Resumen

MUNOZ-SANDOVAL, Cecilia et al. How can the Caries Process in Children be intervened? Adaptation of the ORCA/EFCD/DGZ Consensus. Int. j interdiscip. dent. [online]. 2022, vol.15, n.1, pp.48-53. ISSN 2452-5596.  http://dx.doi.org/10.4067/S2452-55882022000100048.

Dental caries remains the most prevalent chronic disease in the world, affecting around 70% of children and posing a challenge for public health. Given the socioeconomic, cultural barriers and great inequalities that hinder access to oral health, in Latin America this problem is even more complex. During 2019, a panel of experts from the European Organization for Caries Research (ORCA), the European Federation for Conservative Dentistry (EFCD) and the German Federation for Conservative Dentistry (DGZ) prepared systematic reviews of the literature to reach consensus and generate evidence-based recommendations for dentists on how to manage caries in children. In a workshop in Berlin, Germany, followed by an e-Delphi methodology the experts published the consensus. The purpose of this article is to present the main conclusions of the consensus adapted idiomatically to Spanish and to the Latin American context to allow a better dissemination of the knowledge generated and facilitate its application in clinical practice. The article provides evidence and clinical recommendations for the best science-supported preventive, non-invasive, micro-invasive, minimally invasive, and invasive interventions for the management of caries disease and caries lesions in children, with an emphasis on early childhood caries (ECC), primary teeth and occlusal surfaces of permanent teeth.

Palabras clave : Children; Caries treatment; Early childhood caries; Primary teeth; Permanent molars; Fluoride; Sealant; Restoration.

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