Shao J L, Yu Y, Lyu C X, Ge S H
Department of Periodontology, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, Jinan 250012, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2022 Dec 9;57(12):1202-1208. doi: 10.3760/cma.j.cn112144-20220719-00394.
2018 international classification of periodontal and implant diseases relates the classifications with the approaches of prevention and treatment based on the stages and grades of disease. European Federation of Periodontology (EFP) evaluated the available evidences following the methodological guidance of the Association of Scientific Medical Societies in Germany and the Grading of Recommendations Assessment, Development and Evaluation (GRADE), and published the EFP S3 level clinical practice guideline for the treatment of stage Ⅰ-Ⅲ and Ⅳ periodontitis in 2020 and 2022, respectively. The present manuscript gives introduction and interpretation based on the EFP S3 level clinical practice guideline and Chinese national conditions. On the base of the diagnostic key points of staging and grading, it introduces in detail the step treatment procedures of stageⅠ-Ⅲ periodontitis as well as the multi-disciplinary treatment procedures of stage Ⅳ periodontitis, compares the similarities and differences between the step and phase procedures, and then proposes a strategy for determining the recall interval more suitable for Chinese clinicians. The present manuscript aims to help dentists to learn and grasp the key points more quickly and accurately on the clinical application of the guideline and to assist them in making the optimal treatment plans after judging and evaluating the specific clinical circumstances, so as to maximize the chances of favorable outcome.
《2018年牙周病和种植体疾病国际分类》将分类与基于疾病阶段和分级的预防及治疗方法相关联。欧洲牙周病学联合会(EFP)按照德国科学医学协会的方法学指南以及推荐分级的评估、制定与评价(GRADE)对现有证据进行了评估,并分别于2020年和2022年发布了EFP S3级临床实践指南,用于治疗Ⅰ-Ⅲ期和Ⅳ期牙周炎。本文基于EFP S3级临床实践指南及中国国情进行介绍与解读。在分期和分级诊断要点的基础上,详细介绍了Ⅰ-Ⅲ期牙周炎的分步治疗程序以及Ⅳ期牙周炎的多学科治疗程序,比较了分步程序和分阶段程序的异同,进而提出了更适合中国临床医生的确定复查间隔的策略。本文旨在帮助牙医更快、更准确地学习和掌握该指南在临床应用中的要点,并协助他们在判断和评估具体临床情况后制定最佳治疗方案,从而最大限度地提高获得良好治疗效果的机会。