How to intervene in the caries process in adults: proximal and secondary caries? An EFCD-ORCA-DGZ expert Delphi consensus statement
International audience Objectives To provide consensus recommendations on how to intervene in the caries process in adults, specifically proximal and secondary carious lesions. Methods Based on two systematic reviews, a consensus conference and followed by an e-Delphi consensus process were held wit...
Published in: | Clinical Oral Investigations |
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Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , |
Other Authors: | , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
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HAL CCSD
2020
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Online Access: | https://hal.archives-ouvertes.fr/hal-02956222 https://hal.archives-ouvertes.fr/hal-02956222/document https://hal.archives-ouvertes.fr/hal-02956222/file/Schwendicke%20et%20al%202020%20How%20To%20Intervene%20In%20The%20Caries%20Proces%20Cli%20oral%20Investig.pdf https://doi.org/10.1007/s00784-020-03431-0 |
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Université de Nantes: HAL-UNIV-NANTES |
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English |
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[SDV.AEN]Life Sciences [q-bio]/Food and Nutrition [SDV.CAN]Life Sciences [q-bio]/Cancer [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie |
spellingShingle |
[SDV.AEN]Life Sciences [q-bio]/Food and Nutrition [SDV.CAN]Life Sciences [q-bio]/Cancer [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie Schwendicke, Falk Splieth, Christian 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 Opdam, Niek Paris, Sebastian Santamaria, Ruth Tassery, Hervé Zandona, Andrea Zero, Domenick Zimmer, Stefan Banerjee, Avijit How to intervene in the caries process in adults: proximal and secondary caries? An EFCD-ORCA-DGZ expert Delphi consensus statement |
topic_facet |
[SDV.AEN]Life Sciences [q-bio]/Food and Nutrition [SDV.CAN]Life Sciences [q-bio]/Cancer [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie |
description |
International audience Objectives To provide consensus recommendations on how to intervene in the caries process in adults, specifically proximal and secondary carious lesions. Methods Based on two systematic reviews, a consensus conference and followed by an e-Delphi consensus process were held with EFCD/ORCA/DGZ delegates. Results Managing an individual's caries risk using non-invasive means (oral hygiene measures including flossing/interdental brushes, fluoride application) is recommended, as both proximal and secondary carious lesions may be prevented or their activity reduced. For proximal lesions, only cavitated lesions (confirmed by visual-tactile, or radiographically extending into the middle/ inner dentine third) should be treated invasively/restoratively. Non-cavitated lesions may be successfully arrested using non-invasive measures in low-risk individuals or if radiographically confined to the enamel. In high-risk individuals or if radiograph-ically extended into dentine, for these lesions, additional micro-invasive (lesion sealing and infiltration) treatment should be considered. For restoring proximal lesions, adhesive direct restorations allow minimally invasive, tooth-preserving preparations. Amalgams come with a lower risk of secondary lesions and may be preferable in more clinically complex scenarios, dependent on specific national guidelines. In structurally compromised (especially endodontically treated) teeth, indirect cuspal coverage restorations may be indicated. Detection methods for secondary lesions should be tailored according to the individual's caries risk. Avoiding false positive detection and over-treatment is a priority. Bitewing radiographs should be combined with visual-tactile assessment to confirm secondary caries detections. Review/refurbishing/resealing/repairing instead of replacing partially defective restorations should be considered for managing secondary caries, if possible. Conclusions An individualized and lesion-specific approach is recommended for intervening in ... |
author2 |
Centre de Recherche en Odontologie Clinique (CROC) Université Clermont Auvergne 2017-2020 (UCA 2017-2020 ) CHU Estaing Clermont-Ferrand CHU Clermont-Ferrand Laboratoire de Bioingénierie et NanoSciences (LBN) Université de Montpellier (UM) |
format |
Article in Journal/Newspaper |
author |
Schwendicke, Falk Splieth, Christian 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 Opdam, Niek Paris, Sebastian Santamaria, Ruth Tassery, Hervé Zandona, Andrea Zero, Domenick Zimmer, Stefan Banerjee, Avijit |
author_facet |
Schwendicke, Falk Splieth, Christian 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 Opdam, Niek Paris, Sebastian Santamaria, Ruth Tassery, Hervé Zandona, Andrea Zero, Domenick Zimmer, Stefan Banerjee, Avijit |
author_sort |
Schwendicke, Falk |
title |
How to intervene in the caries process in adults: proximal and secondary caries? An EFCD-ORCA-DGZ expert Delphi consensus statement |
title_short |
How to intervene in the caries process in adults: proximal and secondary caries? An EFCD-ORCA-DGZ expert Delphi consensus statement |
title_full |
How to intervene in the caries process in adults: proximal and secondary caries? An EFCD-ORCA-DGZ expert Delphi consensus statement |
title_fullStr |
How to intervene in the caries process in adults: proximal and secondary caries? An EFCD-ORCA-DGZ expert Delphi consensus statement |
title_full_unstemmed |
How to intervene in the caries process in adults: proximal and secondary caries? An EFCD-ORCA-DGZ expert Delphi consensus statement |
title_sort |
how to intervene in the caries process in adults: proximal and secondary caries? an efcd-orca-dgz expert delphi consensus statement |
publisher |
HAL CCSD |
publishDate |
2020 |
url |
https://hal.archives-ouvertes.fr/hal-02956222 https://hal.archives-ouvertes.fr/hal-02956222/document https://hal.archives-ouvertes.fr/hal-02956222/file/Schwendicke%20et%20al%202020%20How%20To%20Intervene%20In%20The%20Caries%20Proces%20Cli%20oral%20Investig.pdf https://doi.org/10.1007/s00784-020-03431-0 |
genre |
Orca |
genre_facet |
Orca |
op_source |
ISSN: 1432-6981 EISSN: 1436-3771 Clinical Oral Investigations https://hal.archives-ouvertes.fr/hal-02956222 Clinical Oral Investigations, Springer Verlag, 2020, 24 (9), pp.3315-3321. ⟨10.1007/s00784-020-03431-0⟩ |
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info:eu-repo/semantics/altIdentifier/doi/10.1007/s00784-020-03431-0 hal-02956222 https://hal.archives-ouvertes.fr/hal-02956222 https://hal.archives-ouvertes.fr/hal-02956222/document https://hal.archives-ouvertes.fr/hal-02956222/file/Schwendicke%20et%20al%202020%20How%20To%20Intervene%20In%20The%20Caries%20Proces%20Cli%20oral%20Investig.pdf doi:10.1007/s00784-020-03431-0 |
op_rights |
info:eu-repo/semantics/OpenAccess |
op_doi |
https://doi.org/10.1007/s00784-020-03431-0 |
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Clinical Oral Investigations |
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24 |
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ftunivnantes:oai:HAL:hal-02956222v1 2023-05-15T17:53:42+02:00 How to intervene in the caries process in adults: proximal and secondary caries? An EFCD-ORCA-DGZ expert Delphi consensus statement Schwendicke, Falk Splieth, Christian 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 Opdam, Niek Paris, Sebastian Santamaria, Ruth Tassery, Hervé Zandona, Andrea Zero, Domenick Zimmer, Stefan Banerjee, Avijit Centre de Recherche en Odontologie Clinique (CROC) Université Clermont Auvergne 2017-2020 (UCA 2017-2020 ) CHU Estaing Clermont-Ferrand CHU Clermont-Ferrand Laboratoire de Bioingénierie et NanoSciences (LBN) Université de Montpellier (UM) 2020-09 https://hal.archives-ouvertes.fr/hal-02956222 https://hal.archives-ouvertes.fr/hal-02956222/document https://hal.archives-ouvertes.fr/hal-02956222/file/Schwendicke%20et%20al%202020%20How%20To%20Intervene%20In%20The%20Caries%20Proces%20Cli%20oral%20Investig.pdf https://doi.org/10.1007/s00784-020-03431-0 en eng HAL CCSD Springer Verlag info:eu-repo/semantics/altIdentifier/doi/10.1007/s00784-020-03431-0 hal-02956222 https://hal.archives-ouvertes.fr/hal-02956222 https://hal.archives-ouvertes.fr/hal-02956222/document https://hal.archives-ouvertes.fr/hal-02956222/file/Schwendicke%20et%20al%202020%20How%20To%20Intervene%20In%20The%20Caries%20Proces%20Cli%20oral%20Investig.pdf doi:10.1007/s00784-020-03431-0 info:eu-repo/semantics/OpenAccess ISSN: 1432-6981 EISSN: 1436-3771 Clinical Oral Investigations https://hal.archives-ouvertes.fr/hal-02956222 Clinical Oral Investigations, Springer Verlag, 2020, 24 (9), pp.3315-3321. ⟨10.1007/s00784-020-03431-0⟩ [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition [SDV.CAN]Life Sciences [q-bio]/Cancer [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie info:eu-repo/semantics/article Journal articles 2020 ftunivnantes https://doi.org/10.1007/s00784-020-03431-0 2022-08-30T23:03:59Z International audience Objectives To provide consensus recommendations on how to intervene in the caries process in adults, specifically proximal and secondary carious lesions. Methods Based on two systematic reviews, a consensus conference and followed by an e-Delphi consensus process were held with EFCD/ORCA/DGZ delegates. Results Managing an individual's caries risk using non-invasive means (oral hygiene measures including flossing/interdental brushes, fluoride application) is recommended, as both proximal and secondary carious lesions may be prevented or their activity reduced. For proximal lesions, only cavitated lesions (confirmed by visual-tactile, or radiographically extending into the middle/ inner dentine third) should be treated invasively/restoratively. Non-cavitated lesions may be successfully arrested using non-invasive measures in low-risk individuals or if radiographically confined to the enamel. In high-risk individuals or if radiograph-ically extended into dentine, for these lesions, additional micro-invasive (lesion sealing and infiltration) treatment should be considered. For restoring proximal lesions, adhesive direct restorations allow minimally invasive, tooth-preserving preparations. Amalgams come with a lower risk of secondary lesions and may be preferable in more clinically complex scenarios, dependent on specific national guidelines. In structurally compromised (especially endodontically treated) teeth, indirect cuspal coverage restorations may be indicated. Detection methods for secondary lesions should be tailored according to the individual's caries risk. Avoiding false positive detection and over-treatment is a priority. Bitewing radiographs should be combined with visual-tactile assessment to confirm secondary caries detections. Review/refurbishing/resealing/repairing instead of replacing partially defective restorations should be considered for managing secondary caries, if possible. Conclusions An individualized and lesion-specific approach is recommended for intervening in ... Article in Journal/Newspaper Orca Université de Nantes: HAL-UNIV-NANTES Clinical Oral Investigations 24 9 3315 3321 |