dc.contributor.author
Askar, Haitham
dc.contributor.author
Krois, Joachim
dc.contributor.author
Göstemeyer, Gerd
dc.contributor.author
Bottenberg, Peter
dc.contributor.author
Zero, Domenick
dc.contributor.author
Banerjee, Avijit
dc.contributor.author
Schwendicke, Falk
dc.date.accessioned
2022-08-18T10:18:30Z
dc.date.available
2022-08-18T10:18:30Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/35950
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-35665
dc.description.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).
en
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
Evidence-based medicine
en
dc.subject
Restorations
en
dc.subject
Secondary caries
en
dc.subject
Systematic review
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Secondary caries: what is it, and how it can be controlled, detected, and managed?
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.doi
10.1007/s00784-020-03268-7
dcterms.bibliographicCitation.journaltitle
Clinical Oral Investigations
dcterms.bibliographicCitation.number
5
dcterms.bibliographicCitation.originalpublishername
Springer Nature
dcterms.bibliographicCitation.volume
24
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.funding
Springer Nature DEAL
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
32300980
dcterms.isPartOf.issn
1432-6981
dcterms.isPartOf.eissn
1436-3771