How to intervene in the caries process: proximal caries in adolescents and adults—a systematic review and meta-analysis

Splieth, Christian H.; Kanzow, Philipp; Wiegand, Annette; Schmoeckel, Julian; Jablonski-Momeni, Anahita

doi:10.1007/s00784-020-03201-y

Cited by 32 publications

(28 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…To improve efficiency under different clinical conditions, trials are conducted in terms of patients with different caries risk levels. A previous review indicated that the progression rate of non-cavitated proximal lesions was highly relevant to the individual caries risk [64]. Thus, conducting a caries risk assessment beforehand is vital and should be considered a prerequisite.…”

Section: Discussionmentioning

confidence: 99%

Infiltration and sealing for managing non-cavitated proximal lesions: a systematic review and meta-analysis

Chen

Lin

2021

BMC Oral Health

View full text Add to dashboard Cite

Background Infiltration and sealing are micro-invasive treatments for arresting proximal non-cavitated caries lesions; however, their efficacies under different conditions remain unknown. This systematic review and meta-analysis aimed to evaluate the caries-arresting effectiveness of infiltration and sealing and to further analyse their efficacies across different dentition types and caries risk levels. Methods Six electronic databases were searched for published literature, and references were manually searched. Split-mouth randomised controlled trials (RCTs) to compare the effectiveness between infiltration/sealing and non-invasive treatments in proximal lesions were included. The primary outcome was obtained from radiographical readings. Results In total, 1033 citations were identified, and 17 RCTs (22 articles) were included. Infiltration and sealing reduced the odds of lesion progression (infiltration vs. non-invasive: OR = 0.21, 95% CI 0.15–0.30; sealing vs. placebo: OR = 0.27, 95% CI 0.18–0.42). For both the primary and permanent dentitions, infiltration and sealing were more effective than non-invasive treatments (primary dentition: OR = 0.30, 95% CI 0.20–0.45; permanent dentition: OR = 0.20, 95% CI 0.14–0.28). The overall effects of infiltration and sealing were significantly different from the control effects based on different caries risk levels (OR = 0.20, 95% CI 0.14–0.28). Except for caries risk at moderate levels (moderate risk: OR = 0.32, 95% CI 0.01–8.27), there were significant differences between micro-invasive and non-invasive treatments (low risk: OR = 0.24, 95% CI 0.08–0.72; low to moderate risk: OR = 0.38, 95% CI 0.18–0.81; moderate to high risk: OR = 0.17, 95% CI 0.10–0.29; and high risk: OR = 0.14, 95% CI 0.07–0.28). Except for caries risk at moderate levels (moderate risk: OR = 0.32, 95% CI 0.01–8.27), infiltration was superior (low risk: OR = 0.24, 95% CI 0.08–0.72; low to moderate risk: OR = 0.38, 95% CI 0.18–0.81; moderate to high risk: OR = 0.20, 95% CI 0.10–0.39; and high risk: OR = 0.14, 95% CI 0.05–0.37). Conclusion Infiltration and sealing were more efficacious than non-invasive treatments for halting non-cavitated proximal lesions.

show abstract

Section: Discussionmentioning

confidence: 99%

Infiltration and sealing for managing non-cavitated proximal lesions: a systematic review and meta-analysis

Chen

Lin

2021

BMC Oral Health

View full text Add to dashboard Cite

show abstract

“…To summarize the current scientific knowledge, selected members of the three associations were asked prior to the meeting to prepare systematic literature reviews regarding the treatment of most prevalent caries forms in the three age groups. The reviews were published in Caries Research and Clinical Oral Investigations [Meyer-Lueckel et al, 2019;Askar et al, 2020;Santamaria et al, 2020, in press;Schmoeckel et al, 2020;Splieth et al, 2020]. In preparation of the current consensus, a systematic review on the management of root caries was performed [Meyer-Lueckel et al, 2019].…”

Section: Methodsmentioning

confidence: 99%

How to Intervene in the Caries Process in Older Adults: A Joint ORCA and EFCD Expert Delphi Consensus Statement

et al. 2020

View full text Add to dashboard Cite

Aim: To provide recommendations for dental clinicians for the management of dental caries in older adults with special emphasis on root caries lesions. Methods: A consensus workshop followed by a Delphi consensus process were conducted with an expert panel nominated by ORCA, EFCD, and DGZ boards. Based on a systematic review of the literature, as well as non-systematic literature search, recommendations for clinicians were developed and consented in a two-stage Delphi process. Results: Demographic and epidemiologic changes will significantly increase the need of management of older adults and root caries in the future. Ageing is associated with a decline of intrinsic capacities and an increased risk of general diseases. As oral and systemic health are linked, bidirectional consequences of diseases and interventions need to be considered. Caries prevention and treatment in older adults must respond to the patient’s individual abilities for self-care and cooperation and often involves the support of caregivers. Systemic interventions may involve dietary counselling, oral hygiene instruction, the use of fluoridated toothpastes, and the stimulation of salivary flow. Local interventions to manage root lesions may comprise local biofilm control, application of highly fluoridated toothpastes or varnishes as well as antimicrobial agents. Restorative treatment is often compromised by the accessibility of such root caries lesions as well as the ability of the senior patient to cooperate. If optimum restorative treatment is impossible or inappropriate, long-term stabilization, e.g., by using glass-ionomer cements, and palliative treatments that aim to maintain oral function as long and as well as possible may be the treatment of choice for the individual.

show abstract

“…Encontramos 11 revisiones sistemáticas (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16) que incluyeron cuatro estudios primarios, todos correspondientes a ensayos clínicos aleatorizados, (17)(18)(19)(20)(21) reportados en cinco referencias.…”

Section: Cuál Es La Evidenciaunclassified

“…Diferencias entre este resumen y otras fuentes • Las conclusiones de este análisis coinciden con lo encontrado por cada una de las revisiones sistemáticas identificadas (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16) las cuales consideran que el uso de la infiltración de resina para el tratamiento de la caries interproximal no cavitada disminuye el riesgo de progresión de caries en dientes posteriores permanentes.…”

Section: Cuál Es La Evidenciaunclassified

Infiltración de resina y barniz de flúor para el tratamiento de caries interproximales no cavitadas en dentición permanente.

Rojas-Gómez

Verdugo-Paiva

Balanta‐Melo

2021

Int. j interdiscip. dent.

View full text Add to dashboard Cite

How to intervene in the caries process: proximal caries in adolescents and adults—a systematic review and meta-analysis

Cited by 32 publications

References 52 publications

Infiltration and sealing for managing non-cavitated proximal lesions: a systematic review and meta-analysis

Infiltration and sealing for managing non-cavitated proximal lesions: a systematic review and meta-analysis

How to Intervene in the Caries Process in Older Adults: A Joint ORCA and EFCD Expert Delphi Consensus Statement

Infiltración de resina y barniz de flúor para el tratamiento de caries interproximales no cavitadas en dentición permanente.

Contact Info

Product

Resources

About