Best clinical practice guidance for management of early caries lesions in children and young adults: an EAPD policy document

Derek Richards

Research output: Contribution to journalComment/debate

2 Citations (Scopus)

Abstract

Scope and purpose: The guidance provides evidence- and clinically-based recommendations for detecting and diagnosing early/non-cavitated caries lesions, risk assessment and disease management.

Methodology: The guidance development is based on three reviews(1,2,3) and an interim seminar and workshop organised by the European Academy of Paediatric Dentistry in Brussels in May 2015.

Review and updating: No indication of a review or update schedule is given.

Recommendations: Seven recommendations on caries detection and diagnosis, four recommendations on caries risk assessment and 11 on the management of the early carious lesion were made and they are briefly summarised in the table below.

Research Recommendations:

Caries detection and diagnosis

There is a need for more research in the primary dentition because most of the available studies consider only the permanent dentition. Radiograph subtraction studies need to be conducted. Ongoing evaluation of new methods and devices. There is a need for well-designed prevention studies on early childhood caries which will provide sufficient and strong evidence of the cost-effectiveness. There is a significant need to bring the knowledge and learning to regular dental practice, to all the paediatric health care providers, the children and their parents.

Caries risk assessment

Clinical trials to assess the validity of models and single risk factors, as well as the role of confounding factors (eg age, lifestyle, socio-economy and socio-demography), for predicting caries. Further quantitative and qualitative health professional and parents would be helpful to identify perceptions and barriers to carrying out a CRA and to deliver a risk-based preventive care that could bridge the social inequalities in dental health. More research on the implementation of risk-based caries prevention and to establish the cost-effectiveness of such strategies.

Original languageEnglish
Pages (from-to)35-37
Number of pages3
JournalEvidence-Based Dentistry
Volume17
Issue number2
DOIs
Publication statusPublished - 2016

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Practice Management
Practice Guidelines
Young Adult
Cost-Benefit Analysis
Tooth
Parents
Research
Permanent Dentition
Pediatric Dentistry
Preventive Medicine
Deciduous Tooth
Age Factors
Health
Risk Management
Disease Management
Health Personnel
Life Style
Appointments and Schedules
Demography
Learning

Cite this

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title = "Best clinical practice guidance for management of early caries lesions in children and young adults: an EAPD policy document",
abstract = "Scope and purpose: The guidance provides evidence- and clinically-based recommendations for detecting and diagnosing early/non-cavitated caries lesions, risk assessment and disease management.Methodology: The guidance development is based on three reviews(1,2,3) and an interim seminar and workshop organised by the European Academy of Paediatric Dentistry in Brussels in May 2015.Review and updating: No indication of a review or update schedule is given.Recommendations: Seven recommendations on caries detection and diagnosis, four recommendations on caries risk assessment and 11 on the management of the early carious lesion were made and they are briefly summarised in the table below.Research Recommendations:Caries detection and diagnosisThere is a need for more research in the primary dentition because most of the available studies consider only the permanent dentition. Radiograph subtraction studies need to be conducted. Ongoing evaluation of new methods and devices. There is a need for well-designed prevention studies on early childhood caries which will provide sufficient and strong evidence of the cost-effectiveness. There is a significant need to bring the knowledge and learning to regular dental practice, to all the paediatric health care providers, the children and their parents.Caries risk assessmentClinical trials to assess the validity of models and single risk factors, as well as the role of confounding factors (eg age, lifestyle, socio-economy and socio-demography), for predicting caries. Further quantitative and qualitative health professional and parents would be helpful to identify perceptions and barriers to carrying out a CRA and to deliver a risk-based preventive care that could bridge the social inequalities in dental health. More research on the implementation of risk-based caries prevention and to establish the cost-effectiveness of such strategies.",
author = "Derek Richards",
note = "Commentary on {"}K{\"u}hnisch J, Ekstrand KR, Pretty I, Twetman S, van Loveren C, Gizani S, Spyridonos Loizidou M. Best clinical practice guidance for management of early caries lesions in children and young adults: an EAPD policy document. Eur Arch Paediatr Dent 2016; 17: 3–12{"}",
year = "2016",
doi = "10.1038/sj.ebd.6401162",
language = "English",
volume = "17",
pages = "35--37",
journal = "Evidence-Based Dentistry",
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Best clinical practice guidance for management of early caries lesions in children and young adults : an EAPD policy document. / Richards, Derek.

In: Evidence-Based Dentistry, Vol. 17, No. 2, 2016, p. 35-37.

Research output: Contribution to journalComment/debate

TY - JOUR

T1 - Best clinical practice guidance for management of early caries lesions in children and young adults

T2 - an EAPD policy document

AU - Richards, Derek

N1 - Commentary on "Kühnisch J, Ekstrand KR, Pretty I, Twetman S, van Loveren C, Gizani S, Spyridonos Loizidou M. Best clinical practice guidance for management of early caries lesions in children and young adults: an EAPD policy document. Eur Arch Paediatr Dent 2016; 17: 3–12"

PY - 2016

Y1 - 2016

N2 - Scope and purpose: The guidance provides evidence- and clinically-based recommendations for detecting and diagnosing early/non-cavitated caries lesions, risk assessment and disease management.Methodology: The guidance development is based on three reviews(1,2,3) and an interim seminar and workshop organised by the European Academy of Paediatric Dentistry in Brussels in May 2015.Review and updating: No indication of a review or update schedule is given.Recommendations: Seven recommendations on caries detection and diagnosis, four recommendations on caries risk assessment and 11 on the management of the early carious lesion were made and they are briefly summarised in the table below.Research Recommendations:Caries detection and diagnosisThere is a need for more research in the primary dentition because most of the available studies consider only the permanent dentition. Radiograph subtraction studies need to be conducted. Ongoing evaluation of new methods and devices. There is a need for well-designed prevention studies on early childhood caries which will provide sufficient and strong evidence of the cost-effectiveness. There is a significant need to bring the knowledge and learning to regular dental practice, to all the paediatric health care providers, the children and their parents.Caries risk assessmentClinical trials to assess the validity of models and single risk factors, as well as the role of confounding factors (eg age, lifestyle, socio-economy and socio-demography), for predicting caries. Further quantitative and qualitative health professional and parents would be helpful to identify perceptions and barriers to carrying out a CRA and to deliver a risk-based preventive care that could bridge the social inequalities in dental health. More research on the implementation of risk-based caries prevention and to establish the cost-effectiveness of such strategies.

AB - Scope and purpose: The guidance provides evidence- and clinically-based recommendations for detecting and diagnosing early/non-cavitated caries lesions, risk assessment and disease management.Methodology: The guidance development is based on three reviews(1,2,3) and an interim seminar and workshop organised by the European Academy of Paediatric Dentistry in Brussels in May 2015.Review and updating: No indication of a review or update schedule is given.Recommendations: Seven recommendations on caries detection and diagnosis, four recommendations on caries risk assessment and 11 on the management of the early carious lesion were made and they are briefly summarised in the table below.Research Recommendations:Caries detection and diagnosisThere is a need for more research in the primary dentition because most of the available studies consider only the permanent dentition. Radiograph subtraction studies need to be conducted. Ongoing evaluation of new methods and devices. There is a need for well-designed prevention studies on early childhood caries which will provide sufficient and strong evidence of the cost-effectiveness. There is a significant need to bring the knowledge and learning to regular dental practice, to all the paediatric health care providers, the children and their parents.Caries risk assessmentClinical trials to assess the validity of models and single risk factors, as well as the role of confounding factors (eg age, lifestyle, socio-economy and socio-demography), for predicting caries. Further quantitative and qualitative health professional and parents would be helpful to identify perceptions and barriers to carrying out a CRA and to deliver a risk-based preventive care that could bridge the social inequalities in dental health. More research on the implementation of risk-based caries prevention and to establish the cost-effectiveness of such strategies.

U2 - 10.1038/sj.ebd.6401162

DO - 10.1038/sj.ebd.6401162

M3 - Comment/debate

C2 - 27339231

VL - 17

SP - 35

EP - 37

JO - Evidence-Based Dentistry

JF - Evidence-Based Dentistry

SN - 1462-0049

IS - 2

ER -