Expert consensus on dental caries management.

Consensus Dental Care Dental Caries / prevention & control Humans Prevalence

Journal

International journal of oral science
ISSN: 2049-3169
Titre abrégé: Int J Oral Sci
Pays: India
ID NLM: 101504351

Informations de publication

Date de publication:
31 03 2022
Historique:
received: 30 12 2021
accepted: 20 02 2022
revised: 09 02 2022
entrez: 1 4 2022
pubmed: 2 4 2022
medline: 5 4 2022
Statut: epublish

Résumé

Dental Caries is a kind of chronic oral disease that greatly threaten human being's health. Though dentists and researchers struggled for decades to combat this oral disease, the incidence and prevalence of dental caries remain quite high. Therefore, improving the disease management is a key issue for the whole population and life cycle management of dental caries. So clinical difficulty assessment system of caries prevention and management is established based on dental caries diagnosis and classification. Dentists should perform oral examination and establish dental records at each visit. When treatment plan is made on the base of caries risk assessment and carious lesion activity, we need to work out patient‑centered and personalized treatment planning to regain oral microecological balance, to control caries progression and to restore the structure and function of the carious teeth. And the follow-up visits are made based on personalized caries management. This expert consensus mainly discusses caries risk assessment, caries treatment difficulty assessment and dental caries treatment plan, which are the most important parts of caries management in the whole life cycle.

Identifiants

DOI: 10.1038/s41368-022-00167-3 PMID: 35361749 PMC: PMC8971510
pubmed: 35361749
doi: 10.1038/s41368-022-00167-3
pii: 10.1038/s41368-022-00167-3
pmc: PMC8971510
doi:

Types de publication

Journal Article Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

17

Informations de copyright

© 2022. The Author(s).

Références

Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet, 2018. 392(10159): p. 1789–1858.
X, W., The 4th survey report of national oral health epidemiology. 2018.
Bernabe, C. et al. Global, regional, and national levels and trends in burden of oral conditions from 1990 to 2017: a systematic analysis for the global burden of disease 2017 study. J. Dent. Res. 99, 362–373 (2020).
pubmed: 32122215 doi: 10.1177/0022034520908533
Demarco, F. F. et al. Anterior composite restorations: A systematic review on long-term survival and reasons for failure. Dent. Mater. 31, 1214–1224 (2015).
pubmed: 26303655 doi: 10.1016/j.dental.2015.07.005
Chen, Z. & R, C. Dental caries revisited. J. Oral. Sci. Res. 36, 1–6 (2020).
Ismail, A. I. et al. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent. Oral. Epidemiol. 35, 170–178 (2007).
pubmed: 17518963 doi: 10.1111/j.1600-0528.2007.00347.x
Braga, M. M. et al. Feasibility of the International Caries Detection and Assessment System (ICDAS-II) in epidemiological surveys and comparability with standard World Health Organization criteria. Caries Res. 43, 245–249 (2009).
pubmed: 19439944 doi: 10.1159/000217855
Zhou, X. D., Cheng, L. & Zheng, L. W. Strategies of caries management in whole lifecycle. Chin. J. Stomatol. 53, 367–373 (2018).
American Denta LAssociation, ADA caries risk assessment form completion instructions [EB/OL]. (2015-06-05) [2020-11-04].
American Academy Of Pediatric Dentistry Council On Clinical Affairs, Policy on use of a caries-risk assessment tool (CAT) for infants, children, and adolescents. Pediatr. Dent. 27, 25–27 (2005).
Domejean-Orliaguet, S., Gansky, S. A. & Featherstone, J. D. Caries risk assessment in an educational environment. J. Dent. Educ. 70, 1346–54. (2006).
pubmed: 17170326 doi: 10.1002/j.0022-0337.2006.70.12.tb04238.x
Bratthall, D. & Hansel, P. G. Cariogram-a multifactorial risk assessment model for a multifactorial disease. Commun. Dent. Oral. Epidemiol. 33, 256–64. (2005).
doi: 10.1111/j.1600-0528.2005.00233.x
American Dental Association (ADA), Caries risk assessment form (age 0‑6) [EB/OL]. (2016‑06‑15)[2020‑11‑04].
Ramos-Gomez, F. J. et al. Caries risk assessment appropriate for the age 1 visit (infants and toddlers). J. Calif. Dent. Assoc. 35, 687–702 (2007).
pubmed: 18044377
American Academy of Pediatric Dentistry, Caries-risk Assessment and Management for Infants, Children, and Adolescents. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry, 2021.
Featherstone, J. D. et al. Caries risk assessment in practice for age 6 through adult. J. Calif. Dent. Assoc. 35, 703–707 (2007).
pubmed: 18044378
American Dental Association (ADA), Caries risk assessment form (age >6) [EB/OL]. (2016‑06‑15)[2020‑11‑04].
Tellez, M. et al. Evidence on existing caries risk assessment systems: are they predictive of future caries? Commun. Dent. Oral. Epidemiol. 41, 67–78 (2013).
doi: 10.1111/cdoe.12003
Gao, X. et al. Validity of caries risk assessment programmes in preschool children. J. Dent. 41, 787–795 (2013).
pubmed: 23791698 doi: 10.1016/j.jdent.2013.06.005
Fontana, M. & Gonzalez-Cabezas, C. Noninvasive caries risk-based management in private practice settings may lead to reduced caries experience over time. J. Evid. Based Dent. Pr. 16, 239–242 (2016).
doi: 10.1016/j.jebdp.2016.11.003
Zero, D., Fontana, M. & Lennon, A. M. Clinical applications and outcomes of using indicators of risk in caries management. J. Dent. Educ. 65, 1126–1132 (2001).
pubmed: 11699989 doi: 10.1002/j.0022-0337.2001.65.10.tb03461.x
Chaffee, B. W., Featherstone, J. & Zhan, L. Pediatric caries risk assessment as a predictor of caries outcomes. Pediatr. Dent. 39, 219–232 (2017).
pubmed: 28583247 pmcid: 5463572
Nyvad, B., Machiulskiene, V. & Baelum, V. Reliability of a new caries diagnostic system differentiating between active and inactive caries lesions. Caries Res. 33, 252–60 (1999).
pubmed: 10343087 doi: 10.1159/000016526
Gugnani, N. et al. International Caries Detection and Assessment System (ICDAS): a new concept. Int J. Clin. Pediatr. Dent. 4, 93–100 (2011).
pubmed: 27672245 doi: 10.5005/jp-journals-10005-1089
Michou, S. et al. Development of a fluorescence-based caries scoring system for an intraoral scanner: an in vitro study. Caries Res. 54, 324–335 (2020).
pubmed: 33053552 doi: 10.1159/000509925
ICDAS Coordinating Commitee (2009) International Caries Detection and Assessment System (ICDAS II)–Manual criteria. Budapest, Hungary. https://www.iccms-web.com . Accessed 24 Sept 2018.
Drancourt, N. et al. Carious lesion activity assessment in clinical practice: a systematic review. Clin. Oral. Investig. 23, 1513–1524 (2019).
pubmed: 30790086 doi: 10.1007/s00784-019-02839-7
Pitts N. B. et al. ICCMSTM Guide for Practitioners and Educators. Zenodo.
Kidd, E., Fejerskov, O. & Nyvad, B. Infected dentine revisited. Dent. Update 42, 802–806 (2015).
pubmed: 26749788 doi: 10.12968/denu.2015.42.9.802
Xuedong, Z. et al. Difficulty influence factors of dental caries clinical treatment. Hua Xi Kou Qiang Yi Xue Za Zhi 35, 1–7 (2017).
pubmed: 28326721
Guzman-Armstrong, S. & Johnsen, D. C. Caries management decision-making: diagnosis and synthesis. Dent. Clin. North Am. 63, 679–693 (2019).
pubmed: 31470922 doi: 10.1016/j.cden.2019.06.007
Cheng, L. & Zhou, X. D. Clinical assessment of caries prevention and management. Zhonghua Kou Qiang Yi Xue Za Zhi 56, 39–44 (2021).
pubmed: 34645233
Young, D. A. & Featherstone, J. D. Caries management by risk assessment. Commun. Dent. Oral. Epidemiol. 41, e53–e63 (2013).
doi: 10.1111/cdoe.12031
Nyvad, B. & Baelum, V. Nyvad criteria for caries lesion activity and severity assessment: a validated approach for clinical management and research. Caries Res. 52, 397–405 (2018).
pubmed: 29506010 doi: 10.1159/000480522
Fontana, M. & Gonzalez-Cabezas, C. Evidence-based dentistry caries risk assessment and disease management. Dent. Clin. North Am. 63, 119–128 (2019).
pubmed: 30447787 doi: 10.1016/j.cden.2018.08.007
Fontana, M. Nonrestorative management of cavitated and noncavitated caries lesions. Dent. Clin. North Am. 63, 695–703 (2019).
pubmed: 31470923 doi: 10.1016/j.cden.2019.06.001
Griffin, S. et al. School-based dental sealant programs prevent cavities and are cost-effective. Health Aff. 35, 2233–2240 (2016).
doi: 10.1377/hlthaff.2016.0839
Slayton, R. L. et al. Evidence-based clinical practice guideline on nonrestorative treatments for carious lesions: A report from the American Dental Association. J. Am. Dent. Assoc. 149, 837–849 (2018).
pubmed: 30261951 doi: 10.1016/j.adaj.2018.07.002
Urquhart, O. et al. Nonrestorative treatments for caries: systematic review and network meta-analysis. J. Dent. Res. 98, 14–26 (2019).
pubmed: 30290130 doi: 10.1177/0022034518800014
Domejean, S. et al. Resin infiltration of non-cavitated caries lesions: a systematic review. Med Princ. Pr. 24, 216–221 (2015).
doi: 10.1159/000371709
Rethman, M. P. et al. Non-fluoride caries-preventive agents: executive summary of evidence-based clinical recommendations. J. Am. Dent. Assoc. 142, 1065–1071 (2011).
pubmed: 21987836 doi: 10.14219/jada.archive.2011.0329
Schwendicke, F. et al. Managing carious lesions: consensus recommendations on carious tissue removal. Adv. Dent. Res. 28, 58–67 (2016).
pubmed: 27099358 doi: 10.1177/0022034516639271
Innes, N. P. et al. Managing carious lesions: consensus recommendations on terminology. Adv. Dent. Res. 28, 49–57 (2016).
pubmed: 27099357 doi: 10.1177/0022034516639276
Chen, Z. et al. [Managing carious lesions: consensus recommendations on carious tissue removal]. Zhonghua Kou Qiang Yi Xue Za Zhi 51, 712–716 (2016).
pubmed: 27978910
Bjorndal, L. Stepwise excavation. Monogr. Oral. Sci. 27, 68–81 (2018).
pubmed: 29794419 doi: 10.1159/000487834
Hayashi, M. et al. Ways of enhancing pulp preservation by stepwise excavation-a systematic review. J. Dent. 39, 95–107 (2011).
pubmed: 20971154 doi: 10.1016/j.jdent.2010.10.012
Pedano, M. S., Li, X., Yoshihara, K., Landuyt, K. V. & Van Meerbeek, B. Cytotoxicity and bioactivity of dental pulp-capping agents towards human tooth-pulp cells: a systematic review of in-vitro studies and meta-analysis of randomized and controlled clinical trials. Materials 132, 2670 (2020).
doi: 10.3390/ma13122670
Song, M. et al. Clinical and molecular perspectives of reparative dentin formation: lessons learned from pulp-capping materials and the emerging roles of calcium. Dent. Clin. North Am. 61, 93–110 (2017).
pubmed: 27912821 pmcid: 5137790 doi: 10.1016/j.cden.2016.08.008
Hoefler, V., Nagaoka, H. & Miller, C. S. Long-term survival and vitality outcomes of permanent teeth following deep caries treatment with step-wise and partial-caries-removal: A systematic review. J. Dent. 54, 25–32 (2016).
pubmed: 27664467 doi: 10.1016/j.jdent.2016.09.009
Giacaman, R. A. et al. Evidence-based strategies for the minimally invasive treatment of carious lesions: Review of the literature. Adv. Clin. Exp. Med. 27, 1009–1016 (2018).
pubmed: 29962116 doi: 10.17219/acem/77022
Schwendicke, F. et al. Failure of incompletely excavated teeth-a systematic review. J. Dent. 41, 569–80 (2013).
pubmed: 23685036 doi: 10.1016/j.jdent.2013.05.004
Maltz, M. et al. Randomized trial of partial vs. stepwise caries removal: 3-year follow-up. J. Dent. Res. 91, 1026–1031 (2012).
pubmed: 22983407 doi: 10.1177/0022034512460403
Chen, Z. Amalgam and the minamata converntion on mercury. Zhonghua Kou Qiang Yi Xue Za Zhi 54, 217–222 (2019).
pubmed: 30955290
Tjaderhane, L. & Tezvergil-Mutluay, A. Performance of adhesives and restorative materials after selective removal of carious lesions: restorative materials with anticaries properties. Dent. Clin. North Am. 63, 715–729 (2019).
pubmed: 31470925 doi: 10.1016/j.cden.2019.05.001
Mickenautsch, S. High-viscosity glass-ionomer cements for direct posterior tooth restorations in permanent teeth: The evidence in brief. J. Dent. 55, 121–123 (2016).
pubmed: 27765512 doi: 10.1016/j.jdent.2016.10.007
Scholtanus, J. D. & Huysmans, M. C. Clinical failure of class-II restorations of a highly viscous glass-ionomer material over a 6-year period: a retrospective study. J. Dent. 35, 156–162 (2007).
pubmed: 16973253 doi: 10.1016/j.jdent.2006.07.006
Isolan, C. P. et al. Bonding to sound and caries-affected dentin: a systematic review and meta-analysis. J. Adhes. Dent. 20, 7–18 (2018).
pubmed: 29399679
El-Deeb, H. A. & Mobarak, E. H. Microshear bond strength of high-viscosity glass-ionomer to normal and caries-affected dentin under simulated intrapulpal pressure. Oper. Dent. 43, 665–673 (2018).
pubmed: 29856700 doi: 10.2341/17-154-L
McComb, D. et al. A clinical comparison of glass ionomer, resin-modified glass ionomer and resin composite restorations in the treatment of cervical caries in xerostomic head and neck radiation patients. Oper. Dent. 27, 430–437 (2002).
pubmed: 12216559
Hu, J. Y. et al. Radiation-induced root surface caries restored with glass-ionomer cement placed in conventional and ART cavity preparations: results at two years. Aust. Dent. J. 50, 186–190 (2005).
pubmed: 16238217 doi: 10.1111/j.1834-7819.2005.tb00359.x
De Moor, R. J., Stassen, I. G., van 't Veldt, Y., Torbeyns, D. & Hommez, G. M. Two-year clinical performance of glass ionomer and resin composite restorations in xerostomic head- and neck-irradiated cancer patients. Clin. Oral. Investig. 15, 31–38 (2011).
pubmed: 19997859 doi: 10.1007/s00784-009-0355-4
Hu, J. Y. et al. Restoration of teeth with more-viscous glass ionomer cements following radiation-induced caries. Int Dent. J. 52, 445–448 (2002).
pubmed: 12553399 doi: 10.1111/j.1875-595X.2002.tb00640.x
Mickenautsch, S. & Yengopal, V. Failure rate of direct high-viscosity glass-ionomer versus hybrid resin composite restorations in posterior permanent teeth - a systematic review. Open Dent. J. 9, 438–48 (2015).
pubmed: 26962372 pmcid: 4768657 doi: 10.2174/1874210601509010438
Chen, Z. Application of flowable composite resin in dental restoration. Chin. J. Stomatol. 50, 331–336 (2015).
White, B. A. & Maupome, G. Clinical decision-making for dental caries management. J. Dent. Educ. 65, 1121–1125 (2001).
pubmed: 11699988 doi: 10.1002/j.0022-0337.2001.65.10.tb03460.x
Jenson, L. et al. Clinical protocols for caries management by risk assessment. J. Calif. Dent. Assoc. 35, 714–723 (2007).
pubmed: 18044379
Hickel, R. et al. Recommendations for conducting controlled clinical studies of dental restorative materials. Science Committee Project 2/98-FDI World Dental Federation study design (Part I) and criteria for evaluation (Part II) of direct and indirect restorations including onlays and partial crowns. J. Adhes. Dent. 9 Suppl 1, 121–147 (2007).
Selwitz, R. H., Ismail, A. I. & Pitts, N. B. Dental caries. Lancet 369, 51–59 (2007).
pubmed: 17208642 doi: 10.1016/S0140-6736(07)60031-2
Kidd, E. & Fejerskov, O. Changing concepts in cariology: forty years on. Dent. Update 40, 277–278 (2013).
pubmed: 23829008 doi: 10.12968/denu.2013.40.4.277
Teng, F. et al. Prediction of early childhood caries via spatial-temporal variations of oral microbiota. Cell Host Microbe 18, 296–306 (2015).
pubmed: 26355216 doi: 10.1016/j.chom.2015.08.005
Xiao, C. et al. Bacterial diversity and community structure of supragingival plaques in adults with dental health or caries revealed by 16S pyrosequencing. Front Microbiol. 7, 1145 (2016).
pubmed: 27499752 pmcid: 4956651 doi: 10.3389/fmicb.2016.01145
Yang, F. et al. Characterization of saliva microbiota’s functional feature based on metagenomic sequencing. Springerplus 5, 2098 (2016).
pubmed: 28053828 pmcid: 5174016 doi: 10.1186/s40064-016-3728-6
Jing, C. et al. Recent achievements in the microbiological etiology of dental caries. Hua Xi Kou Qiang Yi Xue Za Zhi 36, 104–108 (2018).
pubmed: 29595006

Auteurs

Lei Cheng (L)

State Key Laboratory of Oral Diseases & Department of Operative Dentistry and Endodontics, West China Hospital of Stomatology, National Clinical Research Centre for Oral Diseases, Sichuan University, Chengdu, China.
ORCID: 0000-0002-2762-4740

Lu Zhang (L)

The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China.

Lin Yue (L)

Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology, Peking University, Beijing, China.

Junqi Ling (J)

Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University and Guangdong Provincial Key Laboratory of Stomatology, Sun Yat‑Sen University, Guangzhou, Guangdong, China.

Mingwen Fan (M)

School of Medicine, Jianghan University, Wuhan, China.

Deqin Yang (D)

College of Stomathology, Chongqing Medical University, Chongqing, China.

Zhengwei Huang (Z)

Department of Endodontics, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai JiaoTong University School of Medicine, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai Jiao Tong University, Shanghai, China.

Yumei Niu (Y)

Department of Endodontics, The First Affiliated Hospital of Harbin Medical University & Department of Endodontics, School of Stomatology, Harbin Medical University, Harbin, China.

Jianguo Liu (J)

Key Laboratory of Oral Disease Research, School of Stomatology, Zunyi Medical University, Zunyi, China.

Jin Zhao (J)

Department of Endodontics, First Affiliated Hospital of Xinjiang Medical University, and College of Stomatology of Xinjiang Medical University, Urumqi, China.

Yanhong Li (Y)

Affiliated Stomatological Hospital of Kunming Medical University, Kunming, Yunnan, China.

Bin Guo (B)

Department of Stomatology, the First Medical Centre, Chinese PLA General Hospital, Beijing, China.

Zhi Chen (Z)

The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China. zhichen@whu.edu.cn.

Xuedong Zhou (X)

State Key Laboratory of Oral Diseases & Department of Operative Dentistry and Endodontics, West China Hospital of Stomatology, National Clinical Research Centre for Oral Diseases, Sichuan University, Chengdu, China. zhouxd@scu.edu.cn.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female

Evaluation of Low-Value Services Across Major Medicare Advantage Insurers and Traditional Medicare.

Ciara Duggan, Adam L Beckman, Ishani Ganguli et al.
1.00
Humans United States Aged Cross-Sectional Studies Medicare Part C

Effectiveness of Virtual Yoga for Chronic Low Back Pain: A Randomized Clinical Trial.

Hallie Tankha, Devyn Gaskins, Amanda Shallcross et al.
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH

questionsmedicales.fr › Phénomènes psychologiques › Processus mentaux › Pensée (activité mentale) › Prise de décision › Consensus › Expert consensus on dental caries management.
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services de santé buccodentaire › Soins dentaires › Expert consensus on dental caries management.
questionsmedicales.fr › Maladies du système stomatognathique › Maladies des dents › Déminéralisation dentaire › Caries dentaires › Expert consensus on dental caries management.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Expert consensus on dental caries management.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Registre civil › Morbidité › Prévalence › Expert consensus on dental caries management.