Evidence map›Paper›PMID 38514502›Full record

ArticleClinical oral investigations2024

ORCA-EFCD consensus report on clinical recommendation for caries diagnosis. Paper I: caries lesion detection and depth assessment.

Jan Kühnisch, Johan Km Aps, Christian Splieth, Adrian Lussi, Anahita Jablonski-Momeni, Fausto M Mendes, Gottfried Schmalz, Margherita Fontana, Avijit Banerjee, David Ricketts and 10 more

Open access · hybridAbstract readLetterConsensus Statement
In one paragraph

Article in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
10.4field-weighted citation impact, top 1% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 14 institutions in 10 countries.

Jan KühnischDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians Universität München, Poliklinik für Zahnerhaltung und Parodontologie, Goethestraße 70, 80336, München, Germany. jan.kuehnisch@med.uni-muenchen.de.
Johan Km ApsOpiniDent BV, Kortrijk, Belgium.
Christian SpliethPreventive and Pediatric Dentistry, Center for Oral Health, Universitätsmedizin Greifswald, Greifswald, Germany.
Adrian LussiUniversity Hospital for Conservative Dentistry and Periodontology, Medical University of Innsbruck, Innsbruck, Austria.
Anahita Jablonski-MomeniDepartment of Orthodontics, Dental School, Philipps-University Marburg, Marburg, Germany.
Fausto M MendesDepartment of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Gottfried SchmalzDepartment of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany.
Margherita FontanaDepartment of Cariology, Restorative Sciences and Endodontics, University of Michigan School of Dentistry, Ann Arbor, USA.
Avijit BanerjeeConservative & MI Dentistry, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.
David RickettsUnit of Restorative Dentistry, University of Dundee, Dundee, UK.
Falk SchwendickeDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians Universität München, Poliklinik für Zahnerhaltung und Parodontologie, Goethestraße 70, 80336, München, Germany.
Gail DouglasDepartment of Dental Public Health, University of Leeds Dental School, Leeds, UK.
Guglielmo CampusDepartment of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland.
Monique van der VeenDepartments of Preventive Dentistry and Paediatric Dentistry, Academic Centre for Dentistry Amsterdam, University of Amsterdam and VU University, Amsterdam, The Netherlands.
Niek OpdamDepartment of Dentistry, Radboud University Medical Center, Nijmegen, The Netherlands.
Sophie DoméjeanCentre de Recherche en Odontologie Clinique EA 4847, UFR d'Odontologie, Département d'Odontologie Conservatrice, Université Clermont Auvergne, Clermont-Ferrand, France.
Stefania MartignonUNICA - Caries Research Unit, Research Department, Universidad El Bosque, Bogotá, Colombia.
Klaus W NeuhausDepartment of Pediatric Oral Health, University Center for Dental Medicine Basel (UZB), University of Basel, Basel, Switzerland.
Keith HornerDivision of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Marie-Charlotte Dnjm HuysmansDepartment of Dentistry, Radboud University Medical Center, Nijmegen, The Netherlands.
University of Bern · CHPoliklinik für Zahnerhaltung und Parodontologie · DERadboud University Nijmegen · NLAcademic Center for Dentistry Amsterdam · NLKing's College London · GBManchester Academic Health Science Centre · GBPhilipps University of Marburg · DEUniversidade de São Paulo · BRUniversidad El Bosque · COUniversitätsmedizin Greifswald · DEUniversité Clermont Auvergne · FRUniversity of Dundee · GBUniversity of Leeds · GBUniversity of Michigan · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of the present consensus paper was to provide recommendations for clinical practice considering the use of visual examination, dental radiography and adjunct methods for primary caries detection. MATERIALS AND

methodsThe executive councils of the European Organisation for Caries Research (ORCA) and the European Federation of Conservative Dentistry (EFCD) nominated ten experts each to join the expert panel. The steering committee formed three work groups that were asked to provide recommendations on (1) caries detection and diagnostic methods, (2) caries activity assessment and (3) forming individualised caries diagnoses. The experts responsible for "caries detection and diagnostic methods" searched and evaluated the relevant literature, drafted this manuscript and made provisional consensus recommendations. These recommendations were discussed and refined during the structured process in the whole work group. Finally, the agreement for each recommendation was determined using an anonymous Delphi survey.

resultsRecommendations (N = 8) were approved and agreed upon by the whole expert panel: visual examination (N = 3), dental radiography (N = 3) and additional diagnostic methods (N = 2). While the quality of evidence was found to be heterogeneous, all recommendations were agreed upon by the expert panel.

conclusionVisual examination is recommended as the first-choice method for the detection and assessment of caries lesions on accessible surfaces. Intraoral radiography, preferably bitewing, is recommended as an additional method. Adjunct, non-ionising radiation methods might also be useful in certain clinical situations. CLINICAL RELEVANCE: The expert panel merged evidence from the scientific literature with practical considerations and provided recommendations for their use in daily dental practice.

Indexed as

Dental CariesDental Caries SusceptibilityHumansRadiography, BitewingSensitivity and SpecificityAdjunct methodsAssessmentBitewing radiographyCaries detectionDental radiographyDiagnosisLaser fluorescenceVisual examination

Identifiers

PMID38514502
PMCPMC10957694
OpenAlexW4393094805

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.