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Scientific paper - Review paper
How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement
Caries Research, 54 (2020), 4; 297-305. https://doi.org/10.1159/000507692
Splieth, Christian H.; Banerjee, Avijit; Bottenberg, Peter; Breschi, Lorenzo; Campus, Guglielmo; Ekstrand, Kim Rud; Giacaman, Rodrigo A.; Haak, Rainer; Hannig, Matthias; Hickel, Reinhard; Jurić, Hrvoje; Lussi, Adrian; Machiulskiene, Vita; Manton, David J.; Jablonski-Momeni, Anahita; Opdam, Niek J.M.; Paris, Sebastian; Santamaría, Ruth M.; Schwendicke, Falk; Tassery, Herve; Ferreira Zandona, Andrea; Zero, Domenick T.; Zimmer, Stefan; Doméjean, Sophie More authors...

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Splieth, C., Banerjee, A., Bottenberg, P., Breschi, L., Campus, G., Ekstrand, K. ... Doméjean, S. (2020). How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement. Caries Research, 54. (4), 297-305. doi: 10.1159/000507692

Splieth, Christian H., et al. "How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement." Caries Research, vol. 54, no. 4, 2020, pp. 297-305. https://doi.org/10.1159/000507692

Splieth, Christian H., Avijit Banerjee, Peter Bottenberg, Lorenzo Breschi, Guglielmo Campus, Kim Rud Ekstrand, Rodrigo A. Giacaman, et al. "How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement." Caries Research 54, no. 4 (2020): 297-305. https://doi.org/10.1159/000507692

Splieth, C., et al. (2020) 'How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement', Caries Research, 54(4), pp. 297-305. doi: 10.1159/000507692

Splieth C, Banerjee A, Bottenberg P, Breschi L, Campus G, Ekstrand K, and sur.. How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement. Caries Research [Internet]. 2020 [cited 2025 January 04];54(4):297-305. doi: 10.1159/000507692

C. Splieth, et al., "How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement", Caries Research, vol. 54, no. 4, pp. 297-305, 2020. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:127:886092. [Accessed: 04 January 2025]

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Metadata
Title (english)How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement
AuthorChristian H. Splieth
AuthorAvijit Banerjee
AuthorPeter Bottenberg
AuthorLorenzo Breschi
AuthorGuglielmo Campus
AuthorKim Rud Ekstrand
AuthorRodrigo A. Giacaman
AuthorRainer Haak
AuthorMatthias Hannig
AuthorReinhard Hickel
AuthorHrvoje Jurić
AuthorAdrian Lussi
AuthorVita Machiulskiene
AuthorDavid J. Manton
AuthorAnahita Jablonski-Momeni
AuthorNiek J.M. Opdam
AuthorSebastian Paris
AuthorRuth M. Santamaría
AuthorFalk Schwendicke
AuthorHerve Tassery
AuthorAndrea Ferreira Zandona
AuthorDomenick T. Zero
AuthorStefan Zimmer
AuthorSophie Doméjean
Author's institution(Zagreb University Hispital Center)
Author's institutionUniversity of Zagreb
School of Dental Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Dental Medicine
Abstract (english)
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.
Keywords (english)
Languageenglish
Publication typeScientific paper - Review paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleCaries Research
Numberingvol. 54, no. 4, pp. 297-305
p-ISSN0008-6568
e-ISSN1421-976X
DOIhttps://doi.org/10.1159/000507692
URN:NBNurn:nbn:hr:127:886092
Publication2020
Document URLhttps://karger.com/CRE/article/doi/10.1159/000507692
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-10-22 09:33:01