ReviewClinical oral investigations2020
Secondary caries: what is it, and how it can be controlled, detected, and managed?
Review in Clinical oral investigations, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
89 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Antimicrobial potential of bioactive resin composites in caries management: a systematic review ofFrontiers in oral health · 2025Pooled it
- The clinical performance of bulk-fill versus the incremental layered application of direct resin composite restorations: a systematic review.Evidence-based dentistry · 2023Pooled it
- Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic review and meta-analysis of randomized clinical trials.Scientific reports · 2022Pooled it
- Effect of Cavity Disinfectants on Adhesion to Primary Teeth-A Systematic Review.International journal of molecular sciences · 2021Pooled it
- Clinical performance of an innovative self-cure bulk-fill composite compared to dual-cure and light-cure bulk-fill composite in posterior restorations: a 1-year randomized controlled clinical trial.Clinical oral investigations · 2026Trial
- Comparison of two clinical approaches based on visual criteria for secondary caries assessments and treatment decisions in permanent posterior teeth.BMC oral health · 2022Trial
- Effect of moisture control on root caries progression adjacent to different restorative materials in an in-vitro biofilm model.Odontology · 2026Article
- Cariogenic Risk Modifies the Effect of Marginal Adaptation on Caries Adjacent to Posterior Composite Restorations: A Stratified Multivariate Analysis.Clinics and practice · 2026Article
- Review
- Limitations of off-the-shelf multimodal foundation models in secondary caries detection on interproximal radiographs.Odontology · 2026Article
- In vitro evaluation of a novel self-adhesive composite primer modified with nano zinc oxide and hydroxyapatite: antibacterial activity, marginal microleakage, and interfacial elemental analysis.BMC oral health · 2026Article
- Microbial leakage and marginal adaptation of alkasite restorative material in Class II cavities: an in vitro study.Restorative dentistry & endodontics · 2026Article
- Diagnostic accuracy of QrayPen fluorescence scoring for secondary caries in repair-/replacement-indicated posterior composite restorations.Clinical oral investigations · 2026Observational
- Navigating the Spectrum of Cariology: Laser-Mediated Theranostics in Pediatric and Adult Populations.Cureus · 2026Review
- Applications of Nanomaterials in Restorative Dentistry and Endodontics: A Narrative Review.Materials (Basel, Switzerland) · 2026Review
- Application of Polymers in Advanced Materials for Enamel and Dentine Remineralization.ACS biomaterials science & engineering · 2026Review
- Microstructural characterization of enamel at different walls of Class II cavities.BMC oral health · 2026Article
- Accuracy of visual and radiographic ICDAS-merged criteria for secondary caries on permanent posterior teeth.Journal of clinical and experimental dentistry · 2026Review
- Effect of ammonia-free silver fluoride application on the resin-dentin interface subjected to an in situ cariogenic challenge.Clinical oral investigations · 2026Article
- Antibacterial activity and cytotoxicity of tricalcium silicate-based cements with different antibacterial additives.Scientific reports · 2026Article
29 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess how to control, detect, and treat secondary caries. This review serves to inform a joint ORCA/EFCD consensus process.
methodsSystematic and non-systematic reviews were performed or consulted and narratively synthesized.
resultsSecondary (or recurrent) caries is defined as a lesion associated with restorations or sealants. While the restorative material itself has some influence on secondary caries, further factors like the presence and size of restoration gaps, patients' caries risk, and the placing dentist's experience seem more relevant. Current detection methods for secondary caries are only sparsely validated and likely prone for the risk of over-detection. In many patients, it might be prudent to prioritize specific detection methods to avoid invasive overtreatment. Detected secondary caries can be managed either by repair of the defective part of the restoration or its complete replacement.
conclusionsThere is sparse data towards the nature of secondary caries and how to control, detect, and treat it. CLINICAL SIGNIFICANCE: Despite often claimed to be a major complication of restorations, there is surprisingly little data on secondary caries. Longer-term studies may be needed to identify differences in secondary caries risk between materials and to identify characteristic features of progressive lesions (i.e., those in need of treatment).
Indexed as
Identifiers
32300980What OpenQuestion holds
Registered trials
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.