TY - JOUR
T1 - ORCA-EFCD consensus report on clinical recommendation for caries diagnosis. Paper I
T2 - caries lesion detection and depth assessment
AU - Kühnisch, Jan
AU - Aps, Johan Km
AU - Splieth, Christian
AU - Lussi, Adrian
AU - Jablonski-Momeni, Anahita
AU - Mendes, Fausto M.
AU - Schmalz, Gottfried
AU - Fontana, Margherita
AU - Banerjee, Avijit
AU - Ricketts, David
AU - Schwendicke, Falk
AU - Douglas, Gail
AU - Campus, Guglielmo
AU - van der Veen, Monique
AU - Opdam, Niek
AU - Doméjean, Sophie
AU - Martignon, Stefania
AU - Neuhaus, Klaus W.
AU - Horner, Keith
AU - Huysmans, Marie-Charlotte Dnjm
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024/3/22
Y1 - 2024/3/22
N2 - 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.
AB - 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.
KW - Humans
KW - Consensus
KW - Dental Caries Susceptibility
KW - Radiography, Bitewing
KW - Dental Caries/diagnostic imaging
KW - Sensitivity and Specificity
KW - Laser fluorescence
KW - Bitewing radiography
KW - Assessment
KW - Dental radiography
KW - Adjunct methods
KW - Caries detection
KW - Visual examination
KW - Diagnosis
UR - http://www.scopus.com/inward/record.url?scp=85188300998&partnerID=8YFLogxK
U2 - 10.1007/s00784-024-05597-3
DO - 10.1007/s00784-024-05597-3
M3 - Article
C2 - 38514502
SN - 1432-6981
VL - 28
JO - Clinical Oral Investigations
JF - Clinical Oral Investigations
IS - 4
M1 - 227
ER -