Kühnisch, Jan; Aps, Johan Km; Splieth, Christian; Lussi, Adrian; Jablonski-Momeni, Anahita; Mendes, Fausto M; Schmalz, Gottfried; Fontana, Margherita; Banerjee, Avijit; Ricketts, David; Schwendicke, Falk; Douglas, Gail; Campus, Guglielmo; van der Veen, Monique; Opdam, Niek; Doméjean, Sophie; Martignon, Stefania; Neuhaus, Klaus W; Horner, Keith and Huysmans, Marie-Charlotte Dnjm (2024). ORCA-EFCD consensus report on clinical recommendation for caries diagnosis. Paper I: caries lesion detection and depth assessment. Clinical oral investigations, 28(4) Springer 10.1007/s00784-024-05597-3
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OBJECTIVES
The aim of the present consensus paper was to provide recommendations for clinical practice considering the use of visual examination, dental radiography and adjunct methods for primary caries detection.
MATERIALS AND METHODS
The executive councils of the European Organisation for Caries Research (ORCA) and the European Federation of Conservative Dentistry (EFCD) nominated ten experts each to join the expert panel. The steering committee formed three work groups that were asked to provide recommendations on (1) caries detection and diagnostic methods, (2) caries activity assessment and (3) forming individualised caries diagnoses. The experts responsible for "caries detection and diagnostic methods" searched and evaluated the relevant literature, drafted this manuscript and made provisional consensus recommendations. These recommendations were discussed and refined during the structured process in the whole work group. Finally, the agreement for each recommendation was determined using an anonymous Delphi survey.
RESULTS
Recommendations (N = 8) were approved and agreed upon by the whole expert panel: visual examination (N = 3), dental radiography (N = 3) and additional diagnostic methods (N = 2). While the quality of evidence was found to be heterogeneous, all recommendations were agreed upon by the expert panel.
CONCLUSION
Visual examination is recommended as the first-choice method for the detection and assessment of caries lesions on accessible surfaces. Intraoral radiography, preferably bitewing, is recommended as an additional method. Adjunct, non-ionising radiation methods might also be useful in certain clinical situations.
CLINICAL RELEVANCE
The expert panel merged evidence from the scientific literature with practical considerations and provided recommendations for their use in daily dental practice.
Item Type: |
Journal Article (Further Contribution) |
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Division/Institute: |
04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology 04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Dermatology 04 Faculty of Medicine > School of Dental Medicine > Department of Preventive, Restorative and Pediatric Dentistry |
UniBE Contributor: |
Lussi, Adrian, Schmalz, Gottfried Hans, Campus, Guglielmo Giuseppe |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1436-3771 |
Publisher: |
Springer |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
27 Mar 2024 10:09 |
Last Modified: |
27 Mar 2024 10:17 |
Publisher DOI: |
10.1007/s00784-024-05597-3 |
PubMed ID: |
38514502 |
Uncontrolled Keywords: |
Adjunct methods Assessment Bitewing radiography Caries detection Dental radiography Diagnosis Laser fluorescence Visual examination |
BORIS DOI: |
10.48350/194661 |
URI: |
https://boris.unibe.ch/id/eprint/194661 |
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