Pub Date : 2024-05-02DOI: 10.12968/denu.2024.51.5.295
Philip M Preshaw
{"title":"Welcome to the special issue on periodontology","authors":"Philip M Preshaw","doi":"10.12968/denu.2024.51.5.295","DOIUrl":"https://doi.org/10.12968/denu.2024.51.5.295","url":null,"abstract":"","PeriodicalId":505219,"journal":{"name":"Dental Update","volume":"7 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141020691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-02DOI: 10.12968/denu.2024.51.5.369
Mitul Shah, Rajan Nansi
Stage IV Periodontitis is characterized by complex symptoms, including the loss of teeth, occlusal instability/collapse, ridge defects and increased tooth mobility. The management of such issues requires interdisciplinary collaboration to optimise outcomes. This article outlines the key guidelines from the recent EFP clinical practice guidelines on the efficacy of prosthodontic rehabilitation (fixed/removable) in the management of these complex patients. CPD/Clinical Relevance: An understanding of the clinical decision making when considering tooth replacement options in stage IV periodontitis patients is important.
第四期牙周炎的特点是症状复杂，包括牙齿脱落、咬合不稳/塌陷、牙槽缺损和牙齿活动度增加。对这些问题的处理需要跨学科合作，以优化治疗效果。本文概述了近期 EFP 临床实践指南中关于修复（固定/可拆卸）在这些复杂患者管理中的功效的主要指导原则。CPD/临床相关性：在考虑 IV 期牙周炎患者的换牙方案时，了解临床决策非常重要。
{"title":"Prosthodontic rehabilitation of patients with stage IV periodontitis","authors":"Mitul Shah, Rajan Nansi","doi":"10.12968/denu.2024.51.5.369","DOIUrl":"https://doi.org/10.12968/denu.2024.51.5.369","url":null,"abstract":"Stage IV Periodontitis is characterized by complex symptoms, including the loss of teeth, occlusal instability/collapse, ridge defects and increased tooth mobility. The management of such issues requires interdisciplinary collaboration to optimise outcomes. This article outlines the key guidelines from the recent EFP clinical practice guidelines on the efficacy of prosthodontic rehabilitation (fixed/removable) in the management of these complex patients. CPD/Clinical Relevance: An understanding of the clinical decision making when considering tooth replacement options in stage IV periodontitis patients is important.","PeriodicalId":505219,"journal":{"name":"Dental Update","volume":"83 S8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141017982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-02DOI: 10.12968/denu.2024.51.5.300
Devan S Raindi, Iain Chapple, Moritz Kebschull
Recent guidelines have been developed by the European Federation of Periodontology (EFP) and adoloped by the British Society of Periodontology to provide evidence-based guidance for clinicians in the UK to deliver periodontal therapy. To ensure the guidelines are as robust as possible the process of development is carefully structured. This article explores the background behind S3-level guidance for the treatment of periodontitis. CPD/Clinical Relevance: Understanding the process behind guideline formulation allows clinicians to apply them appropriately and confidently within their clinical practice.
欧洲牙周病学联合会（EFP）和英国牙周病学会（British Society of Periodontology）共同制定了最新指南，为英国临床医生提供牙周治疗的循证指导。为确保指南尽可能健全，指南的制定过程经过了精心设计。本文探讨了牙周炎治疗 S3 级指南的背景。CPD/临床相关性：了解指导原则的制定过程可以帮助临床医生在临床实践中正确、自信地应用指导原则。
{"title":"Demystifying the S3 guidelines: what do they actually mean?","authors":"Devan S Raindi, Iain Chapple, Moritz Kebschull","doi":"10.12968/denu.2024.51.5.300","DOIUrl":"https://doi.org/10.12968/denu.2024.51.5.300","url":null,"abstract":"Recent guidelines have been developed by the European Federation of Periodontology (EFP) and adoloped by the British Society of Periodontology to provide evidence-based guidance for clinicians in the UK to deliver periodontal therapy. To ensure the guidelines are as robust as possible the process of development is carefully structured. This article explores the background behind S3-level guidance for the treatment of periodontitis. CPD/Clinical Relevance: Understanding the process behind guideline formulation allows clinicians to apply them appropriately and confidently within their clinical practice.","PeriodicalId":505219,"journal":{"name":"Dental Update","volume":"9 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141022679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-02DOI: 10.12968/denu.2024.51.5.341
Stephanie Leyland, Francis J Hughes, Claire McCarthy
The long-term success of periodontal treatment is critically dependent on the implementation of a regular programme of supportive periodontal care (SPC). An SPC programme involves regular recall intervals of between 3 and 12 months according to a range of factors, including patient compliance, presence of risk factors and severity of initial disease. An SPC visit will include repeat examination of the periodontal tissues, assessments of gingival bleeding and probing depths, patient plaque control and presence of new deposits. Reinforcement of OH procedures is carried out, and any professional mechanical removal of deposits carried out as required. Evidence of relapse of disease may require referral for further active therapy. CPD/Clinical Relevance: Successful periodontal treatment in the long term is dependent on a regular supportive periodontal care programme.
{"title":"Step 4 for the treatment of periodontal diseases: implementing a supportive periodontal care programme","authors":"Stephanie Leyland, Francis J Hughes, Claire McCarthy","doi":"10.12968/denu.2024.51.5.341","DOIUrl":"https://doi.org/10.12968/denu.2024.51.5.341","url":null,"abstract":"The long-term success of periodontal treatment is critically dependent on the implementation of a regular programme of supportive periodontal care (SPC). An SPC programme involves regular recall intervals of between 3 and 12 months according to a range of factors, including patient compliance, presence of risk factors and severity of initial disease. An SPC visit will include repeat examination of the periodontal tissues, assessments of gingival bleeding and probing depths, patient plaque control and presence of new deposits. Reinforcement of OH procedures is carried out, and any professional mechanical removal of deposits carried out as required. Evidence of relapse of disease may require referral for further active therapy. CPD/Clinical Relevance: Successful periodontal treatment in the long term is dependent on a regular supportive periodontal care programme.","PeriodicalId":505219,"journal":{"name":"Dental Update","volume":"2 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141020894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-02DOI: 10.12968/denu.2024.51.5.332
Devan S Raindi, Jay Parmar, Iain Chapple
Surgical regeneration can offer significant benefits in the management of teeth affected by severe periodontitis that continue to demonstrate pocketing following steps 1 and 2 of periodontal therapy. To gain the maximum benefit from this treatment modality, an understanding of the biological principles of regeneration, appropriate case selection and the latest surgical techniques are required. The most recent S3-level guideline released by the European Federation of Periodontology (EFP) and adoloped by the British Society of Periodontology is evidence based, and can support the clinician in such decision-making. CPD/Clinical Relevance: Surgical regenerative techniques can play an important role in the treatment of complex periodontal defects.
对于受严重牙周炎影响的牙齿，如果在牙周治疗步骤 1 和 2 之后继续出现牙周袋，那么手术再生可以为治疗带来显著的益处。要想从这种治疗方式中获得最大益处，就必须了解再生的生物学原理，选择适当的病例和最新的手术技术。由欧洲牙周病学联合会（EFP）发布、英国牙周病学会（British Society of Periodontology）支持的最新 S3 级指南以证据为基础，可为临床医生做出此类决策提供支持。CPD/临床相关性：外科再生技术在治疗复杂牙周缺损方面可以发挥重要作用。
{"title":"Step 3 for the treatment of periodontal diseases: surgical regeneration of the periodontium","authors":"Devan S Raindi, Jay Parmar, Iain Chapple","doi":"10.12968/denu.2024.51.5.332","DOIUrl":"https://doi.org/10.12968/denu.2024.51.5.332","url":null,"abstract":"Surgical regeneration can offer significant benefits in the management of teeth affected by severe periodontitis that continue to demonstrate pocketing following steps 1 and 2 of periodontal therapy. To gain the maximum benefit from this treatment modality, an understanding of the biological principles of regeneration, appropriate case selection and the latest surgical techniques are required. The most recent S3-level guideline released by the European Federation of Periodontology (EFP) and adoloped by the British Society of Periodontology is evidence based, and can support the clinician in such decision-making. CPD/Clinical Relevance: Surgical regenerative techniques can play an important role in the treatment of complex periodontal defects.","PeriodicalId":505219,"journal":{"name":"Dental Update","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141018473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-02DOI: 10.12968/denu.2024.51.5.304
Angeline Keh, Zehra Yonel
The association between periodontitis and the dysbiotic biofilm necessitates that patients maintain excellent oral hygiene. Therefore, step 1 of the UK clinical practice guidelines for the treatment of periodontal diseases is aimed at behaviour change and motivation in successful removal of the supragingival dental biofilm and risk-factor control, which involves all the health behavioural change interventions that mitigate recognized risk factors for periodontitis onset and progression (smoking cessation, diabetes management). Step 1 should be tailored for the patient throughout the treatment journey and jointly with clinical findings and medical history. CPD/Clinical Relevance: Step 1 lays the groundwork when progressing through ensuing steps of treatment and can affect response to any periodontal therapy.
{"title":"Step 1 for the treatment of periodontal diseases","authors":"Angeline Keh, Zehra Yonel","doi":"10.12968/denu.2024.51.5.304","DOIUrl":"https://doi.org/10.12968/denu.2024.51.5.304","url":null,"abstract":"The association between periodontitis and the dysbiotic biofilm necessitates that patients maintain excellent oral hygiene. Therefore, step 1 of the UK clinical practice guidelines for the treatment of periodontal diseases is aimed at behaviour change and motivation in successful removal of the supragingival dental biofilm and risk-factor control, which involves all the health behavioural change interventions that mitigate recognized risk factors for periodontitis onset and progression (smoking cessation, diabetes management). Step 1 should be tailored for the patient throughout the treatment journey and jointly with clinical findings and medical history. CPD/Clinical Relevance: Step 1 lays the groundwork when progressing through ensuing steps of treatment and can affect response to any periodontal therapy.","PeriodicalId":505219,"journal":{"name":"Dental Update","volume":"9 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141021129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-02DOI: 10.12968/denu.2024.51.5.348
Chandni Shah, Nick Claydon
Tooth mobility leads to a reduced quality of life characterized by patient discomfort, masticatory dysfunction and aesthetic concern. It may be caused by different factors that are important to identify in order to aid management, which may be non-surgical (monitoring, periodontal debridement, splinting and/or occlusal adjustment) or surgical (periodontal surgery or extractions). This article addresses the diagnostic process, aetiology and management of tooth mobility. The aim is to deliver and maintain a healthy periodontium and improve quality of life by restoring function and comfort to the patient. CPD/Clinical Relevance: Tooth mobility is a common yet challenging problem within dentistry to identify and manage.
{"title":"Management of mobile teeth","authors":"Chandni Shah, Nick Claydon","doi":"10.12968/denu.2024.51.5.348","DOIUrl":"https://doi.org/10.12968/denu.2024.51.5.348","url":null,"abstract":"Tooth mobility leads to a reduced quality of life characterized by patient discomfort, masticatory dysfunction and aesthetic concern. It may be caused by different factors that are important to identify in order to aid management, which may be non-surgical (monitoring, periodontal debridement, splinting and/or occlusal adjustment) or surgical (periodontal surgery or extractions). This article addresses the diagnostic process, aetiology and management of tooth mobility. The aim is to deliver and maintain a healthy periodontium and improve quality of life by restoring function and comfort to the patient. CPD/Clinical Relevance: Tooth mobility is a common yet challenging problem within dentistry to identify and manage.","PeriodicalId":505219,"journal":{"name":"Dental Update","volume":"99 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141022045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-02DOI: 10.12968/denu.2024.51.5.353
Reena Wadia, Aliya Hasan, Philip M Preshaw, Ama Johal
This article focuses on the latest S3-level clinical practice guidelines, which allow for an evidence-based and patient-centred decision-making process for managing periodontitis patients who require orthodontics as part of their interdisciplinary care. Orthodontic management, including types of appliances, movement, use of adjuncts and timing are discussed. Management of periodontitis relapse, as well as the importance of successful maintenance and retention, are also highlighted. CPD/Clinical Relevance: Severe periodontitis can result in pathological migration of teeth that may benefit from orthodontic therapy.
{"title":"The perio–ortho interface: latest guidelines","authors":"Reena Wadia, Aliya Hasan, Philip M Preshaw, Ama Johal","doi":"10.12968/denu.2024.51.5.353","DOIUrl":"https://doi.org/10.12968/denu.2024.51.5.353","url":null,"abstract":"This article focuses on the latest S3-level clinical practice guidelines, which allow for an evidence-based and patient-centred decision-making process for managing periodontitis patients who require orthodontics as part of their interdisciplinary care. Orthodontic management, including types of appliances, movement, use of adjuncts and timing are discussed. Management of periodontitis relapse, as well as the importance of successful maintenance and retention, are also highlighted. CPD/Clinical Relevance: Severe periodontitis can result in pathological migration of teeth that may benefit from orthodontic therapy.","PeriodicalId":505219,"journal":{"name":"Dental Update","volume":"82 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141017850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-02DOI: 10.12968/denu.2024.51.5.298
Ian Dunn
{"title":"About the British Society of Periodontology and Implant Dentistry","authors":"Ian Dunn","doi":"10.12968/denu.2024.51.5.298","DOIUrl":"https://doi.org/10.12968/denu.2024.51.5.298","url":null,"abstract":"","PeriodicalId":505219,"journal":{"name":"Dental Update","volume":"68 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141019227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-02DOI: 10.12968/denu.2024.51.5.316
Kitty Guo, Praveen Sharma
Step 2 of periodontal therapy primarily aims at the non-surgical, mechanical disruption of the subgingival biofilm and removal of plaque-retentive factors, allowing a shift from disease to health. Numerous therapeutic agents have been proposed as adjuncts to non-surgical periodontal therapy, generally through either aiding disruption of the dental plaque biofilm, or though alteration of the host immune response. This article reviews the British Society of Periodontology's implementation of the S3-level guidelines in relation to adjunctive therapies. CPD/Clinical Relevance: Recommendation to use adjunctive therapies in the treatment of periodontitis requires careful consideration of the available evidence as well as the wider effects of the proposed therapy.
{"title":"Step 2 for the treatment of periodontal diseases: adjunctive therapies","authors":"Kitty Guo, Praveen Sharma","doi":"10.12968/denu.2024.51.5.316","DOIUrl":"https://doi.org/10.12968/denu.2024.51.5.316","url":null,"abstract":"Step 2 of periodontal therapy primarily aims at the non-surgical, mechanical disruption of the subgingival biofilm and removal of plaque-retentive factors, allowing a shift from disease to health. Numerous therapeutic agents have been proposed as adjuncts to non-surgical periodontal therapy, generally through either aiding disruption of the dental plaque biofilm, or though alteration of the host immune response. This article reviews the British Society of Periodontology's implementation of the S3-level guidelines in relation to adjunctive therapies. CPD/Clinical Relevance: Recommendation to use adjunctive therapies in the treatment of periodontitis requires careful consideration of the available evidence as well as the wider effects of the proposed therapy.","PeriodicalId":505219,"journal":{"name":"Dental Update","volume":"22 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141020156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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