Managing Carious Lesions: Consensus Recommendations on Terminology

Advances in dental research - Tập 28 Số 2 - Trang 49-57 - 2016
Nicola Innes1, Jo E. Frencken2, Lars Bjørndal3, Marisa Maltz4, David J. Manton5, David Ricketts6, K. Van Landuyt7, Avijit Banerjee8, Guglielmo Campus9,10, Sophie Doméjean11, Margherita Fontana12,13, Soraya Coelho Leal14, Edward Chin Man Lo15, Vita Mačhiulskienė16, A. Schulte17, Christian H. Splieth18, Andréa Ferreira Zandoná19, Falk Schwendicke20
1Paediatric Dentistry, Dundee Dental Hospital and School, University of Dundee, Dundee, UK
2Department of Oral Function and Prosthetic Dentistry, College of Dental Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands
3Department of Cariology and Endodontics, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
4Department of Preventive and Social Dentistry, Faculty of Odontology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
5Melbourne Dental School, University of Melbourne, Melbourne, Australia
6Operative Dentistry, Fixed Prosthodontics and Endodontology, Dundee Dental Hospital and School, University of Dundee, Dundee, UK
7KULeuven BIOMAT, Department of Oral Health Sciences, University of Leuven and Dentistry University Hospitals Leuven, Leuven, Belgium
8Conservative and MI Dentistry, King’s College London Dental Institute, London, UK
9Department of Surgery, Microsurgery and Medicine Sciences, School of Dentistry, University of Sassari, Sassari, Italy; WHO Collaborating Centre for Epidemiology and Community Dentistry, University of Milan, Milan, Italy
10WHO Collaborating Centre for Epidemiology and Community Dentistry, University of Milan, Milan, Italy
11CHU Clermont-Ferrand, Service d’Odontologie, Hôtel-Dieu, Clermont-Ferrand, France; Univ Clermont1, UFR d’Odontologie, Clermont-Ferrand, France; Centre de Recherche en Odontologie Clinique EA 4847, Clermont-Ferrand, France
12Ann Arbor, MI, USA
13Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA
14Department of Dentistry, Faculty of Health Sciences University of Brasília, Brasília, Brazil
15Faculty of Dentistry, University of Hong Kong, Hong Kong, China
16Department of Dental and Oral Pathology, Faculty of Odontology, Lithuanian University of Health Sciences, Kaunas, Lithuania
17Department of Special Care Dentistry, Faculty of Health, University of Witten/Herdecke, Witten, Germany
18Preventive and Pediatric Dentistry, University of Greifswald, Greifswald, Germany
19Department of Operative Dentistry, University of North Carolina at Chapel Hill School of Dentistry, Chapel Hill, NC, USA
20Department of Operative and Preventive Dentistry, Charité−Universitätsmedizin Berlin, Berlin, Germany

Tóm tắt

Variation in the terminology used to describe clinical management of carious lesions has contributed to a lack of clarity in the scientific literature and beyond. In this article, the International Caries Consensus Collaboration presents 1) issues around terminology, a scoping review of current words used in the literature for caries removal techniques, and 2) agreed terms and definitions, explaining how these were decided. Dental caries is the name of the disease, and the carious lesion is the consequence and manifestation of the disease—the signs or symptoms of the disease. The term dental caries management should be limited to situations involving control of the disease through preventive and noninvasive means at a patient level, whereas carious lesion management controls the disease symptoms at the tooth level. While it is not possible to directly relate the visual appearance of carious lesions’ clinical manifestations to the histopathology, we have based the terminology around the clinical consequences of disease (soft, leathery, firm, and hard dentine). Approaches to carious tissue removal are defined: 1) selective removal of carious tissue—including selective removal to soft dentine and selective removal to firm dentine; 2) stepwise removal—including stage 1, selective removal to soft dentine, and stage 2, selective removal to firm dentine 6 to 12 mo later; and 3) nonselective removal to hard dentine—formerly known as complete caries removal (technique no longer recommended). Adoption of these terms, around managing dental caries and its sequelae, will facilitate improved understanding and communication among researchers and within dental educators and the wider clinical dentistry community.

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Advances in dental research

Tập 28 Số 2

49-57

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