Evidence map›Paper›PMID 26732946›Full record

GuidelineEuropean archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry2016

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

J Kühnisch, K R Ekstrand, I Pretty, S Twetman, C van Loveren, S Gizani, M Spyridonos Loizidou

Abstract readPractice Guideline
PubMed Publisher
In one paragraph

Guideline in European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 4 pooled it
8.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 4 syntheses or guidelines pooled it, 106 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2020
    Pooled it
  4. Guideline
  5. Improving oral health communication in paediatric dentistry using intraoral scanners: a multicentre pilot study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
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  9. Article
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  12. Selective caries removal and management of exposed pulp in fully developed and immature teeth with reversible pulpitis: a questionnaire-based study in Greece.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
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  16. Review
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  19. Dental pain in Brazilian preschool children: association with the severity of dental caries and impact on oral health-related quality of life.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2024
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 6 countries.

J KühnischDepartment of Conservative Dentistry and Periodontology, School of Dentistry, Ludwig-Maximilians-University of Munich, Poliklinik für Zahnerhaltung und Parodontologie, Goethestraße70, 80336, Munich, Germany. jkuehn@dent.med.uni-muenchen.de.
K R EkstrandDepartment of Odontology, Cariology and Endodontics, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
I PrettyThe Dental Health Unit School of Dentistry, The University of Manchester, Williams House, Manchester Science Park, Manchester, UK.
S TwetmanDepartment of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
C van LoverenDepartment of Preventive Dentistry, Academic Centre for Dentistry Amsterdam, Amsterdam, The Netherlands.
S GizaniDepartment of Pediatric Dentistry, Dental School, University of Athens, Athens, Greece.
M Spyridonos LoizidouSpecialist Private Practice, Paediatric Dentistry, Nicosia, Cyprus.
University of Copenhagen · DKAcademic Center for Dentistry Amsterdam · NLNational and Kapodistrian University of Athens · GRNicosia General Hospital · CYPoliklinik für Zahnerhaltung und Parodontologie · DEUniversity of Manchester · GB

Funding

Department of Health DHCS/05/05/008
6 · The paper itself

Abstract

backgroundThe European Academy of Paediatric Dentistry (EAPD) encourages prevention and arrest of active dental caries. Therefore, the present guidance provides evidence- and clinically-based recommendations for detecting and diagnosing early/non-cavitated caries lesions, risk assessment and disease management.

methodsA search of different databases was conducted using all terms related to the subject. Relevant papers were identified after a review of their titles, abstracts or full texts. Three workshops were held during the corresponding EAPD interim seminar in Brussels in 2015. Several statements were agreed upon and, furthermore, gaps in our knowledge were identified.

resultsFollowing the systematic reviews and outcomes of the seminars, it was concluded that visual and radiographic caries detection should be utilised as a basic diagnostic approach to locate, assess and monitor non-cavitated caries lesions in primary and permanent teeth. As another important evaluation step, a caries risk assessment should be performed at a child's first dental visit, and reassessments should be performed on a regular basis. It is widely accepted that non-cavitated caries lesions can be managed non-invasively in the majority of cases. The spectrum of measures includes a low cariogenicity tooth-friendly diet, daily and appropriate management of the biofilm, home and within the dental office/surgery usage of fluorides as well as sealing techniques.

conclusionThe detection and management of non-cavitated caries is an essential aspect of preventive dentistry. Therefore, the EAPD encourages oral health care providers and caregivers to implement preventive practices that can arrest early caries and improve individual and public dental health.

Indexed as

Pediatric DentistryPreventive DentistryAdultChildDental CareDental CariesDentition, PermanentHumansRisk AssessmentCariesCaries managementCaries riskCaries treatmentDetectionDiagnosisDiagnostic methodsPreventionRisk assessment

Identifiers

PMID26732946
OpenAlexW2222854673

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.