CariesCare practice guide: consensus on evidence into practice

Ex vivo investigation on internal tunnel approach/internal resin infiltration and external nanosilver-modified resin infiltration of proximal caries exceeding into dentin

“…In the present study, proximal surfaces revealing initial caries lesions (ICDAS 2) or those considered at the transition to moderate lesions (ICDAS 3) [14,15] have been used; these lesions can be considered as fast progressing ones, and a therapeutic intervention has been recommended sooner rather than later [36]. Along with the radiologic diagnosis, we used the DIAGNOcam (KaVo) readings for the final tooth selection, since near-infrared transillumination clearly enables differentiation of lesions limited to enamel from those reaching the dentin.…”

“…Consequently, a recently published guideline summarizing the respective literature has concluded that the resin infiltration concept is clinically feasible and reliable, and offers high success rates with non-cavitated proximal caries lesions restricted to enamel [13]. By implementing this technique, dental health will be maintained, and the use of surgical intervention will be reduced to a minimum, thus following the recommendations adopted by the International Caries Classification and Management System (ICCMS ™ ) [14] and by CariesCare International (CCI ™ ) [15].…”

Minimum intervention oral healthcare delivery - is there consensus?

“…Many management variables (technologies, procedures, materials, operator skills, knowledge, experience and a multitude of patient factors including attitudes/ behaviour/socio-economic status etc) all need to be considered when attempting to develop suitable treatment guidelines to help practitioners and their teams. 12 Thanks to this complex interaction of variables, there is a relative paucity of clear-cut, high quality evidence (for example, randomised controlled clinical trials) to enable such guidance to be absolute, conclusive and applicable to all scenarios. As an example of a response to collate further high quality clinical evidence, the National Institute for Health Research UK (NIHR) is currently funding two national multi-centre primary care randomised controlled trials, one on minimally invasive operative caries management -Selective Caries Removal in Permanent Teeth (SCRiPT), and the other on pulpotomy for the management of irreversible pulpitis in mature teeth (PIP).…”

Something beginning with 'c'

“…2 It posed the question 'how can the oral health and dental industries benefit from enabling positive behaviour in caries prevention and control amongst patients and the public?' Participants from dental industry, governments, public health departments, clinicians and academics hunkered down to try and move the caries debate forwards in terms of: driving behaviour change, operationalising and paying for the 4Ds system of CariesCare International, 3 influencing regulation and public policy, and getting oral health onto corporate and social responsibility agendas. The positive detail is contained in the report and the next steps are to be guided by moving towards oral and dental health through partnership.…”