Management of root caries: a guide for the Brazilian dentist based on the translation and cultural adaptation of the international consensus/ORCA and EFCD

• Main Authors: Endres, Bruna Leis, de Oliveira, Rayanne Lisboa, Barbosa, Cecília de Brito, Ferreira, Fábio Luiz, Ciancio, Christina Carol Mary, Lia, Erica Negrini, Hilgert, Leandro Augusto, Garcia, Fernanda Cristina Pimentel, Almeida, Júlio César Franco, Takeshita, Eliana Mitsue, Damé-Teixeira, Nailê
• Format: Article in Journal/Newspaper
• Language: Portuguese
• Published: UFRGS 2022
• Subjects: Cárie radicular; Tratamento conservador; Assistência odontológica; Tratamento dentário restaurador sem trauma; Idoso fragilizado; Idoso; Root caries; Conservative treatment; Dental care; Dental atraumatic restorative treatment; Frail elderly; Aged; Orca
• Online Access: https://seer.ufrgs.br/index.php/RevistadaFaculdadeOdontologia/article/view/116951

Aim: Root caries are a problem in modern dentistry, but the lack of guidelines regarding their management is notable. We aim to develop and adapt a guide based on the translation of the recommendations of the international consensus as outlined by the European Organization for Caries Research (ORCA) and the European Federation of Conservative Dentistry (EFCD) for clinical decision-making in the intervention of the caries process in the elderly, with a focus on root caries. Materials and methods: The protocol for translating the recommendations of the international consensus consisted of the following steps: (1) initial translation, (2) synthesis of the translation, (3) back-translation, (4) review by an expert committee with cultural adaptation. Based on the translation, a guide was developed with guidelines for the treatment of root caries in Brazil. Results: To prevent new lesions, daily brushing with toothpaste >1,500ppm/F is recommended. Toothpaste with 5,000ppm/F or varnishes (>20,000ppm/F) may be recommended to paralyze active root lesions and for prevention in elderly people with high susceptibility to root caries, and Silver Diamine Fluoride (>30%) to paralyze active lesions. Direct invasive interventions are indicated depending on the clinical situation. Discussion: There is a lack of interest in primary studies on treatments for root caries, thus creating a gap in relation to its management, which is reflected by the level of evidence detected in the consensus. Conclusion: Clinical guidelines are important to reduce the gap between research and clinical practice. This translation into Portuguese will facilitate access by Brazilian dentists to the consolidated evidence gathered to date for the management of root caries. Objetivo: A cárie radicular é um problema da Odontologia moderna, porém é notável a falta de diretrizes sobre o seu manejo. Objetivamos elaborar e adaptar um guia a partir da tradução das recomendações do consenso internacional European Organization for Caries Research (ORCA) ...