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SANZ et al .
Available evidence In the systematic review (Ramseier et al., 2020), the authors have identified 13 relevant guidelines for interventions for smoking ces - sation, diabetes control, physical exercise (activity), change of diet, carbohydrate (dietary sugar reduction) and weight loss. In addition, 25 clinical studies were found that assess the impact of (some of) these interventions in gingivitis/periodontitis patients. However, only some of them included patients in supportive periodontal care. Additional factors have been discussed in the evaluation of risk factor control in patients in active periodontal therapy.
brief dietary counselling and possibly patient referral for glycaemic control.
Available evidence In the systematic review (Ramseier et al., 2020), none of the iden - tified studies was performed in patients in supportive periodontal care. Indirect evidence (see section on active periodontal therapy) suggests that diabetes control interventions ought to be imple - mented in supportive periodontal care patients. Background information and the discussion of additional factors can be found in the section dealing with patients in active periodon - tal therapy. R4.20 | What is the role of physical exercise (activity), dietary counselling or lifestyle modifications aiming at weight loss in SPC? Evidence-based recommendation/statement (4.20) We do not know whether physical exercise (activity), dietary counselling or lifestyle modifications aiming at weight loss are relevant in supportive periodontal care. Supporting literature Ramseier et al. (2020) Grade of recommendation Grade 0—Statement: unclear, additional research needed Strength of consensus Strong consensus (0% of the group abstained due to potential CoI)
R4.18 | What is the role of tobacco smoking cessation interventions in SPC?
Evidence-based recommendation (4.18) We recommend tobacco smoking cessation interventions to be implemented in periodontitis patients in supportive periodontal care. Supporting literature Ramseier et al. (2020) Quality of evidence Six prospective studies with, at least, 6-month follow-up Grade of recommendation Grade A—↑↑ Strength of consensus Strong consensus (0% of the group abstained due to potential CoI)
Background
Background
Background information and the discussion of additional factors can be found in the section dealing with patients in active periodontal therapy.
Intervention Overall evidence from the medical literature suggests that the pro - motion of physical exercise (activity) interventions may improve both treatment and long-term management of non-communicable diseases. In periodontitis patients, the promotion may consist of pa - tient education specifically target to the patients' age and general health. Available evidence In the systematic review (Ramseier et al., 2020), none of the identified studies was performed in patients in supportive periodontal care. Background information and the discussion of additional factors can be found in the section dealing with patients in active periodon - tal therapy (Billings et al., 2018). ACKNOWLEDGEMENTS The authors express their gratitude to all reviewers involved in the preparation of the systematic reviews. In addition, the organiza - tions which accepted to participate in the guideline development process are also kindly and sincerely acknowledged: European Federation of Conservative Dentistry, European Association of Dental Public Health, European Society for Endodontology,
R4.19 | What is the role of promotion of diabetes control interventions in SPC? Expert consensus-based recommendation (4.19) We suggest promotion of diabetes control interventions in patients in maintenance therapy. Supporting literature Ramseier et al. (2020) Grade of recommendation Grade B—↑ Strength of consensus Consensus (0% of the group abstained due to potential CoI)
Background
Intervention Periodontitis patients may benefit from the promotion of diabetes control interventions to improve the maintenance of periodontal stability. The promotion may consist of patient education including
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