STEP 1
Aim: guiding behaviour change by motivating the patient to undertake: · Successful removal of supragingival dental biofilm. · Risk factor control. It should be implemented in all periodontitis patients, irrespective of the stage of their disease. It should be frequently re-evaluated in order to: · Continue to build motivation and adherence, or explore other alternatives to overcome the barriers.
· Develop skills in dental biofilm removal and modify as required. · Allow for the appropriate response of the ensuing steps of therapy.
Patient supragingival dental biofilm control
Recommended interventions
Recommended
Suggested
Recommended
Oral hygiene practices are crucial throughout all steps of treatment and achieved through patient engagement in behavioural changes (see specific recommendations in the section ‘Supportive periodontal care’).
Unclear
Motivational interviewing or cognitive behavioural therapy have not shown a significant impact.
Professional supragingival dental biofilm control
Recommended interventions
Recommended
Suggested
Recommended
Professional mechanical plaque removal (PMPR) and control of plaque retentive factors is a fundamental part of the first step of therapy.
Risk factor control
Recommended interventions
Recommended
Suggested
Recommended
Recommended
Recommended
Control of risk factors is recommeded as part of the first step of treatment.
Diabetes control interventions are necessary.
Tobacco smoking cessation interventions are recommeded as part of the first step of treatment.
Unclear
It is not known if increasing the physical activity has an impact.
It is not known if reducing weight through dietary and lifestyle has an impact.
This document is a graphic adaptation of the actual clinical practice guidelines and the reader is referred for the correct explanation to the original article: “Treatment of stage I-III periodontitis - The EFP S3-level clinical guideline” by Sanz and coworkers, J Clin Periodontology 2020 . https://onlinelibrary.wiley.com/doi/10.1111/jcpe.13290
www.efp.org
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