Treatment of stage IV periodontitis: The EFP S3 level clinical practice guideline

EFP Workshop Participants and Methodological Consultant

Résultat de rechercheexamen par les pairs

169 Citations (Scopus)

Résumé

Background: The recently published clinical practice guideline (CPG) for the treatment 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 periodontal 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, focusing 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 Federation 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 transparent process included synthesis of relevant research in 13 specifically commissioned systematic reviews, evaluation of the quality and strength of evidence, the formulation 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, tooth splinting, occlusal adjustment, tooth- or implant-supported fixed or removable dental prostheses and supportive periodontal care. Prior to treatment planning, it is critically important to undertake a definitive and comprehensive diagnosis and case evaluation, obtain relevant patient information, and engage in frequent re-evaluations during and after treatment. The periodontal component of therapy should follow the CPG for the treatment of periodontitis in stages I–III. Conclusions: The present S3 Level CPG informs clinical practice, health systems, policymakers and, indirectly, the public on the available and most effective modalities to treat patients with stage IV periodontitis and to maintain a healthy dentition over lifetime, according to the available evidence at the time of publication.

Langue d'origineEnglish
Pages (de-à)4-71
Nombre de pages68
JournalJournal of Clinical Periodontology
Volume49
Numéro de publicationS24
DOI
Statut de publicationPublished - juin 2022

Financement

The authors express their gratitude to all reviewers involved in the preparation of the systematic reviews and sincerely thank those organizations that participated in the guideline development process: Council of European Chief Dental Officers, Council of European Dentists, European Association for Osseointegration, European Dental Students' Association, European Federation of Conservative Dentistry, European Prosthodontic Association, European Society for Endodontology, Platform for Better Oral Health in Europe.

Bailleurs de fondsNuméro du bailleur de fonds
Council of European Chief Dental Officers
Council of European Dentists
European Association for Osseointegration
European Dental Students' Association
European Prosthodontic Association
European Society for Endodontology
European Federation of Conservative Dentistry

    ASJC Scopus Subject Areas

    • Periodontics

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