Received: 29 March 2020 | Accepted: 3 April 2020 DOI: 10.1111/jcpe.13290
CLINICAL PRACTICE GUIDELINE
Treatment of stage I–III periodontitis—The EFP S3 level clinical practice guideline
Mariano Sanz 1 Søren Jepsen 5
| David Herrera 1 | Tord Beglundh 6
| Moritz Kebschull 2,3,4
| Iain Chapple 2,3
|
| Anton Sculean 7
| Maurizio S. Tonetti 8,9
|
On behalf of the EFP Workshop Participants and Methodological Consultants
1 ETEP (Etiology and Therapy of Periodontal and Peri-implant Diseases) Research Group, University Complutense of Madrid, Madrid, Spain 2 Periodontal Research Group, Institute of Clinical Sciences, College of Medical and Dental Sciences, The University of Birmingham, Birmingham, UK 3 Birmingham Community Healthcare NHS Trust, Birmingham, UK 4 Division of Periodontics, Section of Oral, Diagnostic and Rehabilitation Sciences, College of Dental Medicine, Columbia University, New York, NY, USA 5 Department of Periodontology, Operative and Preventive Dentistry, University Hospital Bonn, Bonn, Germany 6 Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden 7 Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland 8 Division of Periodontology and Implant Dentistry, Faculty of Dentistry, The University of Hong Kong, Hong Kong, Hong Kong 9 Department of Oral and Maxillo-facial Implantology, Shanghai Key Laboratory of Stomatology, National Clinical Research Centre for Stomatology, Shanghai Ninth People Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China Correspondence Mariano Sanz, ETEP (Etiology and Therapy of Periodontal and Peri-implant Diseases) Research Group Faculty of Odontology, University Complutense of Madrid, Plaza
Abstract Background: The recently introduced 2017 World Workshop on the classification of peri - odontitis, 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 guid - ance of the Association of Scientific Medical Societies in Germany and the Grading of Recommendations Assessment, Development and Evaluation (GRADE). The rigor - ous 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 recommenda - tions, 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) behav - ioural 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 peri - odontitis and to maintain a healthy dentition for a lifetime, according to the available evidence at the time of publication.
EFP Workshop Participants and Methodological Consultants are presented in Appendix 1.
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. © 2020 The Authors. Journal of Clinical Periodontology published by John Wiley & Sons Ltd.
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J Clin Periodontol. 2020;47:4–60.
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