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

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dc.contributor.authorSplieth, Christian H
dc.contributor.authorBanerjee, Avijit
dc.contributor.authorBottenberg, Peter
dc.contributor.authorBreschi, Lorenzo
dc.contributor.authorCampus, Guglielmo Giuseppe
dc.contributor.authorEkstrand, Kim Rud
dc.contributor.authorGiacaman, Rodrigo A
dc.contributor.authorHaak, Rainer
dc.contributor.authorHannig, Matthias
dc.contributor.authorHickel, Reinhard
dc.contributor.authorJuric, Hrvoje
dc.contributor.authorLussi, Adrian
dc.contributor.authorMachiulskiene, Vita
dc.contributor.authorManton, David J
dc.contributor.authorJablonski-Momeni, Anahita
dc.contributor.authorOpdam, Niek J M
dc.contributor.authorParis, Sebastian
dc.contributor.authorSantamaría, Ruth M
dc.contributor.authorSchwendicke, Falk
dc.contributor.authorTassery, Herve
dc.contributor.authorFerreira Zandona, Andrea
dc.contributor.authorZero, Domenick T
dc.contributor.authorZimmer, Stefan
dc.contributor.authorDoméjean, Sophie
dc.date.accessioned2024-09-02T16:28:53Z
dc.date.available2024-09-02T16:28:53Z
dc.date.issued2020-07-01
dc.description.abstractThis 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.
dc.description.numberOfPages9
dc.description.sponsorshipZahnmedizinische Kliniken, Klinik für Zahnerhaltung, Präventiv- und Kinderzahnmedizin
dc.identifier.doi10.48350/148508
dc.identifier.pmid32610317
dc.identifier.publisherDOI10.1159/000507692
dc.identifier.urihttps://boris-portal.unibe.ch/handle/20.500.12422/38128
dc.language.isoen
dc.publisherKarger
dc.relation.ispartofCaries research
dc.relation.issn0008-6568
dc.relation.organizationDCD5A442BE8FE17DE0405C82790C4DE2
dc.subjectCaries treatment Children Early childhood caries Fluoride Permanent molars Primary teeth Restoration Sealant
dc.subject.ddc600 - Technology::610 - Medicine & health
dc.titleHow to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement.
dc.typearticle
dspace.entity.typePublication
oaire.citation.endPage305
oaire.citation.issue4
oaire.citation.startPage297
oaire.citation.volume54
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unibe.date.licenseChanged2020-12-29 11:15:53
unibe.description.ispublishedpub
unibe.eprints.legacyId148508
unibe.journal.abbrevTitleCARIES RES
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unibe.subtype.articlereview

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