglielmo Ekstrand, Kim Rud Giacaman, Rodrigo A Haak, Rainer Hannig, Matthias Hickel, Reinhard Juric, Hrvoje Lussi, Adrian Machiulskiene, Vita Manton, David J. Jablonski-Momeni, Anahita Opdam, Niek J.M. Paris, Sebastian Santamaría, Ruth M. Schwendicke, Falk Tassery, Hervé Ferreira Zandona, Andrea Zero, Domenick T. Zimmer, Stefan Doméjean, Sophie |
author_sort |
Splieth, Christian H |
title |
How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement |
title_short |
How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement |
title_full |
How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement |
title_fullStr |
How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement |
title_full_unstemmed |
How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement |
title_sort |
how to intervene in the caries process in children: a joint orca and efcd expert delphi consensus statement |
publishDate |
2020 |
url |
http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/321636 https://dipot.ulb.ac.be/dspace/bitstream/2013/321636/1/doi_305280.pdf |
genre |
Orca |
genre_facet |
Orca |
op_source |
Caries research, 54 (4 |
op_relation |
uri/info:doi/10.1159/000507692 https://dipot.ulb.ac.be/dspace/bitstream/2013/321636/1/doi_305280.pdf http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/321636 |
op_rights |
1 full-text file(s): info:eu-repo/semantics/openAccess |
_version_ |
1766161409801977856 |