title: EAPD interim seminar and workshop in Brussels May 9 2015 : Non-invasive caries treatment.
abstract: OBJECTIVE
  This was to collect information for the 9th European Academy of Paediatric Dentistry Interim Seminar and Workshops to discuss the state of art on non-invasive caries therapy to be used if possible to formulate clinical guidelines by European experts in paediatric dentistry
  
  
  METHODS
  Based on systematic reviews and additional papers were assessed for methods to prevent caries initiation and caries progression both in the state of pre-cavitation and cavitation without invasive technologies.
  
  
  RESULTS
  The use of fluoridated water, careful diligent daily use of fluoride toothpaste, fluoride varnishes, pit and fissure sealants and leak-proof restorative materials without excavation of caries are evidence based for caries prevention and for non-invasive treatment of pre-cavitated and cavitated caries. Other technologies are far less evidenced based and would not logically fit in guidelines for the non-invasive treatment of caries. Recent studies on cavitated lesions in the primary dentition demonstrate that thorough oral hygiene practices may arrest progression. This strategy depends heavily on the strategies in the dental surgery to change behaviour of children. An important aspect is for advice to be tailored at recall intervals to ensure compliance and to timely detect unnecessary and unwanted progression of the lesions.
  
  
  CONCLUSIONS
  Non-invasive therapies have been proven to be effective for caries prevention and the management of pre-cavitated caries lesions. Non-invasive therapies can also be effective to arrest cavitated lesions but the success depends greatly on behavioural changes of patients to brush the lesions.
authors: Department of Preventive Dentistry, Academic Centre for Dentistry, University of Amsterdam and VU University Amsterdam, ACTA, Gustav Mahlerlaan 3004, 1081 LA, Amsterdam, The Netherlands. c.van.loveren@acta.nl.
authors: C
authors: C
authors: van Loveren
authors: Professor Emeritus Department of Dentistry, Radboud University Nijmegen, Nijmegen, The Netherlands.
authors: W
authors: W
authors: van Palenstein Helderman
mesh_terms: D003731:Dental Caries / Q000517:prevention & control / Q000628:therapy*; D005460:Fluorides, Topical / Q000627:therapeutic use*; D006801:Humans; D010895:Pit and Fissure Sealants; D014094:Tooth, Deciduous; D014100:Toothpastes / Q000627:therapeutic use*
chemical_list: D005460:Fluorides, Topical; D010895:Pit and Fissure Sealants; D014100:Toothpastes
keywords: Caries; Cavitated lesions; Non-cavitated lesions; Non-invasive; Recall interval