ETEP (Etiology and Therapy of Periodontal and Peri-implant Diseases) Research Group, University Complutense of Madrid, Madrid, Spain.
Periodontal Research Group, Institute of Clinical Sciences, College of Medical and Dental Sciences, The University of Birmingham, Birmingham, UK.
J Clin Periodontol. 2020 Jul;47 Suppl 22(Suppl 22):4-60. doi: 10.1111/jcpe.13290.
The recently introduced 2017 World Workshop on the classification of periodontitis, 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.
The objective of the current project was to develop a S3 Level Clinical Practice Guideline (CPG) for the treatment of Stage I-III periodontitis.
This S3 CPG was developed under the auspices of the European Federation of Periodontology (EFP), following the methodological guidance of the Association of Scientific Medical Societies in Germany and the Grading of Recommendations Assessment, Development and Evaluation (GRADE). The rigorous 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 recommendations, by leading experts and a broad base of stakeholders.
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) behavioural 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.
This S3 guideline informs clinical practice, health systems, policymakers and, indirectly, the public on the available and most effective modalities to treat periodontitis and to maintain a healthy dentition for a lifetime, according to the available evidence at the time of publication.
最近引入的 2017 年牙周病分类世界研讨会，结合了疾病的阶段和分级，旨在将疾病分类与预防和治疗方法联系起来，因为它不仅描述了疾病的严重程度和范围，还描述了疾病的复杂性程度和个体的风险程度。因此，需要有循证临床指南为治疗牙周炎提供建议。
本项目的目的是制定治疗 I-III 期牙周炎的 S3 级临床实践指南（CPG）。
本 S3 CPG 是在欧洲牙周病学会（EFP）的主持下制定的，遵循德国科学医学协会联合会和推荐评估、制定和评估（GRADE）的方法指导。这一严格透明的过程包括在 15 项特别委托的系统评价中综合相关研究，评估证据的质量和强度，制定具体建议，并由领先专家和广泛的利益相关者对这些建议达成共识。
S3 CPG 采用预先设定的治疗阶梯方法来治疗牙周炎（I、II 和 III 期），根据疾病阶段，治疗应是递增的，每个阶段都包括不同的干预措施。就涵盖不同干预措施的建议达成了共识，旨在：（a）行为改变、龈上生物膜、牙龈炎症和危险因素控制；（b）龈上和龈下器械，包括和不包括辅助治疗；（c）不同类型的牙周手术干预；以及（d）必要的牙周支持性护理，以随着时间的推移延长益处。
根据发表时的现有证据，本 S3 指南为临床实践、卫生系统、政策制定者，以及间接地为公众提供了治疗牙周炎和维持终生健康牙齿所需的最有效方法。
