A scoping review of guidelines on caries management for children and young people to inform UK undergraduate core curriculum development

Campbell, Faith; Rogers, Helen; Goldsmith, Rachel; Rowles, Kathryn; Raggio, Daniela Prócida; Innes, Nicola

doi:10.1186/s12903-024-04278-7

Table 3 Summary of guideline recommendations and AGREE II scores (n = 16 guidelines)

From: A scoping review of guidelines on caries management for children and young people to inform UK undergraduate core curriculum development

Guideline ID	Guideline development organisation	Guideline name	Contains recommendations on management of						Endorse preventive resin restorations?	Mention/ endorse silver diamine fluoride (SDF)?	Endorse therapeutic sealants?	Mean AGREE II score (overall quality) from a maximum of 7 indicating highest quality	Recommend guideline for use?
			Primary teeth			Permanent teeth
			Early carious lesions	Deep carious lesions (> 1/3 into dentine)	Carious lesions into pulp	Early carious lesions	Deep carious lesions (> 1/3 into dentine)	Carious lesions into pulp
1	AAPD	Evidence-based Clinical Practice Guideline for the Use of Pit-and-Fissure Sealants	Yes	No	No	Yes	No	No	Not discussed	No	Yes	6.5	Yes
2	AAPD	Use of Vital Pulp Therapies in Primary Teeth with Deep Caries Lesions	No	Yes	Yes	No	No	No	Not discussed	No	Not discussed	5	Yes
3	AAPD	Use of Silver Diamine Fluoride for Dental Caries Management in Children and Adolescents, Including Those with Special Health Care Needs	No	Yes (unclear on depth)	No	No	No	No	Not discussed	Yes/ Yes	Not discussed	5	Yes
4	SDCEP	Prevention and Management of Dental Caries in Children	Yes	Yes	Yes	Yes	Yes	Yes	Not discussed	No	Yes	7	Yes
5	AAPD	Use of Non-Vital Pulp Therapies in Primary Teeth	No	No	Yes	No	No	No	Not discussed	No	Not discussed	6	Yes
6	AAPD	Pulp Therapy for Primary and Immature Permanent Teeth	No	Yes	Yes	No	Yes	Yes	Not discussed/ No	No	Not discussed	4.5	Yes
7	AAPD	Pediatric Restorative Dentistry	Yes	Yes	Yes	Yes	Yes	No	No	Yes/ Yes	Not discussed	5	Yes
8	AAPD	Caries-Risk Assessment and Management for Infants, Children, and Adolescents	Yes	Yes	No	No	No	No	Not discussed	Yes/Yes	Not discussed	2.6*	Yes
9	EAPD	Best clinical practice guidance for treating deep carious lesions in primary teeth: an EAPD policy document	No	Yes	Yes	No	No	No	No	Yes/Yes	No	3	No
10	IAPD	Management of Early Childhood Caries: Foundational Articles and Recommendations	Yes	Yes	No	No	No	No	Not discussed	Yes/Yes	Yes	2	No
11	IAPD	Pulp Therapy for Primary and Young Permanent Teeth: Foundational Articles and Recommendations	No	No	Yes	No	No	Yes	No	No	Not discussed	1.5	No
12	IAPD	Hall Technique for Crown Placement in Primary Molars: Foundational Articles and Recommendations	Yes	Yes	No	No	No	No	Not discussed	No	Not discussed	1.5	No
13	IAPD	Atraumatic Restorative Treatment: Foundational Articles and Recommendations	Yes	Yes	Yes	Yes	Yes	Yes	Not discussed	No	Not discussed	1	No
14	IAPD	Minimal Invasive Dentistry: Foundations Articles and consensus recommendations	Unclear	Unclear	No	Unclear	Unclear	No	Not discussed	Yes	Not discussed	1	No
16	IAPD	Management of severe early childhood caries	Yes	Yes	Yes	No	No	No	No	Not discussed	No	6**	No

Legend *Although the AGREE II scores for this guideline were low, after independent review by a third person and discussion within the whole research team it was decided that it should be included. There were limited recommendations that were relevant which is why some reviewers had given it a low score, however the team concluded that the few recommendations that were relevant were of acceptable quality. ** Although the AGREE II scores for this guideline were high, independent review and consideration of the wider content of the guideline, it was not taken further for narrative review. This was due to the limited number of recommendations and the evidence base for this. The reviewers did feel that the guideline was presented in a methodical and clear manner hence the high AGREE II score however when evaluating the most important aspects of quality, the guideline was deemed inadequate. Bold type indicates meeting the AGREE II threshold for inclusion

Back to article page

ISSN: 1472-6831

Contact us

Submission enquiries: bmcoralhealth@biomedcentral.com
General enquiries: ORSupport@springernature.com

BMC Oral Health

Contact us