Journal article

When to intervene in the caries process? An expert Delphi consensus statement

Falk Schwendicke, Christian Splieth, Lorenzo Breschi, Avijit Banerjee, Margherita Fontana, Sebastian Paris, Michael F Burrow, Felicity Crombie, Lyndie Foster Page, Patricia Gaton-Hernandez, Rodrigo Giacaman, Neeraj Gugnani, Reinhard Hickel, Rainer A Jordan, Soraya Leal, Edward Lo, Herve Tassery, William Murray Thomson, David J Manton

CLINICAL ORAL INVESTIGATIONS | SPRINGER HEIDELBERG | Published : 2019

Abstract

OBJECTIVES: To define an expert Delphi consensus on when to intervene in the caries process and on existing carious lesions using non- or micro-invasive, invasive/restorative or mixed interventions. METHODS: Non-systematic literature synthesis, expert Delphi consensus process and expert panel conference. RESULTS: Carious lesion activity, cavitation and cleansability determine intervention thresholds. Inactive lesions do not require treatment (in some cases, restorations will be placed for reasons of form, function and aesthetics); active lesions do. Non-cavitated carious lesions should be managed non- or micro-invasively, as should most cavitated carious lesions which are cleansable. Cavitat..

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