Evidence-based consensus for treating incipient enamel caries in adults by non-invasive methods: recommendations by GRADE guideline

Remineralization treatment, which offers the advantage of being non-invasive, is increasingly being used as a minimal intervention treatment in managing incipient enamel caries. The aim of this review was to develop EBM guideline for optimized strategies for non-invasive treatment of incipient ename...

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Main Authors: Mikako Hayashi, Yasuko Momoi, Morioki Fujitani, Masayoshi Fukushima, Satoshi Imazato, Yuichi Kitasako, Shisei Kubo, Shoji Nakashima, Toru Nikaido, Akihiko Shimizu, Kenichi Sugai, Rena Takahashi, Masako Unemori, Chinami Yamaki
Format: Article
Language:English
Published: Elsevier 2020-11-01
Series:Japanese Dental Science Review
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S188276162030017X
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author Mikako Hayashi
Yasuko Momoi
Morioki Fujitani
Masayoshi Fukushima
Satoshi Imazato
Yuichi Kitasako
Shisei Kubo
Shoji Nakashima
Toru Nikaido
Akihiko Shimizu
Kenichi Sugai
Rena Takahashi
Masako Unemori
Chinami Yamaki
author_facet Mikako Hayashi
Yasuko Momoi
Morioki Fujitani
Masayoshi Fukushima
Satoshi Imazato
Yuichi Kitasako
Shisei Kubo
Shoji Nakashima
Toru Nikaido
Akihiko Shimizu
Kenichi Sugai
Rena Takahashi
Masako Unemori
Chinami Yamaki
author_sort Mikako Hayashi
collection DOAJ
description Remineralization treatment, which offers the advantage of being non-invasive, is increasingly being used as a minimal intervention treatment in managing incipient enamel caries. The aim of this review was to develop EBM guideline for optimized strategies for non-invasive treatment of incipient enamel caries.Japanese Society of Conservative Dentistry (JSCD) guideline committee formulated a Guideline for treating incipient enamel caries using the GRADE system, which is the global, mainstream standard for guideline development. The committee selected the most frequent clinical questions (CQs) in treating incipient enamel caries and identified clinically important outcomes in evaluating the efficacy of treatments. Using extensive electronic and manual searches, relevant randomized controlled trials and controlled clinical trials were identified. Based on evidence profiles produced by the committee, the panel discussed the effects, benefits and disadvantages of the selected treatments, as well as their cost effectiveness and feasibility, in order to achieve a consensus in treating incipient enamel caries non-invasively. A recommendation was made for each clinical question after voting by the panel members. Based on the evidence profile and panel discussions for each CQ, the experts strongly recommended application of topical fluoride to inhibit cavitation of incipient enamel caries, and to diminish white spot lesions.
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spelling doaj.art-0d7ec0b69a6f456f86a3f6253c220e6f2022-12-21T18:26:01ZengElsevierJapanese Dental Science Review1882-76162020-11-01561155163Evidence-based consensus for treating incipient enamel caries in adults by non-invasive methods: recommendations by GRADE guidelineMikako Hayashi0Yasuko Momoi1Morioki Fujitani2Masayoshi Fukushima3Satoshi Imazato4Yuichi Kitasako5Shisei Kubo6Shoji Nakashima7Toru Nikaido8Akihiko Shimizu9Kenichi Sugai10Rena Takahashi11Masako Unemori12Chinami Yamaki13Corresponding author.; Department of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita, Osaka 565-0871, JapanRemineralization treatment, which offers the advantage of being non-invasive, is increasingly being used as a minimal intervention treatment in managing incipient enamel caries. The aim of this review was to develop EBM guideline for optimized strategies for non-invasive treatment of incipient enamel caries.Japanese Society of Conservative Dentistry (JSCD) guideline committee formulated a Guideline for treating incipient enamel caries using the GRADE system, which is the global, mainstream standard for guideline development. The committee selected the most frequent clinical questions (CQs) in treating incipient enamel caries and identified clinically important outcomes in evaluating the efficacy of treatments. Using extensive electronic and manual searches, relevant randomized controlled trials and controlled clinical trials were identified. Based on evidence profiles produced by the committee, the panel discussed the effects, benefits and disadvantages of the selected treatments, as well as their cost effectiveness and feasibility, in order to achieve a consensus in treating incipient enamel caries non-invasively. A recommendation was made for each clinical question after voting by the panel members. Based on the evidence profile and panel discussions for each CQ, the experts strongly recommended application of topical fluoride to inhibit cavitation of incipient enamel caries, and to diminish white spot lesions.http://www.sciencedirect.com/science/article/pii/S188276162030017XEnamel cariesNon-Invasive treatmentGRADEClinical guidelineTopical fluoride
spellingShingle Mikako Hayashi
Yasuko Momoi
Morioki Fujitani
Masayoshi Fukushima
Satoshi Imazato
Yuichi Kitasako
Shisei Kubo
Shoji Nakashima
Toru Nikaido
Akihiko Shimizu
Kenichi Sugai
Rena Takahashi
Masako Unemori
Chinami Yamaki
Evidence-based consensus for treating incipient enamel caries in adults by non-invasive methods: recommendations by GRADE guideline
Japanese Dental Science Review
Enamel caries
Non-Invasive treatment
GRADE
Clinical guideline
Topical fluoride
title Evidence-based consensus for treating incipient enamel caries in adults by non-invasive methods: recommendations by GRADE guideline
title_full Evidence-based consensus for treating incipient enamel caries in adults by non-invasive methods: recommendations by GRADE guideline
title_fullStr Evidence-based consensus for treating incipient enamel caries in adults by non-invasive methods: recommendations by GRADE guideline
title_full_unstemmed Evidence-based consensus for treating incipient enamel caries in adults by non-invasive methods: recommendations by GRADE guideline
title_short Evidence-based consensus for treating incipient enamel caries in adults by non-invasive methods: recommendations by GRADE guideline
title_sort evidence based consensus for treating incipient enamel caries in adults by non invasive methods recommendations by grade guideline
topic Enamel caries
Non-Invasive treatment
GRADE
Clinical guideline
Topical fluoride
url http://www.sciencedirect.com/science/article/pii/S188276162030017X
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