Haitham Askar1, Joachim Krois1, Gerd Göstemeyer1, Peter Bottenberg2, Domenick Zero3, Avijit Banerjee4, Falk Schwendicke5. 1. Department of Operative and Preventive Dentistry, Charité - Universitätsmedizin Berlin, Aßmannshauser Str. 4-6, 14197, Berlin, Germany. 2. Oral Health Sciences, Vrije Universiteit Brussel, Brussels, Belgium. 3. Department of Cariology, Operative Dentistry and Dental Public Health, Indiana University, School of Dentistry, Indianapolis, IN, USA. 4. Conservative & MI Dentistry, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK. 5. Department of Operative and Preventive Dentistry, Charité - Universitätsmedizin Berlin, Aßmannshauser Str. 4-6, 14197, Berlin, Germany. falk.schwendicke@charite.de.
Abstract
OBJECTIVES: To assess how to control, detect, and treat secondary caries. This review serves to inform a joint ORCA/EFCD consensus process. METHODS: Systematic and non-systematic reviews were performed or consulted and narratively synthesized. RESULTS: Secondary (or recurrent) caries is defined as a lesion associated with restorations or sealants. While the restorative material itself has some influence on secondary caries, further factors like the presence and size of restoration gaps, patients' caries risk, and the placing dentist's experience seem more relevant. Current detection methods for secondary caries are only sparsely validated and likely prone for the risk of over-detection. In many patients, it might be prudent to prioritize specific detection methods to avoid invasive overtreatment. Detected secondary caries can be managed either by repair of the defective part of the restoration or its complete replacement. CONCLUSIONS: There is sparse data towards the nature of secondary caries and how to control, detect, and treat it. CLINICAL SIGNIFICANCE: Despite often claimed to be a major complication of restorations, there is surprisingly little data on secondary caries. Longer-term studies may be needed to identify differences in secondary caries risk between materials and to identify characteristic features of progressive lesions (i.e., those in need of treatment).
OBJECTIVES: To assess how to control, detect, and treat secondary caries. This review serves to inform a joint ORCA/EFCD consensus process. METHODS: Systematic and non-systematic reviews were performed or consulted and narratively synthesized. RESULTS: Secondary (or recurrent) caries is defined as a lesion associated with restorations or sealants. While the restorative material itself has some influence on secondary caries, further factors like the presence and size of restoration gaps, patients' caries risk, and the placing dentist's experience seem more relevant. Current detection methods for secondary caries are only sparsely validated and likely prone for the risk of over-detection. In many patients, it might be prudent to prioritize specific detection methods to avoid invasive overtreatment. Detected secondary caries can be managed either by repair of the defective part of the restoration or its complete replacement. CONCLUSIONS: There is sparse data towards the nature of secondary caries and how to control, detect, and treat it. CLINICAL SIGNIFICANCE: Despite often claimed to be a major complication of restorations, there is surprisingly little data on secondary caries. Longer-term studies may be needed to identify differences in secondary caries risk between materials and to identify characteristic features of progressive lesions (i.e., those in need of treatment).
Authors: Ana Coelho; Inês Amaro; Ana Apolónio; Anabela Paula; José Saraiva; Manuel Marques Ferreira; Carlos Miguel Marto; Eunice Carrilho Journal: Int J Mol Sci Date: 2021-04-22 Impact factor: 5.923
Authors: Małgorzata Staszczyk; Anna Jurczak; Marcin Magacz; Dorota Kościelniak; Iwona Gregorczyk-Maga; Małgorzata Jamka-Kasprzyk; Magdalena Kępisty; Iwona Kołodziej; Magdalena Kukurba-Setkowicz; Wirginia Krzyściak Journal: Int J Environ Res Public Health Date: 2020-05-25 Impact factor: 3.390