Abstract：
The recently published clinical practice guideline (CPG) for the treatment of periodontitis in stages I-III provided evidence-based recommendations for the treatment of periodontitis patients, defined according to the 2018 classification. Stage IV periodontitis shares the severity and complexity characteristics of stage III periodontitis, but includes the anatomical and functional sequelae of tooth and periodontal attachment loss (tooth flaring and drifting, bite collapse, etc.), which require additional interventions following completion of active periodontal therapy.
To develop an S3 Level CPG for the treatment of stage IV periodontitis, focusing on the implementation of inter-disciplinary treatment approaches required to treat/rehabilitate patients following associated sequelae and tooth loss.
This S3 Level CPG was developed by the European Federation of Periodontology (EFP), following methodological guidance from the Association of Scientific Medical Societies in Germany and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) process. A rigorous and transparent process included synthesis of relevant research in 13 specifically commissioned systematic reviews, evaluation of the quality and strength of evidence, the formulation of specific recommendations and a structured consensus process with leading experts and a broad base of stakeholders.
The S3 Level CPG for the treatment of stage IV periodontitis culminated in recommendations for different interventions, including orthodontic tooth movement, tooth splinting, occlusal adjustment, tooth- or implant-supported fixed or removable dental prostheses and supportive periodontal care. Prior to treatment planning, it is critically important to undertake a definitive and comprehensive diagnosis and case evaluation, obtain relevant patient information, and engage in frequent re-evaluations during and after treatment. The periodontal component of therapy should follow the CPG for the treatment of periodontitis in stages I-III.
The present S3 Level CPG informs clinical practice, health systems, policymakers and, indirectly, the public on the available and most effective modalities to treat patients with stage IV periodontitis and to maintain a healthy dentition over lifetime, according to the available evidence at the time of publication.
To develop an S3 Level CPG for the treatment of stage IV periodontitis, focusing on the implementation of inter-disciplinary treatment approaches required to treat/rehabilitate patients following associated sequelae and tooth loss.
This S3 Level CPG was developed by the European Federation of Periodontology (EFP), following methodological guidance from the Association of Scientific Medical Societies in Germany and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) process. A rigorous and transparent process included synthesis of relevant research in 13 specifically commissioned systematic reviews, evaluation of the quality and strength of evidence, the formulation of specific recommendations and a structured consensus process with leading experts and a broad base of stakeholders.
The S3 Level CPG for the treatment of stage IV periodontitis culminated in recommendations for different interventions, including orthodontic tooth movement, tooth splinting, occlusal adjustment, tooth- or implant-supported fixed or removable dental prostheses and supportive periodontal care. Prior to treatment planning, it is critically important to undertake a definitive and comprehensive diagnosis and case evaluation, obtain relevant patient information, and engage in frequent re-evaluations during and after treatment. The periodontal component of therapy should follow the CPG for the treatment of periodontitis in stages I-III.
The present S3 Level CPG informs clinical practice, health systems, policymakers and, indirectly, the public on the available and most effective modalities to treat patients with stage IV periodontitis and to maintain a healthy dentition over lifetime, according to the available evidence at the time of publication.
摘要：
最近公布的关于治疗牙周炎Ⅰ-Ⅲ期的临床实践指南(CPG)为牙周炎患者的治疗提供了循证建议,根据2018年分类定义。IV期牙周炎具有III期牙周炎的严重程度和复杂性特征，但包括牙齿和牙周附着丧失的解剖和功能后遗症(牙齿扩张和漂移，咬伤塌陷,等。),在完成主动牙周治疗后需要额外的干预措施。
开发用于治疗IV期牙周炎的S3级CPG，重点是实施相关后遗症和牙齿脱落后治疗/康复患者所需的跨学科治疗方法。
这种S3级CPG是由欧洲牙周病联合会（EFP）开发的，遵循德国科学医学会协会的方法指导和建议评估分级，开发和评估（等级）过程。严格和透明的过程包括在13个特别委托的系统综述中对相关研究进行综合，评估证据的质量和强度，制定具体建议，并与主要专家和广泛的利益攸关方建立结构化的共识进程。
用于治疗IV期牙周炎的S3级CPG最终提出了不同干预措施的建议，包括正畸牙齿移动，牙齿夹板，咬合调整，牙齿或植入物支持的固定或可移动的牙齿假体和支持性牙周护理。在制定治疗计划之前，进行明确和全面的诊断和病例评估至关重要，获取相关患者信息，并在治疗期间和治疗后进行频繁的重新评估。治疗的牙周部分应遵循CPG，以治疗I-III期牙周炎。
目前的S3级CPG通知临床实践，卫生系统,政策制定者和，间接地,公众了解治疗IV期牙周炎患者和终生保持健康牙列的可用和最有效的方法，根据发布时的现有证据。
开发用于治疗IV期牙周炎的S3级CPG，重点是实施相关后遗症和牙齿脱落后治疗/康复患者所需的跨学科治疗方法。
这种S3级CPG是由欧洲牙周病联合会（EFP）开发的，遵循德国科学医学会协会的方法指导和建议评估分级，开发和评估（等级）过程。严格和透明的过程包括在13个特别委托的系统综述中对相关研究进行综合，评估证据的质量和强度，制定具体建议，并与主要专家和广泛的利益攸关方建立结构化的共识进程。
用于治疗IV期牙周炎的S3级CPG最终提出了不同干预措施的建议，包括正畸牙齿移动，牙齿夹板，咬合调整，牙齿或植入物支持的固定或可移动的牙齿假体和支持性牙周护理。在制定治疗计划之前，进行明确和全面的诊断和病例评估至关重要，获取相关患者信息，并在治疗期间和治疗后进行频繁的重新评估。治疗的牙周部分应遵循CPG，以治疗I-III期牙周炎。
目前的S3级CPG通知临床实践，卫生系统,政策制定者和，间接地,公众了解治疗IV期牙周炎患者和终生保持健康牙列的可用和最有效的方法，根据发布时的现有证据。
