Academic Journal
Προβολή σε EDS

Caries prevention in permanent teeth - basic recommendations of the German S 3 guideline.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Caries prevention in permanent teeth - basic recommendations of the German S 3 guideline.
Συγγραφείς: Schlueter N; Department of Conservative Dentistry, Periodontology and Preventive Dentistry, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany., Hellwig E; Department of Operative Dentistry and Periodontology, Medical Center, Faculty of Medicine, University of Freiburg, Hugstetterstr. 55, 79106, Freiburg, Germany., Geurtsen W; Department of Conservative Dentistry, Periodontology and Preventive Dentistry, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany., Rupf S; Synoptic Dentistry, Saarland University, Kirrberger Str. 100, Bldg. 73, 66421, Homburg, Germany. stefan.rupf@uks.eu.
Πηγή: Clinical oral investigations [Clin Oral Investig] 2026 Apr 18; Vol. 30 (5). Date of Electronic Publication: 2026 Apr 18.
Τύπος έκδοσης: Journal Article; Practice Guideline
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 9707115 Publication Model: Electronic Cited Medium: Internet ISSN: 1436-3771 (Electronic) Linking ISSN: 14326981 NLM ISO Abbreviation: Clin Oral Investig Subsets: MEDLINE
Imprint Name(s): Publication: Berlin : Springer-Verlag
Original Publication: Berlin : Springer, c1997-
Ιατρικοί όροι (MeSH): Dental Caries*/prevention & control , Dentition, Permanent*, Cariostatic Agents/therapeutic use ; Fluorides/administration & dosage ; Humans ; Germany ; Oral Hygiene ; Fluoride Treatment
Περίληψη: OBJECTIVES: Caries is still one of the most common diseases in Germany and world-wide, and most adults, children and adolescents are affected during their lifetime. The primary goal of oral disease prevention is therefore maintaining healthy teeth that are either free from decay or sufficiently restored without any secondary caries. MATERIALS AND METHODS: This updated S3-guideline is intended to provide scientifically sound information on basic measures and recommendations for caries prevention in the permanent dentition, based on the current state of knowledge on etiology and pathogenesis of caries. This guideline applies to all persons with permanent dentition, provides information for dentists, educators, teachers, parents and other multipliers. Its core messages can be divided into measures to be taken by the population at home, and measures recommended and carried out by staff members in dental practices. RESULTS: The classic caries prevention pillars (tooth brushing, fluoride use, nutritional advice and regular dental consultations) have been expanded to seven recommendations: (I) Oral hygiene, including interdental cleaning; (II) Risk-adapted recommendations for fluoride use as part of daily oral hygiene, plus use of fluoridated table salt; (III) Reducing sugar consumption. In addition, in dental practices (IV) the participation in risk-adapted and structured prevention programs should be recommended, (V) application of further highly concentrated fluoride preparations such as varnishes, (VI) application of chlorhexidine in case of orthodontic treatment or exposed root surfaces, and (VII) fissure sealing in areas at high risk of caries development should be considered. CONCLUSIONS: These measures can help promote lifelong dental health. CLINICAL RELEVANCE: The recommendations of the guideline should be implemented in individual and professional caries prevention.
Competing Interests: Declarations. Competing interests: All authors of the guideline and all members of the Delphi-Process and of the consensus conferences declared potential conflict of interests, which can be seen under https://register.awmf.org/assets/guidelines/083-021m_S3_Kariespraevention-bei-bleibenden-Zaehnen-grundlegende-Empfehlungen_2025-04.pdf (access on 28 July 2025). Stefan Rupf is member of the editorial board of Clinical Oral Investigations. Conflict of interest: All authors of the guideline and all members of the Delphi-Process and of the consensus conferences declared potential conflict of interests, which can be seen under https://register.awmf.org/assets/guidelines/083-021m_S3_Kariespraevention-bei-bleibenden-Zaehnen-grundlegende-Empfehlungen_2025-04.pdf (access on 3rd February 2026) [119]. Stefan Rupf is member of the editorial board of Clinical Oral Investigations.
Σχόλια: Erratum in: Clin Oral Investig. 2026 Jun 26;30(7):303. doi: 10.1007/s00784-026-06988-4.. (PMID: 42360521)
References: Community Dent Oral Epidemiol. 2020 Dec;48(6):549-560. (PMID: 32767825)
Nutr Rev. 2019 Mar 1;77(3):181-196. (PMID: 30624760)
Int J Dent Hyg. 2012 Aug;10(3):187-97. (PMID: 22672101)
JDR Clin Trans Res. 2020 Jul;5(3):214-223. (PMID: 31743654)
J Dent Res. 2016 Feb;95(2):167-72. (PMID: 26553884)
Clin Oral Investig. 2026 Apr 18;30(5):. (PMID: 41999496)
Cochrane Database Syst Rev. 2019 Nov 17;2019(11):. (PMID: 31742669)
J Appl Oral Sci. 2007 Apr;15(2):83-8. (PMID: 19089107)
Caries Res. 1994;28(6):477-83. (PMID: 7850852)
Eur J Oral Sci. 2005 Apr;113(2):145-52. (PMID: 15819821)
Caries Res. 2019;53(4):475-481. (PMID: 30917373)
Clin Oral Investig. 2013 Mar;17(2):659-67. (PMID: 22552597)
Caries Res. 2007;41(2):146-51. (PMID: 17284917)
J Dent Res. 2022 Aug;101(9):1034-1045. (PMID: 35302414)
Public Health Nutr. 2014 Oct;17(10):2176-84. (PMID: 24892213)
Caries Res. 2018;52(4):272-278. (PMID: 29393162)
Caries Res. 2001 Jan-Feb;35(1):41-6. (PMID: 11125195)
Caries Res. 1995;29(6):449-54. (PMID: 8556747)
J Am Dent Assoc. 2008 Dec;139(12):1602-14. (PMID: 19047666)
PLoS One. 2018 Apr 30;13(4):e0196497. (PMID: 29708989)
Public Health Nutr. 2004 Feb;7(1A):201-26. (PMID: 14972061)
Cochrane Database Syst Rev. 2015 Apr 13;(4):CD008457. (PMID: 25867816)
Arch Oral Biol. 2017 Jan;73:7-15. (PMID: 27816793)
Spec Care Dentist. 2013 May-Jun;33(3):133-40. (PMID: 23600985)
J Dent Res. 2020 Aug;99(9):1047-1053. (PMID: 32321349)
Probiotics Antimicrob Proteins. 2020 Jun;12(2):325-334. (PMID: 30729452)
Clin Oral Investig. 2018 Mar;22(2):715-720. (PMID: 28623465)
Cochrane Database Syst Rev. 2013 Jul 11;(7):CD002279. (PMID: 23846772)
Caries Res. 2011;45(2):162-73. (PMID: 21525751)
J Dent. 2022 Oct;125:104273. (PMID: 36058347)
Cochrane Database Syst Rev. 2016 Jul 29;7:CD002284. (PMID: 27472005)
Braz Oral Res. 2016 Nov 28;30(1):e115. (PMID: 27901199)
Int Dent J. 2006 Jun;56(3):119-30. (PMID: 16826877)
Orthod Craniofac Res. 2019 Nov;22(4):225-235. (PMID: 31081584)
BMC Oral Health. 2019 Jun 18;19(1):120. (PMID: 31215489)
Caries Res. 2004 May-Jun;38(3):286-93. (PMID: 15153702)
Community Dent Oral Epidemiol. 1989 Dec;17(6):292-5. (PMID: 2591179)
J Dent Res. 2010 Oct;89(10):1086-90. (PMID: 20671206)
J Dent Res. 2018 Jul;97(7):773-778. (PMID: 29481764)
Scand J Dent Res. 1994 Oct;102(5):269-73. (PMID: 7817151)
Cochrane Database Syst Rev. 2015 Mar 26;(3):CD010743. (PMID: 25809586)
Cochrane Database Syst Rev. 2010 Jan 20;(1):CD007868. (PMID: 20091655)
Community Dent Oral Epidemiol. 2020 Feb;48(1):7-13. (PMID: 31571246)
Oral Health Prev Dent. 2020 Feb 12;18:843-854. (PMID: 33028052)
J Dent Res. 2015 Feb;94(2):261-71. (PMID: 25398366)
PLoS One. 2019 Dec 5;14(12):e0223960. (PMID: 31805062)
Caries Res. 2015;49(2):125-32. (PMID: 25756173)
Caries Res. 2019;53(6):599-608. (PMID: 31412343)
Caries Res. 2004 May-Jun;38(3):223-9. (PMID: 15153692)
Clin Oral Investig. 2015 May;19(4):851-8. (PMID: 25187263)
Periodontol 2000. 2008;48:54-65. (PMID: 18715356)
J Dent Res. 2010 Jan;89(1):8-18. (PMID: 19918089)
J Dent Hyg. 2009 Summer;83(3):111-6. (PMID: 19723429)
Eur J Oral Sci. 2020 Dec;128(6):467-475. (PMID: 33156952)
Br Dent J. 2021 Dec;231(12):749-753. (PMID: 34921271)
J Clin Periodontol. 2017 Mar;44 Suppl 18:S116-S134. (PMID: 28266113)
Community Dent Health. 2017 Mar;34(1):8-13. (PMID: 28561551)
Eur Arch Paediatr Dent. 2018 Jun;19(3):155-161. (PMID: 29761342)
Community Dent Oral Epidemiol. 1982 Feb;10(1):1-7. (PMID: 6949660)
Int J Dent Hyg. 2018 Feb;16(1):48-58. (PMID: 28834249)
Adv Dent Res. 2018 Mar;29(2):167-176. (PMID: 29461106)
Int J Paediatr Dent. 2012 Mar;22(2):77-84. (PMID: 21771124)
Caries Res. 2016;50(6):579-588. (PMID: 27806364)
J Dent Res. 2020 May;99(5):506-513. (PMID: 32142400)
Eur J Public Health. 2021 Feb 1;31(1):122-129. (PMID: 32830237)
Cochrane Database Syst Rev. 2004;(1):CD002781. (PMID: 14973992)
Oral Health Prev Dent. 2013;11(4):341-7. (PMID: 24046823)
Cochrane Database Syst Rev. 2015 Jun 15;(6):CD002280. (PMID: 26075879)
Eur Arch Paediatr Dent. 2020 Dec;21(6):629-646. (PMID: 33006116)
Caries Res. 2013;47(5):391-8. (PMID: 23594784)
Trends Microbiol. 2015 Feb;23(2):76-82. (PMID: 25435135)
Caries Res. 2015;49(1):41-9. (PMID: 25428785)
Public Health Nutr. 2001 Apr;4(2B):569-91. (PMID: 11683551)
Int J Dent Hyg. 2020 Feb;18(1):17-26. (PMID: 31050195)
Cochrane Database Syst Rev. 2002;(2):CD002280. (PMID: 12076446)
Nutr Rev. 2022 May 9;80(6):1694-1710. (PMID: 34664672)
Cochrane Database Syst Rev. 2019 Mar 04;3:CD007868. (PMID: 30829399)
Cochrane Database Syst Rev. 2003;(1):CD002278. (PMID: 12535435)
Front Public Health. 2019 Jul 12;7:190. (PMID: 31355175)
Caries Res. 2017 Nov 15;51(6):596-604. (PMID: 29136625)
Cochrane Database Syst Rev. 2020 Nov 4;11:CD003067. (PMID: 33142363)
Caries Res. 2016;50 Suppl 1:38-44. (PMID: 27101002)
Clin Interv Aging. 2020 Aug 06;15:1305-1315. (PMID: 32982191)
Clin Oral Investig. 2015 Nov;19(8):1913-9. (PMID: 25672515)
J Dent Res. 2019 Jan;98(1):46-53. (PMID: 30074866)
Eur J Oral Sci. 2014 Oct;122(5):353-9. (PMID: 25131337)
J Public Health Dent. 2011 Spring;71(2):117-24. (PMID: 21774134)
Clin Oral Investig. 2020 Dec;24(12):4153-4167. (PMID: 33057826)
Clin Oral Investig. 2013 Mar;17 Suppl 1:S63-71. (PMID: 23271217)
J Am Dent Assoc. 2018 Oct;149(10):837-849.e19. (PMID: 30261951)
Adv Dent Res. 2012 Sep;24(2):123-8. (PMID: 22899694)
Cochrane Database Syst Rev. 2014 Jun 17;(6):CD002281. (PMID: 24934383)
Acta Odontol Scand. 2003 Dec;61(6):331-40. (PMID: 14960004)
JDR Clin Trans Res. 2018 Apr;3(2):118-129. (PMID: 30931774)
Clin Oral Investig. 2017 Dec;21(9):2733-2740. (PMID: 28303470)
J Dent (Shiraz). 2021 Jun;22(2):109-117. (PMID: 34150947)
J Craniofac Surg. 2014 Sep;25(5):1818-21. (PMID: 25203577)
J Dent Res. 2016 Oct;95(11):1230-6. (PMID: 27334438)
BMC Oral Health. 2021 Apr 30;21(1):224. (PMID: 33931061)
Clin Oral Investig. 2020 Dec;24(12):4169-4183. (PMID: 33052542)
Eur J Orthod. 2019 Nov 15;41(6):661-668. (PMID: 31112229)
Quintessence Int. 2025 Mar 17;56(11):S30-S39. (PMID: 40091720)
J Dent Educ. 2001 Oct;65(10):1017-23. (PMID: 11699972)
Int J Dent Hyg. 2022 Feb;20(1):3-17. (PMID: 34877772)
Eur Arch Paediatr Dent. 2019 Dec;20(6):507-516. (PMID: 31631242)
J Clin Periodontol. 2007 May;34(5):407-15. (PMID: 17448044)
Eur J Oral Sci. 1995 Feb;103(1):42-5. (PMID: 7600249)
Cochrane Database Syst Rev. 2019 Apr 10;4:CD012018. (PMID: 30968949)
BMC Oral Health. 2015;15 Suppl 1:S4. (PMID: 26392204)
Folia Med (Plovdiv). 2020 Dec 31;62(4):831-837. (PMID: 33415934)
Sci Rep. 2020 Feb 13;10(1):2578. (PMID: 32055001)
J Clin Periodontol. 2004 Sep;31(9):749-57. (PMID: 15312097)
Community Dent Health. 2018 Aug 30;35(3):153-159. (PMID: 30106523)
Contributed Indexing: Keywords: Nutrition advice; chlorhexidine; fluoride; oral hygiene; prevention program; saliva
Substance Nomenclature: 0 (Cariostatic Agents)
Q80VPU408O (Fluorides)
Entry Date(s): Date Created: 20260418 Date Completed: 20260628 Latest Revision: 20260921
Update Code: 20260921
PubMed Central ID: PMC13091887
DOI: 10.1007/s00784-026-06880-1
PMID: 41999496
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1436-3771
DOI:10.1007/s00784-026-06880-1