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Article: Treatment of stage I–III periodontitis—The EFP S3 level clinical practice guideline

TitleTreatment of stage I–III periodontitis—The EFP S3 level clinical practice guideline
Authors
Keywordsclinical guideline
grade
health policy
oral health
periodontal therapy
Issue Date2020
PublisherWiley-Blackwell Publishing, Inc. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1600-051X
Citation
Journal of Clinical Periodontology, 2020, v. 47 n. suppl. 22, p. 4-60 How to Cite?
AbstractBackground: 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.
DescriptionHybrid open access
Persistent Identifierhttp://hdl.handle.net/10722/294599
ISSN
2019 Impact Factor: 5.241
2015 SCImago Journal Rankings: 1.848
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorSanz, M-
dc.contributor.authorHerrera, D-
dc.contributor.authorKebschull, M-
dc.contributor.authorChapple, I-
dc.contributor.authorJepsen, S-
dc.contributor.authorBeglundh, T-
dc.contributor.authorSculean, A-
dc.contributor.authorTonetti, MS-
dc.date.accessioned2020-12-08T07:39:14Z-
dc.date.available2020-12-08T07:39:14Z-
dc.date.issued2020-
dc.identifier.citationJournal of Clinical Periodontology, 2020, v. 47 n. suppl. 22, p. 4-60-
dc.identifier.issn0303-6979-
dc.identifier.urihttp://hdl.handle.net/10722/294599-
dc.descriptionHybrid open access-
dc.description.abstractBackground: 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.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing, Inc. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1600-051X-
dc.relation.ispartofJournal of Clinical Periodontology-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectclinical guideline-
dc.subjectgrade-
dc.subjecthealth policy-
dc.subjectoral health-
dc.subjectperiodontal therapy-
dc.titleTreatment of stage I–III periodontitis—The EFP S3 level clinical practice guideline-
dc.typeArticle-
dc.identifier.emailTonetti, MS: tonetti@hku.hk-
dc.identifier.authorityTonetti, MS=rp02178-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1111/jcpe.13290-
dc.identifier.pmid32383274-
dc.identifier.pmcidPMC7891343-
dc.identifier.hkuros320327-
dc.identifier.volume47-
dc.identifier.issuesuppl. 22-
dc.identifier.spage4-
dc.identifier.epage60-
dc.identifier.isiWOS:000552425700001-
dc.publisher.placeUnited States-

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