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牙周病治疗:2024 年拉丁美洲和加勒比共识。

Treatment of periodontal diseases: Latin America and the Caribbean Consensus 2024.

机构信息

Pontifícia Universidade Católica do Rio de Janeiro - PUCRJ, School of Dentistry, Department of Periodontics, Rio de Janeiro, RJ, Brazil.

Universidade de São Paulo - USP, School of Dentistry, Department of Periodontics, São Paulo, SP, Brazil.

出版信息

Braz Oral Res. 2024 Oct;38(suppl 1):e121. doi: 10.1590/1807-3107bor-2024.vol38.0121.

Abstract

The prevalence of periodontitis in Latin American and Caribbean countries (LACC) drew attention to a significant public health issue exacerbated by socio-economic disparities. This consensus report, based on the European Federation of Periodontology (EFP) S3 level clinical practice guidelines, proposed a multifaceted approach to periodontal health-care. The report highlighted the critical need for holistic, population-wide health policies and underscored the lack of documented community interventions in contemporary literature. The consensus advocated for a patient-centered approach to periodontal care, with non-surgical and surgical interventions, and a long-term commitment to supportive periodontal care (SPC). It emphasized the importance of patient engagement in biofilm control by means of home-care and professional interventions for long-term periodontal health. The report also stressed that subgingival instrumentation benefits even severely compromised teeth, by significantly reducing probing depths and gingival inflammation. Moreover, it emphasized the importance of personalized, long-term SPC for maintaining oral health post-treatment, and pointed out the need to identify factors influencing patient adherence. The aim of this report was to provide actionable guidance for clinicians and policymakers, focused on improving periodontal health outcomes and quality of life in LACC.

摘要

拉丁美洲和加勒比地区(LACC)牙周炎的流行引起了人们对这一严重公共卫生问题的关注,而社会经济差异加剧了这一问题。这份共识报告基于欧洲牙周病学会(EFP)S3 级临床实践指南,提出了一种多方面的牙周保健方法。该报告强调了制定全面的、针对整个人口的卫生政策的迫切需要,并强调了当代文献中缺乏记录的社区干预措施。该共识主张采取以患者为中心的牙周护理方法,包括非手术和手术干预,并长期承诺支持牙周护理(SPC)。它强调了患者通过家庭护理和专业干预来控制牙菌斑的重要性,以实现长期的牙周健康。该报告还强调了龈下器械对即使严重受损的牙齿也有益,因为它可以显著减少探诊深度和牙龈炎症。此外,它强调了个性化、长期 SPC 在治疗后维持口腔健康的重要性,并指出需要确定影响患者依从性的因素。本报告的目的是为临床医生和决策者提供切实可行的指导,重点是改善 LACC 的牙周健康结果和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8ef/11665977/577ffbde5187/1807-3107-bor-38-s1-e121-gf01.jpg

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