Received: 19 February 2022 Accepted: 22 April 2022 DOI: 10.1111/jcpe.13639
CLINICAL PRACTICE GUIDELINE
Treatment of stage IV periodontitis: The EFP S3 level clinical practice guideline
David Herrera 1 Anton Sculean 6 Iain Chapple 2,3
| Mariano Sanz 1 | Tord Berglundh 7
| Moritz Kebschull 2,3,4
| Søren Jepsen 5
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| Panos N. Papapanou 4
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| Maurizio S. Tonetti 8
| On behalf of the EFP Workshop Participants
and Methodological Consultant 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 & Dental Sciences, The University of Birmingham, Birmingham, UK 3 Birmingham Community Healthcare NHS Foundation Trust, Birmingham, UK 4 Division of Periodontics, Section of Oral, Diagnostic and Rehabilitation Sciences, College of Dental Medicine, Columbia University, New York, New York, USA 5 Department of Periodontology, Operative and Preventive Dentistry, University Hospital Bonn, Bonn, Germany 6 Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland 7 Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden 8 Shanghai PerioImplant Innovation Center, Department of Oral and Maxillo-facial Implantology, Shanghai Key Laboratory of Stomatology, National Clinical Research Centre for Oral Diseases, Shanghai Ninth People Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Correspondence David Herrera, ETEP (Etiology and Therapy of Periodontal and Peri-implant Diseases) Research Group Faculty of Odontology, University Complutense of Madrid, Plaza Ram on y Cajal s/n (Ciudad Universitaria), 28040 Madrid, Spain. Email: davidher@ucm.es
Abstract Background: The recently published clinical practice guideline (CPG) for the treat- ment of periodontitis in stages I – III provided evidence-based recommendations for the treatment of periodontitis patients, defined according to the 2018 classification. Stage IV periodontitis shares the severity and complexity characteristics of stage III periodontitis, but includes the anatomical and functional sequelae of tooth and peri- odontal attachment loss (tooth flaring and drifting, bite collapse, etc.), which require additional interventions following completion of active periodontal therapy. Aim: To develop an S3 Level CPG for the treatment of stage IV periodontitis, focus- ing on the implementation of inter-disciplinary treatment approaches required to treat/rehabilitate patients following associated sequelae and tooth loss. Materials and Methods: This S3 Level CPG was developed by the European Federa- tion of Periodontology (EFP), following methodological guidance from the Association of Scientific Medical Societies in Germany and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) process. A rigorous and transpar- ent process included synthesis of relevant research in 13 specifically commissioned systematic reviews, evaluation of the quality and strength of evidence, the formula- tion of specific recommendations and a structured consensus process with leading experts and a broad base of stakeholders. Results: The S3 Level CPG for the treatment of stage IV periodontitis culminated in recommendations for different interventions, including orthodontic tooth movement,
Funding information European Federation of Periodontology (EFP)
EFP workshop participants and methodological consultant are listed in Appendix.
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J Clin Periodontol. 2022;49(Suppl. 24):4 – 71.
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