Journal article

When to intervene in the caries process? A Delphi consensus statement

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



Objectives To define an expert Delphi consensus on when to intervene in the caries process and existing carious lesions.Methods Non-systematic literature synthesis, expert Delphi consensus process and expert panel conference.Results Lesion activity, cavitation and cleansability determine intervention thresholds. Inactive lesions do not require treatment (in some cases, restorations may be placed for form, function, aesthetics); active lesions do. Non-cavitated carious lesions should be managed non- or micro-invasively, as should most cavitated lesions which are cleansable. Cavitated lesions which are not cleansable usually require minimally invasive management. In specific circumstances, mix..

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Funding Acknowledgements

The conference was kindly sponsored by DMG (Hamburg, Germany). This included travel, accommodation and conference costs for panel members. The sponsor had no role in design or conduct of the conference or the content of this manuscript and were not present during the conference. No honoraria were given to any of the panel members.