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Updated: Jan 19, 2026

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CariesCare practice guide: consensus on evidence into practice.

Stefania Martignon1, Nigel B Pitts2, Guy Goffin2

  • 1UNICA - Caries Research Unit, Research Vice-rectory, Universidad El Bosque, Bogotá, Colombia. martignonstefania@unbosque.edu.co.

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Summary
This summary is machine-generated.

The CariesCare International guide offers dentists a structured 4D approach to caries management, enhancing patient care and long-term oral health. This evidence-based system prioritizes risk assessment, early detection, and personalized, minimally invasive treatments for optimal outcomes.

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Area of Science:

  • Dentistry
  • Oral Health
  • Public Health

Background:

  • Dental caries remains a significant global health concern.
  • Existing caries management systems often lack a structured, patient-centered approach.
  • The International Caries Classification and Management System (ICCMS) provides a foundation for evidence-based caries care.

Purpose of the Study:

  • To present the CariesCare International (CCI™) practice guide, a structured update for dentists.
  • To introduce the '4D cycle' (Determine, Detect, Decide, Do) for optimal caries management.
  • To promote a patient-centered, risk-based approach focused on long-term oral health outcomes and tooth structure preservation.

Main Methods:

  • The guide is derived from the ICCMS framework.
  • It outlines a four-step process (4D system) for dental teams.
  • It synthesizes best available evidence into a consensus guide for dental practice.

Main Results:

  • The 4D system guides personalized interventions from risk assessment to treatment.
  • It facilitates caries prevention, control, and conservative restorative care.
  • Implementation aims to improve patient satisfaction, involvement, and well-being through less invasive, health-focused care.

Conclusions:

  • The CariesCare International guide offers a practice-friendly, evidence-based approach to caries management.
  • This system supports dentists in delivering optimal patient care and achieving better health outcomes.
  • Adoption of the guide is expected to enhance patient engagement and provide professional benefits for dentists.