11 research outputs found
How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement
This paper provides recommendations for dentists for the
treatment of dental caries in children, with an emphasis on
early childhood caries (ECC), primary teeth, and occlusal
surfaces in permanent teeth. A consensus workshop followed by an e-Delphi consensus process was conducted
with an expert panel nominated by the European Organization for Caries Research (ORCA) and European Federation of
Conservative Dentistry (EFCD)/German Association of Conservative Dentistry (DGZ) boards. Based on 3 systematic reviews and a nonsystematic literature search, recommendations were developed. The caries decline has led to a more
polarized disease distribution in children and adolescents
along social gradients which should be taken into account
when managing the caries process at all levels, such as the
individual, the group, or a population. The control or reduction of caries activity is the basis for successful caries management. In children, caries management requires adequate daily oral hygiene and fluoride application via toothpaste, ensured by caregivers, and especially for ECC
prevention an emphasis on sugar intake reduction is needed. These noninvasive interventions are also suitable to arrest or control initial or even cavitated dentine caries lesions
in the absence of irreversible pulpitis. Fluoride varnish or
silver diammine fluoride can be added as supplementary
agents. In pits and fissures, composite resin materials can be
used as preventive sealants and for defect-oriented minimally invasive restorations. In primary molars, preformed
metal crowns are more successful than multisurface fillings,
especially in caries-active patients. With persisting high caries activity, multiple lesions, and limited cooperation, caries
control should consist of robust measures with high success
rates, even including extraction in selected cases. This applies especially to treatments performed under general anesthesia
Cavity wall adaptation and voids in adhesive Class I resin composite restorations
Contains fulltext :
23478.PDF (publisher's version ) (Open Access
Developing diagnostic criteria for tooth wear, a preliminary beta version based on expert opinion, and a narrative literature review
Background: Tooth wear is a multifactorial condition, leading to the irreversible loss of dental hard tissues. The availability of an unambiguous, universally applicable assessment protocol remains lacking. Objectives: The goal of the authors is to develop a set of diagnostic criteria for the assessment of tooth wear (DC-TW). A two-step approach will be used to achieve this objective: (1) to develop a preliminary beta version of the DC-TW, based on the authors' clinical experience and their shared expertise and supported by a narrative review of the existing literature, and (2) to develop the final DC-TW, with input from a larger group of experts using an international Delphi process. This paper relates to the first step. Methods: The authors outlined the components that should be incorporated into the DC-TW. The literature search was performed to investigate if their concept was in line with the available literature. The search was conducted to identify eligible publications from inception to July 11, 2022. Two authors independently screened all publications, and differences in judgements were resolved through a consensus procedure. Results: The search yielded 5362 publications, resulting in the final inclusion of 383. These publications were divided into four main topics: (1) nomenclature/taxonomies; (2) self-report tools; (3) clinical assessment tools; and (4) clinical decision-making. Conclusions: The information from the publications was used and fused with the clinical experience and shared expertise of the authors to contribute to the development of a preliminary beta version of the DC-TW.</p
Consistency of resin composites for posterior use
Contains fulltext :
23583.PDF (publisher's version ) (Open Access
The effect of pre-treatment levels of tooth wear and the applied increase in the vertical dimension of occlusion (VDO) on the survival of direct resin composite restorations.
Contains fulltext :
236969.pdf (Publisher’s version ) (Open Access
Clinical performance of direct composite resin restorations in a full mouth rehabilitation for patients with severe tooth wear:5.5-year results.
Item does not contain fulltextOBJECTIVES: To evaluate the 5.5-year performance of direct resin composite restorations, prescribed for patients with severe tooth wear, requiring full-mouth rehabilitation. METHODS: A convenience sample of 34 patients were recruited to a prospective trial between December 2010 and June 2013. The participants were provided 1269 full-mouth direct resin composite restorations (Clearfil AP-X) by 5 experienced operators, using the DSO-technique. Treatment resulted in an increase in the vertical dimension of occlusion (VDO). Failure was assessed at three levels. Frequencies of failure were analysed using Kaplan Meier survival curves and the effects of the relevant variables calculated with a multifactorial Cox regression (p < 0.05). RESULTS: Annual failure rates (for all levels of failure, 'Level 3- ') of ≤ 2.2% and ≤ 2.9% were respectively reported for the anterior and posterior restorations with a mean observation time of 62.4 months. The completion of an anterior restoration with the need for further appointments resulted in significantly more Level 2- & 3- failures. An evaluation of the performance of the premolar and posterior maxillary restorations showed significantly lowered risks of certain types of failures, compared to the molar and posterior mandibular restorations. CONCLUSIONS: At 5.5 years, 2.3% of the overall restorations displayed catastrophic, (Level 1) failures. Molar restorations, posterior mandibular restorations and the anterior restorations requiring two further sessions for completion, were associated with significantly higher risks for failure. CLINICAL SIGNIFICANCE: Direct resin composite can offer an acceptable medium-term option for the treatment of severe, generalized tooth wear; molar restorations may require higher maintenance
How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement
This paper provides recommendations for dentists for the
treatment of dental caries in children, with an emphasis on
early childhood caries (ECC), primary teeth, and occlusal
surfaces in permanent teeth. A consensus workshop followed by an e-Delphi consensus process was conducted
with an expert panel nominated by the European Organization for Caries Research (ORCA) and European Federation of
Conservative Dentistry (EFCD)/German Association of Conservative Dentistry (DGZ) boards. Based on 3 systematic reviews and a nonsystematic literature search, recommendations were developed. The caries decline has led to a more
polarized disease distribution in children and adolescents
along social gradients which should be taken into account
when managing the caries process at all levels, such as the
individual, the group, or a population. The control or reduction of caries activity is the basis for successful caries management. In children, caries management requires adequate daily oral hygiene and fluoride application via toothpaste, ensured by caregivers, and especially for ECC
prevention an emphasis on sugar intake reduction is needed. These noninvasive interventions are also suitable to arrest or control initial or even cavitated dentine caries lesions
in the absence of irreversible pulpitis. Fluoride varnish or
silver diammine fluoride can be added as supplementary
agents. In pits and fissures, composite resin materials can be
used as preventive sealants and for defect-oriented minimally invasive restorations. In primary molars, preformed
metal crowns are more successful than multisurface fillings,
especially in caries-active patients. With persisting high caries activity, multiple lesions, and limited cooperation, caries
control should consist of robust measures with high success
rates, even including extraction in selected cases. This applies especially to treatments performed under general anesthesia