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Review | Open Access

Expert consensus on dental caries management

Lei Cheng1,, Lu Zhang2,, Lin Yue3, Junqi Ling4, Mingwen Fan5, Deqin Yang6, Zhengwei Huang7, Yumei Niu8, Jianguo Liu9, Jin Zhao10, Yanhong Li11, Bin Guo12, Zhi Chen2 ( ), Xuedong Zhou1( )
State Key Laboratory of Oral Diseases & Department of Operative Dentistry and Endodontics, West China Hospital of Stomatology, National Clinical Research Centre for Oral Diseases, Sichuan University, Chengdu, China
The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China
Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology, Peking University, Beijing, China
Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University and Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-Sen University, Guangzhou, Guangdong, China
School of Medicine, Jianghan University, Wuhan, China
College of Stomathology, Chongqing Medical University, Chongqing, China
Department of Endodontics, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai JiaoTong University School of Medicine, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai Jiao Tong University, Shanghai, China
Department of Endodontics, The First Affiliated Hospital of Harbin Medical University & Department of Endodontics, School of Stomatology, Harbin Medical University, Harbin, China
Key Laboratory of Oral Disease Research, School of Stomatology, Zunyi Medical University, Zunyi, China
Department of Endodontics, First Affiliated Hospital of Xinjiang Medical University, and College of Stomatology of Xinjiang Medical University, Urumqi, China
Affiliated Stomatological Hospital of Kunming Medical University, Kunming, Yunnan, China
Department of Stomatology, the First Medical Centre, Chinese PLA General Hospital, Beijing, China

These authors contributed equally: Lei Cheng, Lu Zhang

Show Author Information

Abstract

Dental Caries is a kind of chronic oral disease that greatly threaten human being’s health. Though dentists and researchers struggled for decades to combat this oral disease, the incidence and prevalence of dental caries remain quite high. Therefore, improving the disease management is a key issue for the whole population and life cycle management of dental caries. So clinical difficulty assessment system of caries prevention and management is established based on dental caries diagnosis and classification. Dentists should perform oral examination and establish dental records at each visit. When treatment plan is made on the base of caries risk assessment and carious lesion activity, we need to work out patient-centered and personalized treatment planning to regain oral microecological balance, to control caries progression and to restore the structure and function of the carious teeth. And the follow-up visits are made based on personalized caries management. This expert consensus mainly discusses caries risk assessment, caries treatment difficulty assessment and dental caries treatment plan, which are the most important parts of caries management in the whole life cycle.

References

1
Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet, 2018. 392(10159): p. 1789–1858.
2
X, W., The 4th survey report of national oral health epidemiology. 2018.
3

Bernabe, C. et al. Global, regional, and national levels and trends in burden of oral conditions from 1990 to 2017: a systematic analysis for the global burden of disease 2017 study. J. Dent. Res. 99, 362–373 (2020).
Crossref Google Scholar
4

Demarco, F. F. et al. Anterior composite restorations: A systematic review on long-term survival and reasons for failure. Dent. Mater. 31, 1214–1224 (2015).
Crossref Google Scholar
5

Chen, Z. & R, C. Dental caries revisited. J. Oral. Sci. Res. 36, 1–6 (2020).
Google Scholar
6

Ismail, A. I. et al. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent. Oral. Epidemiol. 35, 170–178 (2007).
Crossref Google Scholar
7

Braga, M. M. et al. Feasibility of the International Caries Detection and Assessment System (ICDAS-Ⅱ) in epidemiological surveys and comparability with standard World Health Organization criteria. Caries Res. 43, 245–249 (2009).
Crossref Google Scholar
8

Zhou, X. D., Cheng, L. & Zheng, L. W. Strategies of caries management in whole lifecycle. Chin. J. Stomatol. 53, 367–373 (2018).
Google Scholar
9
American Denta LAssociation, ADA caries risk assessment form completion instructions [EB/OL]. (2015-06-05) [2020-11-04].
10

American Academy Of Pediatric Dentistry Council On Clinical Affairs, Policy on use of a caries-risk assessment tool (CAT) for infants, children, and adolescents. Pediatr. Dent. 27, 25–27 (2005).
Google Scholar
11

Domejean-Orliaguet, S., Gansky, S. A. & Featherstone, J. D. Caries risk assessment in an educational environment. J. Dent. Educ. 70, 1346–54. (2006).
Crossref Google Scholar
12

Bratthall, D. & Hansel, P. G. Cariogram-a multifactorial risk assessment model for a multifactorial disease. Commun. Dent. Oral. Epidemiol. 33, 256–64. (2005).
Crossref Google Scholar
13
American Dental Association (ADA), Caries risk assessment form (age 0-6) [EB/OL]. (2016-06-15)[2020-11-04].
14

Ramos-Gomez, F. J. et al. Caries risk assessment appropriate for the age 1 visit (infants and toddlers). J. Calif. Dent. Assoc. 35, 687–702 (2007).
Crossref Google Scholar
15
American Academy of Pediatric Dentistry, Caries-risk Assessment and Management for Infants, Children, and Adolescents. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry, 2021.
16

Featherstone, J. D. et al. Caries risk assessment in practice for age 6 through adult. J. Calif. Dent. Assoc. 35, 703–707 (2007).
Crossref Google Scholar
17
American Dental Association (ADA), Caries risk assessment form (age >6) [EB/OL]. (2016-06-15)[2020-11-04].
18

Tellez, M. et al. Evidence on existing caries risk assessment systems: are they predictive of future caries? Commun. Dent. Oral. Epidemiol. 41, 67–78 (2013).
Crossref Google Scholar
19

Gao, X. et al. Validity of caries risk assessment programmes in preschool children. J. Dent. 41, 787–795 (2013).
Crossref Google Scholar
20

Fontana, M. & Gonzalez-Cabezas, C. Noninvasive caries risk-based management in private practice settings may lead to reduced caries experience over time. J. Evid. Based Dent. Pr. 16, 239–242 (2016).
Crossref Google Scholar
21

Zero, D., Fontana, M. & Lennon, A. M. Clinical applications and outcomes of using indicators of risk in caries management. J. Dent. Educ. 65, 1126–1132 (2001).
Crossref Google Scholar
22

Chaffee, B. W., Featherstone, J. & Zhan, L. Pediatric caries risk assessment as a predictor of caries outcomes. Pediatr. Dent. 39, 219–232 (2017).
Google Scholar
23

Nyvad, B., Machiulskiene, V. & Baelum, V. Reliability of a new caries diagnostic system differentiating between active and inactive caries lesions. Caries Res. 33, 252–60 (1999).
Crossref Google Scholar
24

Gugnani, N. et al. International Caries Detection and Assessment System (ICDAS): a new concept. Int J. Clin. Pediatr. Dent. 4, 93–100 (2011).
Crossref Google Scholar
25

Michou, S. et al. Development of a fluorescence-based caries scoring system for an intraoral scanner: an in vitro study. Caries Res. 54, 324–335 (2020).
Crossref Google Scholar
26
ICDAS Coordinating Commitee (2009) International Caries Detection and Assessment System (ICDAS Ⅱ)–Manual criteria. Budapest, Hungary. https://www.iccms-web.com. Accessed 24 Sept 2018.
27

Drancourt, N. et al. Carious lesion activity assessment in clinical practice: a systematic review. Clin. Oral. Investig. 23, 1513–1524 (2019).
Crossref Google Scholar
28
Pitts N. B. et al. ICCMSTM Guide for Practitioners and Educators. Zenodo.
29

Kidd, E., Fejerskov, O. & Nyvad, B. Infected dentine revisited. Dent. Update 42, 802–806 (2015).
Crossref Google Scholar
30

Xuedong, Z. et al. Difficulty influence factors of dental caries clinical treatment. Hua Xi Kou Qiang Yi Xue Za Zhi 35, 1–7 (2017).
Google Scholar
31

Guzman-Armstrong, S. & Johnsen, D. C. Caries management decision-making: diagnosis and synthesis. Dent. Clin. North Am. 63, 679–693 (2019).
Crossref Google Scholar
32

Cheng, L. & Zhou, X. D. Clinical assessment of caries prevention and management. Zhonghua Kou Qiang Yi Xue Za Zhi 56, 39–44 (2021).
Google Scholar
33

Young, D. A. & Featherstone, J. D. Caries management by risk assessment. Commun. Dent. Oral. Epidemiol. 41, e53–e63 (2013).
Crossref Google Scholar
34

Nyvad, B. & Baelum, V. Nyvad criteria for caries lesion activity and severity assessment: a validated approach for clinical management and research. Caries Res. 52, 397–405 (2018).
Crossref Google Scholar
35

Fontana, M. & Gonzalez-Cabezas, C. Evidence-based dentistry caries risk assessment and disease management. Dent. Clin. North Am. 63, 119–128 (2019).
Crossref Google Scholar
36

Fontana, M. Nonrestorative management of cavitated and noncavitated caries lesions. Dent. Clin. North Am. 63, 695–703 (2019).
Crossref Google Scholar
37

Griffin, S. et al. School-based dental sealant programs prevent cavities and are cost-effective. Health Aff. 35, 2233–2240 (2016).
Crossref Google Scholar
38

Slayton, R. L. et al. Evidence-based clinical practice guideline on nonrestorative treatments for carious lesions: A report from the American Dental Association. J. Am. Dent. Assoc. 149, 837–849 (2018).
Crossref Google Scholar
39

Urquhart, O. et al. Nonrestorative treatments for caries: systematic review and network meta-analysis. J. Dent. Res. 98, 14–26 (2019).
Crossref Google Scholar
40

Domejean, S. et al. Resin infiltration of non-cavitated caries lesions: a systematic review. Med Princ. Pr. 24, 216–221 (2015).
Crossref Google Scholar
41

Rethman, M. P. et al. Non-fluoride caries-preventive agents: executive summary of evidence-based clinical recommendations. J. Am. Dent. Assoc. 142, 1065–1071 (2011).
Crossref Google Scholar
42

Schwendicke, F. et al. Managing carious lesions: consensus recommendations on carious tissue removal. Adv. Dent. Res. 28, 58–67 (2016).
Crossref Google Scholar
43

Innes, N. P. et al. Managing carious lesions: consensus recommendations on terminology. Adv. Dent. Res. 28, 49–57 (2016).
Crossref Google Scholar
44

Chen, Z. et al. [Managing carious lesions: consensus recommendations on carious tissue removal]. Zhonghua Kou Qiang Yi Xue Za Zhi 51, 712–716 (2016).
Google Scholar
45

Bjorndal, L. Stepwise excavation. Monogr. Oral. Sci. 27, 68–81 (2018).
Crossref Google Scholar
46

Hayashi, M. et al. Ways of enhancing pulp preservation by stepwise excavation-a systematic review. J. Dent. 39, 95–107 (2011).
Crossref Google Scholar
47

Pedano, M. S., Li, X., Yoshihara, K., Landuyt, K. V. & Van Meerbeek, B. Cytotoxicity and bioactivity of dental pulp-capping agents towards human tooth-pulp cells: a systematic review of in-vitro studies and meta-analysis of randomized and controlled clinical trials. Materials 132, 2670 (2020).
Crossref Google Scholar
48

Song, M. et al. Clinical and molecular perspectives of reparative dentin formation: lessons learned from pulp-capping materials and the emerging roles of calcium. Dent. Clin. North Am. 61, 93–110 (2017).
Crossref Google Scholar
49

Hoefler, V., Nagaoka, H. & Miller, C. S. Long-term survival and vitality outcomes of permanent teeth following deep caries treatment with step-wise and partial-caries-removal: A systematic review. J. Dent. 54, 25–32 (2016).
Crossref Google Scholar
50

Giacaman, R. A. et al. Evidence-based strategies for the minimally invasive treatment of carious lesions: Review of the literature. Adv. Clin. Exp. Med. 27, 1009–1016 (2018).
Crossref Google Scholar
51

Schwendicke, F. et al. Failure of incompletely excavated teeth-a systematic review. J. Dent. 41, 569–80 (2013).
Crossref Google Scholar
52

Maltz, M. et al. Randomized trial of partial vs. stepwise caries removal: 3-year follow-up. J. Dent. Res. 91, 1026–1031 (2012).
Crossref Google Scholar
53

Chen, Z. Amalgam and the minamata converntion on mercury. Zhonghua Kou Qiang Yi Xue Za Zhi 54, 217–222 (2019).
Google Scholar
54

Tjaderhane, L. & Tezvergil-Mutluay, A. Performance of adhesives and restorative materials after selective removal of carious lesions: restorative materials with anticaries properties. Dent. Clin. North Am. 63, 715–729 (2019).
Crossref Google Scholar
55

Mickenautsch, S. High-viscosity glass-ionomer cements for direct posterior tooth restorations in permanent teeth: The evidence in brief. J. Dent. 55, 121–123 (2016).
Crossref Google Scholar
56

Scholtanus, J. D. & Huysmans, M. C. Clinical failure of class-Ⅱ restorations of a highly viscous glass-ionomer material over a 6-year period: a retrospective study. J. Dent. 35, 156–162 (2007).
Crossref Google Scholar
57

Isolan, C. P. et al. Bonding to sound and caries-affected dentin: a systematic review and meta-analysis. J. Adhes. Dent. 20, 7–18 (2018).
Google Scholar
58

El-Deeb, H. A. & Mobarak, E. H. Microshear bond strength of high-viscosity glass-ionomer to normal and caries-affected dentin under simulated intrapulpal pressure. Oper. Dent. 43, 665–673 (2018).
Crossref Google Scholar
59

McComb, D. et al. A clinical comparison of glass ionomer, resin-modified glass ionomer and resin composite restorations in the treatment of cervical caries in xerostomic head and neck radiation patients. Oper. Dent. 27, 430–437 (2002).
Google Scholar
60

Hu, J. Y. et al. Radiation-induced root surface caries restored with glass-ionomer cement placed in conventional and ART cavity preparations: results at two years. Aust. Dent. J. 50, 186–190 (2005).
Crossref Google Scholar
61

De Moor, R. J., Stassen, I. G., van 't Veldt, Y., Torbeyns, D. & Hommez, G. M. Two-year clinical performance of glass ionomer and resin composite restorations in xerostomic head- and neck-irradiated cancer patients. Clin. Oral. Investig. 15, 31–38 (2011).
Crossref Google Scholar
62

Hu, J. Y. et al. Restoration of teeth with more-viscous glass ionomer cements following radiation-induced caries. Int Dent. J. 52, 445–448 (2002).
Crossref Google Scholar
63

Mickenautsch, S. & Yengopal, V. Failure rate of direct high-viscosity glass-ionomer versus hybrid resin composite restorations in posterior permanent teeth - a systematic review. Open Dent. J. 9, 438–48 (2015).
Crossref Google Scholar
64

Chen, Z. Application of flowable composite resin in dental restoration. Chin. J. Stomatol. 50, 331–336 (2015).
Google Scholar
65

White, B. A. & Maupome, G. Clinical decision-making for dental caries management. J. Dent. Educ. 65, 1121–1125 (2001).
Crossref Google Scholar
66

Jenson, L. et al. Clinical protocols for caries management by risk assessment. J. Calif. Dent. Assoc. 35, 714–723 (2007).
Crossref Google Scholar
67

Hickel, R. et al. Recommendations for conducting controlled clinical studies of dental restorative materials. Science Committee Project 2/98-FDI World Dental Federation study design (Part Ⅰ) and criteria for evaluation (Part Ⅱ) of direct and indirect restorations including onlays and partial crowns. J. Adhes. Dent. 9 Suppl 1, 121–147 (2007).
Google Scholar
68

Selwitz, R. H., Ismail, A. I. & Pitts, N. B. Dental caries. Lancet 369, 51–59 (2007).
Crossref Google Scholar
69

Kidd, E. & Fejerskov, O. Changing concepts in cariology: forty years on. Dent. Update 40, 277–278 (2013).
Crossref Google Scholar
70

Teng, F. et al. Prediction of early childhood caries via spatial-temporal variations of oral microbiota. Cell Host Microbe 18, 296–306 (2015).
Crossref Google Scholar
71

Xiao, C. et al. Bacterial diversity and community structure of supragingival plaques in adults with dental health or caries revealed by 16S pyrosequencing. Front Microbiol. 7, 1145 (2016).
Crossref Google Scholar
72

Yang, F. et al. Characterization of saliva microbiota’s functional feature based on metagenomic sequencing. Springerplus 5, 2098 (2016).
Crossref Google Scholar
73

Jing, C. et al. Recent achievements in the microbiological etiology of dental caries. Hua Xi Kou Qiang Yi Xue Za Zhi 36, 104–108 (2018).
Google Scholar
International Journal of Oral Science
Volume 14,
2022
Article number: 17
DOI: 10.1038/s41368-022-00167-3
Cite this article:
Cheng L, Zhang L, Yue L, et al. Expert consensus on dental caries management. International Journal of Oral Science, 2022, 14: 17. https://doi.org/10.1038/s41368-022-00167-3

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Received: 30 December 2021
Revised: 09 February 2022
Accepted: 20 February 2022
Published: 31 March 2022
© The Author(s) 2022

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