本共识论文的目的是为在龋齿的个体诊断中评估的个体病因和修饰因素提供临床实践建议。以及评估的方法,支持个性化治疗决策。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。指导委员会成立了三个工作组,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“个性化龋齿诊断”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eDelphi调查确定的.批准建议的门槛确定为70%同意。整个专家小组批准并同意了十项建议,涵盖病史,龋齿的经验,牌匾,饮食,氟化物和唾液。虽然证据水平很低,协议的水平通常很高,除了一项关于唾液流量测量的建议,70%的人同意。建议龋齿病变进展和活动的各个方面,最近的龋齿经历,医疗条件和药物,牌匾,饮食,氟化物和唾液应该合成以达到个体诊断。专家小组将现有指南和科学文献中的证据与实际考虑因素合并,并为其在日常牙科实践中的使用提供建议。
OBJECTIVE: The aim of the present consensus paper was to provide recommendations for clinical practice on the individual etiological and modifying factors to be assessed in the individual diagnosis of caries, and the methods for their assessment, supporting personalized treatment decisions.
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 which were asked to provide recommendations on (1) caries detection and diagnostic methods, (2) caries activity assessment, and (3) forming individualized caries diagnoses. The experts responsible for \"individualised caries diagnosis\" 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 eDelphi survey. The threshold for approval of recommendations was determined at 70% agreement.
RESULTS: Ten recommendations were approved and agreed by the whole expert panel, covering medical history, caries experience, plaque, diet, fluoride, and saliva. While the level of evidence was low, the level of agreement was typically very high, except for one recommendation on salivary flow measurement, where 70% agreed.
CONCLUSIONS: It is recommended that all aspects of caries lesion progression and activity, recent caries experience, medical conditions and medications, plaque, diet, fluoride and saliva should be synthesized to arrive at an individual diagnosis.
CONCLUSIONS: The expert panel merged evidence from existing guidelines and scientific literature with practical considerations and provided recommendations for their use in daily dental practice.