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23. Liste des collaborateurs

Author

Dozic, Alma, primary, Hamburger, Jorien, additional, Kelleher, Martin G.D., additional, de Kloet, Hein, additional, Loomans, Bas A.C., additional, Mackenzie, Louis, additional, Opdam, Niek J.M., additional, and Thomas, Michael, additional

Published
2017
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33. How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement

Author

Splieth, Christian H., Banerjee, Avijit, Bottenberg, Peter, Breschi, Lorenzo, Campus, Guglielmo, Ekstrand, Kim, Giacaman, Rodrigo A., Haak, Rainer, Hannig, Matthias, Hickel, Reinhard, Juric, Hrvoje, Lussi, Adrian, Machiulskiene, Vita, Manton, David, Jablonski-Momeni, Anahita, Opdam, Niek J.M., Paris, Sebastian, Santamaría, Ruth M., Schwendicke, Falk, Tassery, Herve, Zandona, Andrea Ferreira, Zero, Domenick T., Zimmer, Stefan, Doméjean, Sophie, Splieth, Christian H., Banerjee, Avijit, Bottenberg, Peter, Breschi, Lorenzo, Campus, Guglielmo, Ekstrand, Kim, Giacaman, Rodrigo A., Haak, Rainer, Hannig, Matthias, Hickel, Reinhard, Juric, Hrvoje, Lussi, Adrian, Machiulskiene, Vita, Manton, David, Jablonski-Momeni, Anahita, Opdam, Niek J.M., Paris, Sebastian, Santamaría, Ruth M., Schwendicke, Falk, Tassery, Herve, Zandona, Andrea Ferreira, Zero, Domenick T., Zimmer, Stefan, and Doméjean, Sophie

Abstract

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.

Published
2020

34. How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement

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, 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, and Doméjean, Sophie

Abstract

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

Published
2020

35. How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement

Author

Splieth, Christian H., primary, Banerjee, Avijit, additional, Bottenberg, Peter, additional, Breschi, Lorenzo, additional, Campus, Guglielmo, additional, Ekstrand, Kim Rud, additional, Giacaman, Rodrigo A., additional, Haak, Rainer, additional, Hannig, Matthias, additional, Hickel, Reinhard, additional, Juric, Hrvoje, additional, Lussi, Adrian, additional, Machiulskiene, Vita, additional, Manton, David J., additional, Jablonski-Momeni, Anahita, additional, Opdam, Niek J.M., additional, Paris, Sebastian, additional, Santamaría, Ruth M., additional, Schwendicke, Falk, additional, Tassery, Herve, additional, Ferreira Zandona, Andrea, additional, Zero, Domenick T., additional, Zimmer, Stefan, additional, and Doméjean, Sophie, additional

Published
2020
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39. Minimally Invasive Intervention for Primary Caries Lesions: Are Dentists Implementing This Concept?

Author

Laske, Mark, Opdam, Niek J.M., Bronkhorst, Ewald M., Braspenning, Jozé C.C., van der Sanden, Wil J.M., Huysmans, Marie Charlotte D.N.J.M., Bruers, Josef J., Opdam, Niek J M, Bronkhorst, Ewald M, Braspenning, Jozé C C, van der Sanden, Wil J M, Huysmans, Marie Charlotte D N J M, and Bruers, Josef J

Subjects
*DENTAL enamel, *DECIDUOUS dentition (Tooth development)
Abstract

Contemporary minimally invasive treatment concepts for restorative treatment of primary caries lesions include both delayed intervention and smaller-sized preparations restricted to removal of carious tissue. The aim of this study was to investigate whether these concepts have resulted in a trend towards a more conservative choice made by dentists regarding treatment thresholds and restorative techniques. The results from previously conducted, precoded questionnaires developed by Espelid and Tveit, as well as from a recent Dutch questionnaire, were collected and analysed. A worldwide trend towards more minimally invasive strategies in the operative treatment of caries lesions could not be observed, neither for the initiation of operative treatment nor for the preparation techniques. However, in some countries, changes over time could be assessed, especially in Norway, where a reduction in the proportion of interventions is visible for both occlusal and approximal lesions, indicating that more dentists are postponing interventions until the lesions have progressed to a deeper level. From the Dutch national survey, it could be concluded that operators that intervene at an earlier stage of approximal lesioning (stage ≤4) also intervene at an earlier stage of occlusal caries (stage ≤3) (p = 0.012; OR = 2.52; 95% CI: 1.22-5.22). Generally, it can be concluded that dentists worldwide still tend to operatively intervene at a too early stage of caries, although variations exist between countries. A worldwide shift could be observed in the restorative material applied, since composite resin has almost completely replaced amalgam for restoring primary caries lesions. [ABSTRACT FROM AUTHOR]

Published
2019
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