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Perio Workshop 2019, Spain develops new guidelines for the treatment of periodontitis

By Dental Tribune International
December 13, 2019

BRUSSELS, Belgium: Perio Workshop 2019 has put forth an evidence-based, more effective approach towards the treatment of Stage I, II and III periodontitis. More than 90 leading periodontists, dental experts and specialists from across the world attended this meeting organized by the European Federation of Periodontology (EFP) to develop the treatment guidelines.

A large group of specialists from the field of periodontics gathered in La Granja de San Ildefonso in Spain in November 2019 to reach a new consensus and develop guidelines on the optimal management of periodontitis, the most serious periodontal disease and one of the most widespread chronic conditions in the world.

Chaired by renowned periodontist Prof. Mariano Sanz from Spain, the Perio Workshop 2019 was held under the theme “Evidence-based guidelines for periodontal therapy”. The expert attendees identified precise therapeutic pathways based on the patient’s diagnosis and came up with a set of recommendations detailing specific interventions.

A unique approach introduced in the guidelines was stepped care. Instead of a fixed order of steps when treating a patient, the stepped care approach allows overlapping of several steps as it delivers the least complex and least resource-intensive therapy initially, and only moves to more complex or intensive therapies if monitoring of the patient shows that they are clinically indispensable.

The specialists at the Perio Workshop 2019 were divided into four working groups of experts who analyzed 15 systematic reviews and a position paper on different aspects of periodontal therapy for Stages I, II and III of periodontitis and the maintenance of the successfully treated periodontitis patients. The workshop did not cover Stage IV periodontitis, as the guidelines for this stage will be drawn up during the Perio Workshop to be held in November 2020.

Besides focusing on the scientific evidence supporting the different interventions, the scientists considered their consistency and value, the clinical relevance of the outcomes, the balance of benefits and harms, patient preferences, and ethical, legal, economic and practical considerations.

The workshop benefited from the input of top-level specialists, not only from the European Federation of Periodontology (EFP) but also from eight other European scientific societies and organisations: the European Federation of Conservative Dentistry, the European Association of Dental Public Health, the European Society of Endodontology, the European Prosthodontic Association, the Council of European Dentists, the European Dental Hygienists Federation, the European Dental Students’ Association and the Platform for Better Oral Health in Europe.

The clinical guideline document drawn up by Perio Workshop 2019 will be published next year, along with other related papers, in a special open-access supplement to the Journal of Clinical Periodontology, the official publication of the EFP.

“Perio Workshop 2019 was an important step forward both for periodontitis patients and for oral healthcare professionals,” said Sanz. “In the coming years, it will have a major impact on improving patient care by having identified the evidence supporting the different periodontal interventions, together with the adequate step-by-step approach to treatment approach,” he continued.

“The development of an EFP, S3 level, clinical practice guideline is a very important accomplishment for European periodontology,” added Dr David Herrera, who will chair Perio Workshop 2020. “We will now have a solid basis when designing the treatment plan in the management of patients with Stage I, II and III periodontitis. For Stage IV periodontitis, we will need to wait another year, and the EFP Workshop Committee is already working on the preparations for the generation of a guideline for such a significant condition.”

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