Treatment of stage I-III periodontitis-The EFP S3 level clinical practice guideline.
clinical guideline
grade
health policy
oral health
periodontal therapy
periodontitis
stage
Journal
Journal of clinical periodontology
ISSN: 1600-051X
Titre abrégé: J Clin Periodontol
Pays: United States
ID NLM: 0425123
Informations de publication
Date de publication:
07 2020
07 2020
Historique:
received:
29
03
2020
accepted:
03
04
2020
pubmed:
10
5
2020
medline:
13
3
2021
entrez:
9
5
2020
Statut:
ppublish
Résumé
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. The objective of the current project was to develop a S3 Level Clinical Practice Guideline (CPG) for the treatment of Stage I-III periodontitis. 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. 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. 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.
Sections du résumé
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.
Identifiants
pubmed: 32383274
doi: 10.1111/jcpe.13290
pmc: PMC7891343
doi:
Types de publication
Journal Article
Practice Guideline
Langues
eng
Sous-ensembles de citation
IM
Pagination
4-60Investigateurs
Anne Merete Aass
(A)
Mario Aimetti
(M)
Bahar Eren Kuru
(BE)
Georgios Belibasakis
(G)
Juan Blanco
(J)
Ellen Bol-van den Hil
(E)
Nagihan Bostanci
(N)
Darko Bozic
(D)
Philippe Bouchard
(P)
Nurcan Buduneli
(N)
Francesco Cairo
(F)
Elena Calciolari
(E)
Maria Clotilde Carra
(MC)
Pierpaolo Cortellini
(P)
Jan Cosyn
(J)
Francesco D'Aiuto
(F)
Bettina Dannewitz
(B)
Monique Danser
(M)
Korkud Demirel
(K)
Jan Derks
(J)
Massimo de Sanctis
(M)
Thomas Dietrich
(T)
Christof Dörfer
(C)
Henrik Dommisch
(H)
Nikos Donos
(N)
Kenneth Eaton
(K)
Peter Eickholz
(P)
Elena Figuero
(E)
William Giannobile
(W)
Moshe Goldstein
(M)
Filippo Graziani
(F)
Phophi Kamposiora
(P)
Lise-Lotte Kirkevang
(LL)
Thomas Kocher
(T)
Eija Kononen
(E)
Nicklaus Lang
(N)
France Lambert
(F)
Luca Landi
(L)
Paulo Melo
(P)
Bruno Loos
(B)
Rodrigo Lopez
(R)
Pernilla Lundberg
(P)
Eli Machtei
(E)
Phoebus Madianos
(P)
Conchita Martín
(C)
Paula Matesanz
(P)
Jörg Meyle
(J)
Ana Molina
(A)
Eduardo Montero
(E)
Jose Nart
(J)
Ian Needleman
(I)
Luigi Nibali
(L)
Panos Papapanou
(P)
Andrea Pilloni
(A)
David Polak
(D)
Ioannis Polyzois
(I)
Philip Preshaw
(P)
Marc Quirynen
(M)
Christoph Ramseier
(C)
Stefan Renvert
(S)
Giovanni Salvi
(G)
Ignacio Sanz-Sánchez
(I)
Lior Shapira
(L)
Dagmar Else Slot
(DE)
Andreas Stavropoulos
(A)
Xavier Struillou
(X)
Jean Suvan
(J)
Wim Teughels
(W)
Daniela Timus
(D)
Cristiano Tomasi
(C)
Leonardo Trombelli
(L)
Fridus van der Weijden
(F)
Paula Vassallo
(P)
Clemens Walter
(C)
Nicola West
(N)
Gernot Wimmer
(G)
Ina Kopp
(I)
Paul Brocklehurst
(P)
Jan Wennström
(J)
Commentaires et corrections
Type : ErratumIn
Type : CommentIn
Informations de copyright
© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
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