[en] Background: The recently introduced 2017 World Workshop on the classification of periodontitis, incorporating stages and grades of disease, aims to link disease classification with approaches to prevention and treatment, as it describes not only disease severity and extent but also the degree of complexity and an individual's risk. There is, therefore, a need for evidence-based clinical guidelines providing recommendations to treat periodontitis. Aim: The objective of the current project was to develop a S3 Level Clinical Practice Guideline (CPG) for the treatment of Stage I-III periodontitis. Material and Methods: This S3 CPG was developed under the auspices of the European Federation of Periodontology (EFP), following the methodological guidance of the Association of Scientific Medical Societies in Germany and the Grading of Recommendations Assessment, Development and Evaluation (GRADE). The rigorous and transparent process included synthesis of relevant research in 15 specifically commissioned systematic reviews, evaluation of the quality and strength of evidence, the formulation of specific recommendations and consensus, on those recommendations, by leading experts and a broad base of stakeholders. Results: The S3 CPG approaches the treatment of periodontitis (stages I, II and III) using a pre-established stepwise approach to therapy that, depending on the disease stage, should be incremental, each including different interventions. Consensus was achieved on recommendations covering different interventions, aimed at (a) behavioural changes, supragingival biofilm, gingival inflammation and risk factor control; (b) supra-and sub-gingival instrumentation, with and without adjunctive therapies; (c) different types of periodontal surgical interventions; and (d) the necessary supportive periodontal care to extend benefits over time. Conclusion: This S3 guideline informs clinical practice, health systems, policymakers and, indirectly, the public on the available and most effective modalities to treat periodontitis and to maintain a healthy dentition for a lifetime, according to the available evidence at the time of publication.
Disciplines :
Dentistry & oral medicine
Author, co-author :
Sanz, Mariano; ETEP (Etiology and Therapy of Periodontal and Peri-implant Diseases) Research Group, University Complutense of Madrid, Madrid, Spain ; WO R K S H O P PA RTI CI PA NTS
Herrera, David; ETEP (Etiology and Therapy of Periodontal and Peri-implant Diseases) Research Group, University Complutense of Madrid, Madrid, Spain ; WO R K S H O P PA RTI CI PA NTS
Moritz Kebschull, |; Periodontal Research Group, Institute of Clinical Sciences, College of Medical and Dental Sciences, The University of Birmingham, Birmingham, UK ; Birmingham Community Healthcare NHS Trust, Birmingham, UK ; Division of Periodontics, Section of Oral, Diagnostic and Rehabilitation Sciences, College of Dental Medicine, Columbia University, New York, USA
Chapple, Iain; Periodontal Research Group, Institute of Clinical Sciences, College of Medical and Dental Sciences, The University of Birmingham, Birmingham, UK ; Birmingham Community Healthcare NHS Trust, Birmingham, UK
Jepsen, Søren; Department of Periodontology, Operative and Preventive Dentistry, University Hospital Bonn, Bonn, Germany
Tord Beglundh, |; Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden
Sculean, Anton; Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland
Maurizio, |
Tonetti, S; Division of Periodontology and Implant Dentistry, Faculty of Dentistry, The University of Hong Kong, Hong Kong, Hong Kong ; Department of Oral and Maxillo-facial Implantology, Shanghai Key Laboratory of Stomatology, School of Medicine, National Clinical Research Centre for Stomatology, Shanghai Ninth People Hospital, Shanghai Jiao Tong University, Shanghai, China
Berglundh, Tord
Kebschull, Moritz
Tonetti, Maurizio
Kopp, Ina
Brocklehurst, Paul
Wennström, Jan
Aass, Anne
Aimetti, Mario
Belibasakis, Georgios
Blanco, Juan
Bostanci, Nagihan
Bozic, Darko
Bouchard, Philippe
Buduneli, Nurcan
Cairo, Francesco
Calciolari, Elena
Carra, Maria
Cortellini, Pierpaolo
Cosyn, Jan
Aiuto, Francesco
Dannewitz, Bettina
Danser, Monique
Demirel, Korkud
Derks, Jan
De Sanctis, Massimo
Dietrich, Thomas
Dörfer, Christof
Dommisch, Henrik
Donos, Nikos
Eickholz, Peter
Figuero, Elena
Giannobile, William
Goldstein, Moshe
Graziani, Filippo
Kocher, Thomas
Kononen, Eija
Kuru, Eren
Lambert, France ; Centre Hospitalier Universitaire de Liège - CHU > > Service de parodontologie, chirurgie bucco-dentaire et chirurgie implantaire
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