European Organisation for Caries Research and the European Federation of Conservative Dentistry Consensus Report on Clinical Recommendations for Caries Diagnosis: Paper III – Caries Diagnosis at the Individual Level

Marie-Charlotte Huysmans (1) , Margherita Fontana (2) , Adrian Lussi (3, 4) , Anahita Jablonski-Momeni (5) , Avijit Banerjee (6) , David Ricketts (7) , Falk Schwendicke (8) , Fausto Medeiros Mendes (9) , Gail Douglas (10) , Gottfried Schmalz (11, 4) , Guglielmo Campus (4, 12) , Johan Aps (13) , Keith Horner (14) , Klaus W Neuhaus (15, 4) , Monique Harriët van der Veen (16, 17) , Niek Opdam (1) , Sophie Doméjean (18, 19) , Stefania Martignon (20) , Jan Kühnisch (8) , Christian H Splieth (21)

1 Radboud University Medical Center [Nijmegen]
2 University of Michigan Medical School [Ann Arbor]
3 Uniklinik - Universitäts Klinikum Freiburg = University Medical Center Freiburg
4 UNIBE - Universität Bern = University of Bern = Université de Berne
5 Philipps Universität Marburg = Philipps University of Marburg
6 King‘s College London
7 University of Dundee
8 LMU - Ludwig Maximilian University [Munich] = Ludwig Maximilians Universität München
9 USP - Universidade de São Paulo = University of São Paulo
10 University of Leeds
11 University Hospital Regensburg
12 UNISS - Università degli Studi di Sassari = University of Sassari [Sassari]
13 OpiniDent BV
14 University of Manchester [Manchester]
15 Unibas - Université de Bâle = University of Basel = Basel Universität
16 UvA - University of Amsterdam [Amsterdam] = Universiteit van Amsterdam
17 Amsterdam University of Applied Sciences
18 CROC - Centre de Recherche en Odontologie Clinique
19 Service Odontologie [CHU Clermont-Ferrand]
20 Universidad El Bosque [Bogota]
21 University of Medicine Greifswald

Objectives: The aim of the present consensus paper was to provide recommendations for clinical practice on the individual etiological and modifying factors to be assessed in the individual diagnosis of caries, and the methods for their assessment, supporting personalized treatment decisions. Material and Methods: The 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 which were asked to provide recommendations on (1) caries detection and diagnostic methods, (2) caries activity assessment, and (3) forming individualized caries diagnoses. The experts responsible for "individualised caries diagnosis" 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 eDelphi survey. The threshold for approval of recommendations was determined at 70% agreement. Results: Ten recommendations were approved and agreed by the whole expert panel, covering medical history, caries experience, plaque, diet, fluoride, and saliva. While the level of evidence was low, the level of agreement was typically very high, except for one recommendation on salivary flow measurement, where 70% agreed. Conclusion: It is recommended that all aspects of caries lesion progression and activity, recent caries experience, medical conditions and medications, plaque, diet, fluoride and saliva should be synthesized to arrive at an individual diagnosis. Clinical Relevance: The expert panel merged evidence from existing guidelines and scientific literature with practical considerations and provided recommendations for their use in daily dental practice.

Mots clés: Dental caries; Diagnosis; Consensus; Clinical recommendations

Domaines: Sciences du Vivant [q-bio]

Marie-Charlotte Huysmans, Margherita Fontana, Adrian Lussi, Anahita Jablonski-Momeni, Avijit Banerjee, et al.. European Organisation for Caries Research and the European Federation of Conservative Dentistry Consensus Report on Clinical Recommendations for Caries Diagnosis: Paper III – Caries Diagnosis at the Individual Level. Caries Research, 2024, 58 (5), pp.521 - 532. ⟨10.1159/000539427⟩. ⟨hal-04742190⟩