Evidence map›Paper›PMID 38684147›Full record

ArticleCaries research2024

Organization for Caries Research-European Federation of Conservative Dentistry Consensus Report on Clinical Recommendations for Caries Diagnosis Paper II: Caries Lesion Activity and Progression Assessment.

Klaus W Neuhaus, Jan Kühnisch, Avijit Banerjee, Stefania Martignon, David Ricketts, Falk Schwendicke, Monique H van der Veen, Sophie Doméjean, Margherita Fontana, Adrian Lussi and 10 more

Abstract readConsensus Statement
In one paragraph

Article in Caries research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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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.

Klaus W NeuhausDepartment of Pediatric Oral Health, University Center for Dental Medicine Basel (UZB), University of Basel, Basel, Switzerland.
Jan KühnischDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians Universität München, Munich, Germany.
Avijit BanerjeeConservative and MI Dentistry, Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, UK.
Stefania MartignonUNICA - Caries Research Unit, Research Department, Universidad El Bosque, Bogotá, Colombia.
David RickettsUnit of Restorative Dentistry, University of Dundee, Dundee, UK.
Falk SchwendickeDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians Universität München, Munich, Germany.
Monique H van der VeenDepartments of Preventive Dentistry and Paediatric Dentistry, Academic Centre for Dentistry Amsterdam, University of Amsterdam and VU University, Amsterdam, The Netherlands.
Sophie DoméjeanDépartement d'Odontologie Conservatrice, UFR d'Odontologie, Centre de Recherche en Odontologie Clinique, Université Clermont Auvergne, Clermont-Ferrand, France.
Margherita FontanaDepartment of Cariology, Restorative Sciences and Endodontics, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.
Adrian LussiDepartment of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland.
Anahita Jablonski-MomeniDepartment of Orthodontics, Dental School, Philipps University Marburg, Marburg, Germany.
Fausto Medeiros MendesDepartment of Pediatric Dentistry, Faculty of Dentistry, University of São Paulo, São Paulo, Brazil.
Gail DouglasDepartment of Dental Public Health, University of Leeds School of Dentistry, Leeds, UK.
Gottfried SchmalzDepartment of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany.
Guglielmo CampusDepartment of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland.
Johan ApsOpiniDent BV, Kortrijk, Belgium.
Keith HornerDivision of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.
Niek OpdamDepartment of Dentistry, Radboud University Medical Center, Nijmegen, The Netherlands.
Marie-Charlotte HuysmansDepartment of Dentistry, Radboud University Medical Center, Nijmegen, The Netherlands.
Christian H SpliethDepartment of Preventive and Pediatric Dentistry, University of Greifswald, Greifswald, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis consensus paper provides recommendations for oral health professionals on why and how to assess caries activity and progression with special respect to the site of a lesion.

methodsAn expert panel was nominated by the executive councils of the European Organization for Caries Research (ORCA) and the European Federation of Conservative Dentistry (EFCD). The steering committee built three working groups that were asked to provide recommendations on (1) caries detection and diagnostic methods, (2) caries activity and progression assessment, and (3) obtain individualized caries diagnoses. The experts of work group 2 phrased and agreed on provisional general and specific recommendations on caries lesion activity and progression, based on a review of the current literature. These recommendations were then discussed and refined in a consensus workshop followed by an anonymous Delphi survey to determine the agreement on each recommendation.

resultsThe expert panel agreed on general (n = 7) and specific recommendations (n = 6). The specific recommendations cover coronal caries on pits and fissures, smooth surfaces, proximal surfaces, as well as root caries and secondary caries/caries adjacent to restorations and sealants. 3/13 recommendations yielded perfect agreement.

conclusionThe most suitable method for lesion activity assessment is the visual-tactile method. No single clinical characteristic is indicative of lesion activity; instead, lesion activity assessment is based on assessing and weighing several clinical signs. The recall intervals for visual and radiographic examination need to be adjusted to the presence of active caries lesions and recent caries progression rates. Modifications should be based on individual patient characteristics.

Indexed as

Dental CariesDisease ProgressionRoot CariesDelphi TechniqueDental Caries Activity TestsDental FissuresDental Restoration, PermanentEuropeHumansPit and Fissure SealantsTooth CrownPit and Fissure SealantsActivityCariesConsensusDiagnosisProgression

Identifiers

PMID38684147
PMCPMC11446318

What OpenQuestion holds

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LicenceCC BY-NC
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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.