Treatment of stage I–III periodontitis—The EFP S3 level clinical practice guideline. (27th July 2020)

• Record Type: Journal Article
• Authors: Sanz, Mariano; Herrera, David; Kebschull, Moritz; Chapple, Iain; Jepsen, Søren; Beglundh, Tord; Sculean, Anton; Tonetti, Maurizio S.
• Other Names: Merete Aass Anne investigator.; Aimetti Mario investigator.; Kuru Bahar Eren investigator.; Belibasakis Georgios investigator.; Blanco Juan investigator.; Bol‐van den Hil Ellen investigator.; Bostanci Nagihan investigator.; Bozic Darko investigator.; Bouchard Philippe investigator.; Buduneli Nurcan investigator.; Cairo Francesco investigator.; Calciolari Elena investigator.; Carra Maria Clotilde investigator.; Cortellini Pierpaolo investigator.; Cosyn Jan investigator.; D'Aiuto Francesco investigator.; Dannewitz Bettina investigator.; Danser Monique investigator.; Demirel Korkud investigator.; Derks Jan investigator.; de Sanctis Massimo investigator.; Dietrich Thomas investigator.; Dörfer Christof investigator.; Dommisch Henrik investigator.; Donos Nikos investigator.; Eaton Kenneth investigator.; Eickholz Peter investigator.; Figuero Elena investigator.; Giannobile William investigator.; Goldstein Moshe investigator.; Graziani Filippo investigator.; Kamposiora Phophi investigator.; Kirkevang Lise‐Lotte investigator.; Kocher Thomas investigator.; Kononen Eija investigator.; Lang Nicklaus investigator.; Lambert France investigator.; Landi Luca investigator.; Melo Paulo investigator.; Loos Bruno investigator.; Lopez Rodrigo investigator.; Lundberg Pernilla investigator.; Machtei Eli investigator.; Madianos Phoebus investigator.; Martín Conchita investigator.; Matesanz Paula investigator.; Meyle Jörg investigator.; Molina Ana investigator.; Montero Eduardo investigator.; Nart Jose investigator.; Needleman Ian investigator.; Nibali Luigi investigator.; Papapanou Panos investigator.; Pilloni Andrea investigator.; Polak David investigator.; Polyzois Ioannis investigator.; Preshaw Philip investigator.; Quirynen Marc investigator.; Ramseier Christoph investigator.; Renvert Stefan investigator.; Salvi Giovanni investigator.; Sanz‐Sánchez Ignacio investigator.; Shapira Lior investigator.; Slot Dagmar Else investigator.; Stavropoulos Andreas investigator.; Struillou Xavier investigator.; Suvan Jean investigator.; Teughels Wim investigator.; Timus Daniela investigator.; Tomasi Cristiano investigator.; Trombelli Leonardo investigator.; van der Weijden Fridus investigator.; Vassallo Paula investigator.; Walter Clemens investigator.; West Nicola investigator.; Wimmer Gernot investigator.; Kopp Ina investigator.; Brocklehurst Paul investigator.; Wennström Jan investigator.; Gonzalez David Herrera guestEditor.; Sanz Mariano guestEditor.; Tonetti Maurizio guestEditor.;
• Is Part Of: Journal of clinical periodontology. Volume 47(2020)Supplement 22
• Page Start: 4
• Page End: 60
• Publication Date: 2020-07-27
• Subjects: clinical guideline -- grade -- health policy -- oral health -- periodontal therapy -- periodontitis -- stage; Periodontics -- Periodicals; 617.6
• DOI: 10.1111/jcpe.13290
• Languages: English
• ISSNs: 0303-6979

Abstract

Abstract: 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.