BSP Implementation of Prevention and Treatment of Peri-implant Diseases - The EFP S3 Level Clinical Practice Guideline

Nicola West; Iain Chapple; Shauna Culshaw; Nikos Donos; Ian Needleman; Jeanie Suvan; Luigi Nibali; Amit Patel; Philip M Preshaw; Moritz Kebschull; EFP workshop participants and methodological consultant

doi:10.1016/j.jdent.2024.104980

BSP Implementation of Prevention and Treatment of Peri-implant Diseases - The EFP S3 Level Clinical Practice Guideline

J Dent. 2024 Apr 30:104980. doi: 10.1016/j.jdent.2024.104980. Online ahead of print.

Collaborators

EFP workshop participants and methodological consultant:
Tameam Alaubidie, Koula Asimakopoulou, Paul Baker, Avijit Banerjee, Daniel Benson, Rickesh Bhopal, Igor Blum, Deborah Bomfim, Nuno Borges, Colin Burns, Elena Calciolari, Iain Chapple, Marilou Ciantar, Rachael Clampin, Peter Clarke, Nick Claydon, Rebecca Cooper, Shauna Culshaw, Andrew Cundy, Francesco D'Aiuto, Radhika Desai, Thomas Dietrich, Nikos Donos, Henry Duncan, Ian Dunn, Kenneth Eaton, Julian Ekiert, Harriet Elsworthy, Gamze Eroglu, Sally Ferrier, Roger Fisher, Claire Forbes-Haley, Ana Beatriz Gamboa, Pynadath George, Mandeep Ghuman, Nikolaos Gkranias, Victoria Griffiths, Alina Grossman, Kasia Gurzawska-Comis, Stephen Hancocks, Martina Hayes, Debbie Hemington, Mark Ide, Rhiannon Jones, Elaine Judd, Roshni Karia, Moritz Kebschull, Annika Kroeger, Gerry Linden, Emily Lu, Isobel Madden, Kathryn Mayo, Claire McCarthy, Gerry McKenna, William McLaughlin, Payvand Menhadji, Imogen Midwood, Mike Milward, Aidan Moran, Margaret Morgan, Madeleine Murray, Rajan Nansi, Ian Needleman, Luigi Nibali, Eimear O'Connell, Sunkanmi Oladeji Olaore, Amit Patel, Divyash Patel, Rupali Patel, Vipul Patel, Viraj Patel, Michael Paterson, Jeniffer Perussolo, Elliot Pound, Philip Preshaw, Devan Raindi, Raj Rattan, Anthony Roberts, Simone Ruzario, Shazad Saleem, Ross Scales, Sasha Scambler, Joon Seong, Mitul Shah, Shakeel Shahdad, Praveen Sharma, Paul Shenfine, Brinder Singh Shergill, Rajiv Sheth, Andrew Smith, Sami Stagnell, Charlotte Stilwell, Claire Storey, Vanessa Sousa, Jeanie Suvan, Manoj Tank, Joel Thomas, Aradhna Tugnait, Wendy Turner, Jaimini Vadgama, Jiten Vaghela, Bobby Varghese, Viren Vithlani, Jenny Walker, Natasha West, Nicola West, Paul Weston, Matthew Wright, Roger Yates, Albert Yeung, Zehra Yonel

Affiliations

¹ Restorative Dentistry, Bristol Dental School, University of Bristol, Bristol BS1 2LY, UK; Restorative Dentistry, Bristol Dental Hospital, University Hospitals Bristol and Weston NHS Foundation Trust, Marlborough Street, Bristol, BS1 3NU, Secretary General of the European Federation of Periodontology. Electronic address: N.X.West@bristol.ac.uk.
² Birmingham NIHR Biomedical Research Centre in Inflammation. The University of Birmingham, Birmingham, United Kingdom; Birmingham Community Healthcare NHS Foundation Trust, Birmingham, United Kingdom.
³ University of Glasgow Dental School, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
⁴ Centre for Oral Clinical Research, Institute of Dentistry, Faculty of Medicine and Dentistry, Queen Mary University of London (AMUL), Turner Street, London, E1 2AD.
⁵ Unit of Periodontology, UCL Eastman Dental Institute, Bloomsbury Campus, Rockefeller Building, 21 University Street, London, WC1E 6DE.
⁶ Periodontology Unit, Centre for Host-Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, Guys Hospital, Great Maze Pond, London, SE1 9RT.
⁷ Birmingham Dental Specialists, Associate Professor, University of Birmingham, Birmingham, UK, President of the Association of Dental Implantology.
⁸ School of Dentistry, University of Dundee, Dundee UK; School of Dental Sciences, University of Newcastle, Newcastle upon Tyne, UK.
⁹ Birmingham NIHR Biomedical Research Centre in Inflammation. The University of Birmingham, Birmingham, United Kingdom; Birmingham Community Healthcare NHS Foundation Trust, Birmingham, United Kingdom; Division of Periodontics, Section of Oral, Diagnostic and Rehabilitation Sciences, College of Dental Medicine, Columbia University, New York, NY, USA; School of Dentistry, University of Birmingham, Birmingham B5 7EG, UK, President-Elect of the European Federation of Periodontology. Electronic address: moritz@kebschull.me.

PMID: 38697506
DOI: 10.1016/j.jdent.2024.104980

Abstract

Objectives: to adapt the supranational European Federation of Periodontology (EFP) Prevention and Treatment of Peri-implant Diseases - The EFP S3 Level Clinical Practice Guideline for UK healthcare environment, taking into account a broad range of views from stakeholders and patients.

Sources: This UK version, based on the supranational EFP guideline [1] published in the Journal of Clinical Periodontology, was developed using S3-level methodology, combining assessment of formal evidence from 13 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 55 clinical recommendations for the Prevention and Treatment of Peri-implant Diseases, based on the classification for periodontal and peri-implant diseases and conditions [2].

Methodology: The UK version was developed from the source guideline using a formal process called the GRADE ADOLOPMENT framework. This framework allows for adoption (unmodified acceptance), adaptation (acceptance with modifications) and the de novo development of clinical recommendations. Using this framework, following the S3-process, the underlying evidence was updated and a representative guideline group of 111 delegates from 26 stakeholder organisations was assembled into four working groups. Following the formal S3-process, all clinical recommendations were formally assessed for their applicability to the UK and adoloped accordingly.

Results and conclusion: Using the ADOLOPMENT protocol, a UK version of the EFP S3-level clinical practice guideline for the Prevention and Treatment of Peri-implant Diseases was developed. This guideline delivers evidence- and consensus-based clinical recommendations of direct relevance to the UK healthcare community including the public.

Clinical significance: The S3-level-guidelines combine evaluation of formal evidence, grading of recommendations and synthesis with clinical expertise of a broad range of stakeholders. The international S3-level-guideline was implemented for direct clinical applicability in the UK healthcare system, facilitating a consistent, interdisciplinary, evidence-based approach with public involvement for the prevention and treatment of peri-implant diseases.

Keywords: clinical guideline; dental implant; patient participation; peri-implant diseases; peri-implant mucositis; peri-implantitis; prevention; treatment.

Publication types

Review