Treatment of stage I-III periodontitis
The EFP S3-level clinical practice guideline
Where does the need for this guideline come from?
• Implementation of the new classification of periodontitis should facilitate
the use of appropriate preventive and therapeutic interventions, depending
on the stage and grade of the disease. The application of this S3-level clinical
practice guideline will allow a homogeneous and evidence-based approach to
the management of stage I–III periodontitis.
What do patients need to know?
• An essential prerequisite to therapy is to inform the patient of the diagnosis,
including causes of the condition, risk factors, treatment alternatives and
expected risks and benefits including explanations regarding consequences of
refused treatment.
• This discussion should be followed by agreement on a personalized care plan.
• The plan might need to be modified during the treatment journey, depending
on patient preferences, clinical findings and changes to overall health.
How do we interpret these infographics?
Blue colour: Recommendations in favor of a particular
strategy of treatment or specific procedure.
Orange colour: Open recommendation in which the
clinician is responsible for the final choice
of a particular strategy of treatment or
specific procedure based on specific patient
characteristics.
Uncertain recommendation for whose
clarification further research is needed.
Red colour: Recommendations against a particular
strategy of treatment or specific procedure.
Aim:
· Controlling (reducing/eliminating) the subgingival biofilm and calculus (subgingival instrumentation) with
possible removal of root surface (cementum).
· Subgingival instrumentation may be supplemented with the following adjunctive interventions: physical
or chemical agents, host-modulating agents (local or systemic), topical antimicrobials, subgingival locally
delivered or systemic antimicrobials.
· It should be implemented in all periodontitis patients, irrespective of the stage of their disease and it should be
re-evaluated after an adequate healing period.
Subgingival instrumentation