ArticleBritish dental journal2020
When to intervene in the caries process? A Delphi consensus statement.
Article in British dental journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07330089 (Retention of Pits and Fissure Sealants on Non Carious vs Initial Carious Enamel Lesions in Posterior Teeth, a Non Randomized Clinical Study), which is not on this map. Cited by 23 papers, 3 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.
Retention of Pits and Fissure Sealants on Non Carious vs Initial Carious Enamel Lesions in Posterior Teeth, a Non Randomized Clinical Study
Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- What are children's perceptions of dental interventions? A qualitative systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026Pooled it
- Dental Practitioners' Thresholds for Restorative Intervention in Carious Lesions: A Survey-Based Systematic Review Update.Caries research · 2026Pooled it
- Experiences and Parents' Perceptions Regarding Dental Interventions Performed on Their Children: A Qualitative Systematic Review.International journal of paediatric dentistry · 2025Pooled it
- Minimum Intervention Oral Care (MIOC) - Overcoming Implementation Barriers: An International Expert Consensus.International dental journal · 2026Article
- Development of a Cardiac Catheterization Laboratory Nursing Program Targeting Patients Undergoing Percutaneous Coronary Intervention for Acute Myocardial Infarction: A Delphi Study.Journal of multidisciplinary healthcare · 2026Article
- Modifying Diagnostic Terminology May Promote Evidence-Based Care.Caries research · 2025Article
- Comparative Analysis of Flexural and Compressive Strengths of Bioactive Alkasite Compared to Other Ion-Releasing Restorative Materials.Biomimetics (Basel, Switzerland) · 2025Article
- Article
- Detection of proximal dental caries in primary teeth with a near-infrared-irradiation-assisted intraoral scanner: an in vitro study.BMC oral health · 2025Article
- Review
- Consequences of hyposalivation in relation to cancer treatment and early management of radiation-induced caries: case reports.British dental journal · 2024Article
- Recommended procedures for managing carious lesions in primary teeth with pulp involvement-a scoping review.BDJ open · 2024Article
- Minimum intervention oral care: staging and grading dental carious lesions in clinical practice.British dental journal · 2024Article
- 40-Year Outcome of Old-School, Non-Surgical Endodontic Treatment: Practice-Based Retrospective Evaluation.Dentistry journal · 2024Article
- In vitro remineralization of adjacent interproximal enamel carious lesions in primary molars using a bioactive bulk-fill composite.BMC oral health · 2024Article
- Classification of a patient's caries activity based on lesion activity assessment among adults: findings from a prospective cohort study.Clinical oral investigations · 2023Article
- Comparison of calcium-based technologies to remineralise enamel subsurface lesions using microradiography and microhardness.Scientific reports · 2022Article
- Agreement of Bioluminescence Measurements and Visual Assessment in Monitoring Occlusal Surfaces of Permanent Teeth.Journal of clinical medicine · 2022Article
- Oral health of children in Aotearoa New Zealand-time for change.Journal of the Royal Society of New Zealand · 2022Review
- Commercially Available Ion-Releasing Dental Materials and Cavitated Carious Lesions: Clinical Treatment Options.Materials (Basel, Switzerland) · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
19 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives To define an expert Delphi consensus on when to intervene in the caries process and existing carious lesions.Methods Non-systematic literature synthesis, expert Delphi consensus process and expert panel conference.Results Lesion activity, cavitation and cleansability determine intervention thresholds. Inactive lesions do not require treatment (in some cases, restorations may be placed for form, function, aesthetics); active lesions do. Non-cavitated carious lesions should be managed non- or micro-invasively, as should most cavitated lesions which are cleansable. Cavitated lesions which are not cleansable usually require minimally invasive management. In specific circumstances, mixed interventions may be applicable. Occlusally, cavitated lesions confined to enamel/non-cavitated lesions extending radiographically into deep dentine may be exceptions. Proximally, cavitation is hard to assess tactile-visually. Most lesions extending radiographically into the middle/inner third of dentine are assumed to be cavitated. Those restricted to the enamel are not cavitated. For lesions extending radiographically into the outer third of dentine, cavitation is unlikely. These lesions should be managed as if they were non-cavitated unless otherwise indicated. Individual decisions should consider factors modifying these thresholds.Conclusions Comprehensive diagnosis is the basis for systematic decision-making on when to intervene in the caries process and existing lesions.
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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.