PDF(Pubmed)
Abstract：
OBJECTIVE: The aim of the present consensus paper was to provide recommendations for clinical practice considering the use of visual examination, dental radiography and adjunct methods for primary caries detection.
METHODS: The executive councils of the European Organisation for Caries Research (ORCA) and the European Federation of Conservative Dentistry (EFCD) nominated ten experts each to join the expert panel. The steering committee formed three work groups that were asked to provide recommendations on (1) caries detection and diagnostic methods, (2) caries activity assessment and (3) forming individualised caries diagnoses. The experts responsible for \"caries detection and diagnostic methods\" searched and evaluated the relevant literature, drafted this manuscript and made provisional consensus recommendations. These recommendations were discussed and refined during the structured process in the whole work group. Finally, the agreement for each recommendation was determined using an anonymous Delphi survey.
RESULTS: Recommendations (N = 8) were approved and agreed upon by the whole expert panel: visual examination (N = 3), dental radiography (N = 3) and additional diagnostic methods (N = 2). While the quality of evidence was found to be heterogeneous, all recommendations were agreed upon by the expert panel.
CONCLUSIONS: Visual examination is recommended as the first-choice method for the detection and assessment of caries lesions on accessible surfaces. Intraoral radiography, preferably bitewing, is recommended as an additional method. Adjunct, non-ionising radiation methods might also be useful in certain clinical situations.
CONCLUSIONS: The expert panel merged evidence from the scientific literature with practical considerations and provided recommendations for their use in daily dental practice.
METHODS: The executive councils of the European Organisation for Caries Research (ORCA) and the European Federation of Conservative Dentistry (EFCD) nominated ten experts each to join the expert panel. The steering committee formed three work groups that were asked to provide recommendations on (1) caries detection and diagnostic methods, (2) caries activity assessment and (3) forming individualised caries diagnoses. The experts responsible for \"caries detection and diagnostic methods\" searched and evaluated the relevant literature, drafted this manuscript and made provisional consensus recommendations. These recommendations were discussed and refined during the structured process in the whole work group. Finally, the agreement for each recommendation was determined using an anonymous Delphi survey.
RESULTS: Recommendations (N = 8) were approved and agreed upon by the whole expert panel: visual examination (N = 3), dental radiography (N = 3) and additional diagnostic methods (N = 2). While the quality of evidence was found to be heterogeneous, all recommendations were agreed upon by the expert panel.
CONCLUSIONS: Visual examination is recommended as the first-choice method for the detection and assessment of caries lesions on accessible surfaces. Intraoral radiography, preferably bitewing, is recommended as an additional method. Adjunct, non-ionising radiation methods might also be useful in certain clinical situations.
CONCLUSIONS: The expert panel merged evidence from the scientific literature with practical considerations and provided recommendations for their use in daily dental practice.
摘要：
目的：本共识文件的目的是为临床实践提供建议，考虑使用视觉检查，牙科X线照相术和原发性龋齿检测的辅助方法。
方法：欧洲龋齿研究组织（ORCA）和欧洲保守牙科联合会（EFCD）的执行委员会分别提名了十名专家加入专家小组。指导委员会组成了三个工作组，要求他们就（1）龋齿检测和诊断方法提供建议，（2）龋齿活动评估和（3）形成个性化的龋齿诊断。负责“龋齿检测和诊断方法”的专家搜索并评估了相关文献，起草了这份手稿，并提出了临时共识建议。在整个工作组的结构化过程中，对这些建议进行了讨论和完善。最后,每一项建议的一致性是通过匿名Delphi调查确定的.
结果：整个专家小组批准并同意了建议（N=8）：目视检查（N=3），牙科X线照相术（N=3）和其他诊断方法（N=2）。虽然证据的质量被发现是异质的，专家小组同意了所有建议。
结论：建议将视觉检查作为检测和评估可及表面龋齿病变的首选方法。口内射线照相术,最好咬伤,建议作为附加方法。兼职，非电离辐射方法在某些临床情况下也可能有用。
结论：专家小组将科学文献中的证据与实际考虑相结合，并为其在日常牙科实践中的使用提供了建议。
方法：欧洲龋齿研究组织（ORCA）和欧洲保守牙科联合会（EFCD）的执行委员会分别提名了十名专家加入专家小组。指导委员会组成了三个工作组，要求他们就（1）龋齿检测和诊断方法提供建议，（2）龋齿活动评估和（3）形成个性化的龋齿诊断。负责“龋齿检测和诊断方法”的专家搜索并评估了相关文献，起草了这份手稿，并提出了临时共识建议。在整个工作组的结构化过程中，对这些建议进行了讨论和完善。最后,每一项建议的一致性是通过匿名Delphi调查确定的.
结果：整个专家小组批准并同意了建议（N=8）：目视检查（N=3），牙科X线照相术（N=3）和其他诊断方法（N=2）。虽然证据的质量被发现是异质的，专家小组同意了所有建议。
结论：建议将视觉检查作为检测和评估可及表面龋齿病变的首选方法。口内射线照相术,最好咬伤,建议作为附加方法。兼职，非电离辐射方法在某些临床情况下也可能有用。
结论：专家小组将科学文献中的证据与实际考虑相结合，并为其在日常牙科实践中的使用提供了建议。
