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BSP implementation of European S3 - level evidence-based treatment guidelines for stage I-III periodontitis in UK clinical practice.

Authors
  • West, Nicola1
  • Chapple, Iain2
  • Claydon, Nick3
  • D'Aiuto, Francesco4
  • Donos, Nikos5
  • Ide, Mark6
  • Needleman, Ian7
  • Kebschull, Moritz8
  • 1 Periodontology, Bristol Dental School, University of Bristol, Lower Maudlin Street, Bristol, BS1 2LY, UK. Electronic address: [email protected]
  • 2 Periodontal Research Group, Institute of Clinical Sciences, College of Medical & Dental Sciences, The University of Birmingham, Birmingham, UK; Birmingham Community Healthcare NHS Trust, Birmingham, UK. Electronic address: [email protected]
  • 3 Periodontology, Bristol Dental School, University of Bristol, Lower Maudlin Street, Bristol, BS1 2LY, UK. Electronic address: [email protected]
  • 4 Periodontology, University College London, Gower Street, London, WC1E 6BT, UK. Electronic address: [email protected]
  • 5 Periodontology, Institute of Dentistry, Barts and The London School of Medicine & Dentistry, Queen Mary University, Turner Street, London E1 2AD, UK. Electronic address: [email protected]
  • 6 Periodontology, Host-Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, Kings College London, London SE1 9RT, UK. Electronic address: [email protected]
  • 7 Periodontology, University College London, Gower Street, London, WC1E 6BT, UK. Electronic address: [email protected]
  • 8 Periodontal Research Group, Institute of Clinical Sciences, College of Medical & Dental Sciences, The University of Birmingham, Birmingham, UK; Birmingham Community Healthcare NHS Trust, Birmingham, UK; Division of Periodontics, Section of Oral, Diagnostic and Rehabilitation Sciences, College of Dental Medicine, Columbia University, New York, NY, USA. Electronic address: [email protected]
Type
Published Article
Journal
Journal of dentistry
Publication Date
Feb 08, 2021
Pages
103562–103562
Identifiers
DOI: 10.1016/j.jdent.2020.103562
PMID: 33573801
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To adapt the supranational European Federation for Periodontology (EFP) S3-Level Clinical Practice Guideline for treatment of periodontitis (stage I-III) to a UK healthcare environment, taking into account the views of a broad range of stakeholders, and patients. This UK version is based on the supranational EFP guideline (Sanz et al., 2020) published in the Journal of Clinical Periodontology. The source guideline was developed using the S3-level methodology, which combined the assessment of formal evidence from 15 systematic reviews with a moderated consensus process of a representative group of stakeholders, and accounts for health equality, environmental factors and clinical effectiveness. It encompasses 62 clinical recommendations for the treatment of stage I-III periodontitis, based on a step-wise process mapped to the 2017 classification system. The UK version was developed from the source guideline using a formal process called the GRADE ADOLOPMENT framework. This framework allows for the adoption (unmodified acceptance), adaptation (acceptance with modifications) and the de novo development of clinical recommendations. Using this framework and following the S3-process, the underlying systematic reviews were updated and a representative guideline group of 75 delegates from 17 stakeholder organisations was assembled into three working groups. Following the formal S3-process, all clinical recommendations were formally assessed for their applicability to the UK and adoloped accordingly. Using the ADOLOPMENT protocol, a UK version of the EFP S3-level clinical practice guideline was developed. This guideline delivers evidence- and consensus-based clinical recommendations of direct relevance to the dental community in the UK. The aim of S3-level guidelines is to combine the evaluation of formal evidence, grading and synthesis with the clinical expertise of a broad range of stakeholders to form clinical recommendations. Herein, the first major international S3-level guideline in dentistry, the EFP guideline, was implemented for direct clinical applicability in the UK healthcare system. Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.

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