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从 'ICDAS' 到 'CariesCare International'：建立国际共识，将龋齿证据应用于临床实践的 20 年历程。

From 'ICDAS' to 'CariesCare International': the 20-year journey building international consensus to take caries evidence into clinical practice.

机构信息

Faculty of Dentistry, Oral & Craniofacial Sciences, King´s College London, Tower Wing, Guy´s Hospital, London, SE1 9RT, UK.

UNICA - Caries Research Unit, Research Department, Universidad El Bosque, Bogotá, Colombia.

出版信息

Br Dent J. 2021 Dec;231(12):769-774. doi: 10.1038/s41415-021-3732-2. Epub 2021 Dec 17.

DOI:10.1038/s41415-021-3732-2
PMID:34921275
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8680063/
Abstract

This paper charts the 20-year collaborative journey made by international teams of dental researchers, educators and practitioners. Following the initial development of the International Caries Detection and Assessment System (ICDAS) in 2002, the International Caries Classification and Management System (ICCMS) was collaboratively developed between 2010-2017 with several dental research and practice organisations, and influenced by best evidence judged via SIGN methodology, the UNEP Minamata Treaty (and linked phasing down of dental amalgam), three Dental Policy Labs and an international movement in operative dentistry to move towards minimally invasive dentistry. The FDI World Dental Federation publicised and advocated the ICCMS in 2019, when the 'CariesCare International' Consensus Guide and 4D caries management system was published to aid the delivery of ICCMS into practice. This system, which is designed to help practitioners deliver optimal caries care for patients, is now being adapted internationally for post-pandemic use in the 'Caries OUT' study. It is also being used as a vehicle for implementing the updated Delivering better oral health guidance on caries, as part of the minimum intervention oral healthcare delivery framework in the UK.

摘要

本文描绘了国际牙科研究人员、教育者和从业者团队 20 年来的合作历程。在 2002 年最初开发国际龋病检测与评估系统（ICDAS）之后，2010 年至 2017 年间，几个牙科研究和实践组织合作开发了国际龋病分类和管理系统（ICCMS），并受到最佳证据的影响，这些证据是通过 SIGN 方法判断的、UNEP 汞条约（以及相关的牙科汞合金逐步淘汰）、三个牙科政策实验室以及向微创牙科发展的国际操作性牙科运动。国际牙科联合会（FDI）于 2019 年宣传和倡导 ICCMS，当时发布了《CariesCare International 共识指南》和 4D 龋病管理系统，以帮助将 ICCMS 付诸实践。该系统旨在帮助从业者为患者提供最佳的龋病护理，现在正在国际上进行调整，以便在“Caries OUT”研究中在后疫情时代使用。它还被用作实施更新后的《龋病改善口腔健康指南》的工具，作为英国最低干预口腔保健提供框架的一部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b31/8683367/ac4f3ba33ea8/41415_2021_3732_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b31/8683367/c81ec7a57b39/41415_2021_3732_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b31/8683367/fc03fb403aee/41415_2021_3732_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b31/8683367/e9ed063490b8/41415_2021_3732_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b31/8683367/ac4f3ba33ea8/41415_2021_3732_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b31/8683367/c81ec7a57b39/41415_2021_3732_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b31/8683367/fc03fb403aee/41415_2021_3732_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b31/8683367/e9ed063490b8/41415_2021_3732_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b31/8683367/ac4f3ba33ea8/41415_2021_3732_Fig5_HTML.jpg

相似文献

[1]
From 'ICDAS' to 'CariesCare International': the 20-year journey building international consensus to take caries evidence into clinical practice.

Br Dent J. 2021-12

[2]
CariesCare practice guide: consensus on evidence into practice.

Br Dent J. 2019-9

[3]
CariesCare International adapted for the pandemic in children: Caries OUT multicentre single-group interventional study protocol.

BMC Oral Health. 2021-7-1

[4]
International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS) - methods for staging of the caries process and enabling dentists to manage caries.

Community Dent Oral Epidemiol. 2013-2

[5]
Effectiveness of the ICCMS caries management system for children: a 3-year multicentre randomised controlled trial.

Acta Odontol Scand. 2022-10

[6]
Caries classification and management in the context of the CariesCare International (CCI™) consensus: a clinical case study.

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[7]
Knowledge and Practice of ICDAS and ICCMS in Young Children: A Cross-sectional Study among Final-year Dental Students in Malaysia.

Int J Clin Pediatr Dent. 2021

[8]
Clinical guidelines for treating caries in adults following a minimal intervention policy--evidence and consensus based report.

J Dent. 2011-11-2

[9]
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Eur J Dent Educ. 2024-2

[10]
The use of the International Caries Detection and Assessment System (ICDAS) in a National Health Service general dental practice as part of an oral health assessment.

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引用本文的文献

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Defining Effect Size Standards in Temporomandibular Joint and Masticatory Muscle Research.

Med Sci Monit. 2025-5-1

[2]
Classification of the Type of Contact Between Primary Molars as an Indicator of the Likelihood of Future Caries.

Children (Basel). 2025-1-29

[3]
Inequalities in oral health: estimating the longitudinal economic burden of dental caries by deprivation status in six countries.

BMC Public Health. 2024-11-21

[4]
Minimum intervention oral care: staging and grading dental carious lesions in clinical practice.

Br Dent J. 2024-9

[5]
A scoping review of early childhood caries, poverty and the first sustainable development goal.

BMC Oral Health. 2024-9-3

[6]
ORCA-EFCD consensus report on clinical recommendation for caries diagnosis. Paper I: caries lesion detection and depth assessment.

Clin Oral Investig. 2024-3-22

[7]
Detection, Diagnosis, and Monitoring of Early Caries: The Future of Individualized Dental Care.

Diagnostics (Basel). 2023-12-12

[8]
DIAGNOdent versus International Caries Detection and Assessment System in detection of incipient carious lesions: A diagnostic accuracy study.

J Conserv Dent. 2023

[9]
Enhanced Clinical Decision-Making and Delivery of Minimally Invasive Care Using the ICCMS4D Integrated with Hands-Free Fluorescence-Based Loupes and a Chemomechanical Caries Removal Agent.

Eur J Dent. 2023-10

[10]
Oral-Health-Related Quality of Life as Measured with the Child-OIDP Index and Oral Health Status in Spanish Adolescents.

Int J Environ Res Public Health. 2022-9-29

本文引用的文献

[1]
CariesCare International adapted for the pandemic in children: Caries OUT multicentre single-group interventional study protocol.

BMC Oral Health. 2021-7-1

[2]
Making Cavities History: A Global Policy Consensus for Achieving a Dental Cavity-Free Future.

JDR Clin Trans Res. 2021-7

[3]
The Top 100 Most-Cited Papers in Cariology: A Bibliometric Analysis.

Caries Res. 2021

[4]
Minimum intervention oral healthcare delivery - is there consensus?

Br Dent J. 2020-10

[5]
Something beginning with 'c'.

Br Dent J. 2020-4

[6]
Terminology of Dental Caries and Dental Caries Management: Consensus Report of a Workshop Organized by ORCA and Cariology Research Group of IADR.

Caries Res. 2019-10-7

[7]
Caries classification and management in the context of the CariesCare International (CCI™) consensus: a clinical case study.

Br Dent J. 2019-9

[8]
CariesCare practice guide: consensus on evidence into practice.

Br Dent J. 2019-9

[9]
When least is most.

Br Dent J. 2019-9

[10]
Understanding dentists' caries management: The COM-B ICCMS™ questionnaire.

Community Dent Oral Epidemiol. 2018-12

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