Kuehnisch, Jan and Aps, Johan K. M. and Splieth, Christian and Lussi, Adrian and Jablonski-Momeni, Anahita and Mendes, Fausto M. and Schmalz, Gottfried and Fontana, Margherita and Banerjee, Avijit and Ricketts, David and Schwendicke, Falk and Douglas, Gail and Campus, Guglielmo and van der Veen, Monique and Opdam, Niek and Domejean, Sophie and Martignon, Stefania and Neuhaus, Klaus W. and Horner, Keith and Huysmans, Marie-Charlotte (2024) ORCA-EFCD consensus report on clinical recommendation for caries diagnosis. Paper I: caries lesion detection and depth assessment. CLINICAL ORAL INVESTIGATIONS, 28 (4): 227. ISSN 1432-6981, 1436-3771
Full text not available from this repository. (Request a copy)Abstract
Objectives The 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 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 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. Results Recommendations (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. Conclusion Visual 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.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Caries detection; Diagnosis; Assessment; Visual examination; Dental radiography; Bitewing radiography; Adjunct methods; Laser fluorescence |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Zahnerhaltung und Parodontologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 21 Oct 2025 10:54 |
| Last Modified: | 21 Oct 2025 10:54 |
| URI: | https://pred.uni-regensburg.de/id/eprint/65666 |
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