David Herrera, Panos N Papapanou, Iain Chapple, Moritz Kebschull, Wim Teughels, Maurizio S Tonetti, Mariano Sanz, Anton Sculean, Mario Aimetti, Ivan Alajbeg, Georgios N Belibasakis, Juan Blanco, Ellen Bol-van den Hil, Nagihan Bostanci, Philippe Bouchard, Darko Božić, Nurcan Buduneli, Dagmar Fosså Bunæs, Elena Calciolari, Maria Clotilde Carra, Laura Ceballos, Tali Chackartchi, Raluca Cosgarea, Monique Danser, Jan Derks, Nicola Discepoli, Henrik Dommisch, Nikos Donos, Christoph Dörfer, Peter Eickholz, Bahar Eren Kuru, Ricardo Faria Almeida, Roberto Farina, Elena Figuero, Helena Francisco, Helena Fransson, Maria L Geisinger, Moshe Goldstein, Marjolaine Gosset, Filippo Graziani, Ulvi K Gursoy, Sören Jepsen, Niklaus P Lang, Bruno Loos, Rodrigo López, Phoebus Madianos, Paula Matesanz, Marco Meleti, Joerg Meyle, Michele Davide Mignogna, Ana Molina, Eduardo Montero, Luigi Nibali, Andrea Pilloni, Ioannis Polyzois, Philip Preshaw, Mia Rakic, Nerea Sánchez, Ignacio Sanz-Sánchez, Lior Shapira, Dagmar Else Slot, Andreas Stavropoulos, Jean Suvan, Selena Toma, Cristiano Tomasi, Leonardo Trombelli, Fridus van der Weijden, Spyros Vassilopoulos, Nicola West, Asaf Wilensky, Peter Windisch, Ezgi Yesiltan, Evangelia P Zampa
{"title":"Management of Acute Periodontal Conditions-The EFP S2k Level Clinical Practice Guideline.","authors":"David Herrera, Panos N Papapanou, Iain Chapple, Moritz Kebschull, Wim Teughels, Maurizio S Tonetti, Mariano Sanz, Anton Sculean, Mario Aimetti, Ivan Alajbeg, Georgios N Belibasakis, Juan Blanco, Ellen Bol-van den Hil, Nagihan Bostanci, Philippe Bouchard, Darko Božić, Nurcan Buduneli, Dagmar Fosså Bunæs, Elena Calciolari, Maria Clotilde Carra, Laura Ceballos, Tali Chackartchi, Raluca Cosgarea, Monique Danser, Jan Derks, Nicola Discepoli, Henrik Dommisch, Nikos Donos, Christoph Dörfer, Peter Eickholz, Bahar Eren Kuru, Ricardo Faria Almeida, Roberto Farina, Elena Figuero, Helena Francisco, Helena Fransson, Maria L Geisinger, Moshe Goldstein, Marjolaine Gosset, Filippo Graziani, Ulvi K Gursoy, Sören Jepsen, Niklaus P Lang, Bruno Loos, Rodrigo López, Phoebus Madianos, Paula Matesanz, Marco Meleti, Joerg Meyle, Michele Davide Mignogna, Ana Molina, Eduardo Montero, Luigi Nibali, Andrea Pilloni, Ioannis Polyzois, Philip Preshaw, Mia Rakic, Nerea Sánchez, Ignacio Sanz-Sánchez, Lior Shapira, Dagmar Else Slot, Andreas Stavropoulos, Jean Suvan, Selena Toma, Cristiano Tomasi, Leonardo Trombelli, Fridus van der Weijden, Spyros Vassilopoulos, Nicola West, Asaf Wilensky, Peter Windisch, Ezgi Yesiltan, Evangelia P Zampa","doi":"10.1111/jcpe.70166","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The European Federation of Periodontology (EFP) has developed Clinical Practice Guidelines (CPGs) for the treatment of periodontitis and for the management of peri-implant diseases. In accordance with the 2018 Classification, acute periodontal conditions are characterised by rapid-onset pain or discomfort, tissue destruction and infection. Therefore, the development of a CPG to guide patients and clinicians in their management is justified.</p><p><strong>Aim: </strong>To develop an S2k-level CPG for the management of acute periodontal conditions, necrotising periodontal diseases, periodontal abscesses and acute manifestations of endodontic-periodontal lesions.</p><p><strong>Methods: </strong>This S2k-level CPG was developed by the 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 two commissioned systematic reviews, evaluation of the quality and strength of evidence, formulation of specific recommendations and a structured consensus process involving leading experts and a broad base of stakeholders. Recommendations were based on the best available evidence, combined with structured expert consensus, particularly in areas where direct evidence remains scarce.</p><p><strong>Results: </strong>The S2k-level CPG for the management of acute periodontal conditions presents a structured approach, grouping the recommendations in three successive steps: (1) confirming diagnosis, following the case definitions of the 2018 classification; (2) initial treatment, to control the acute condition including pain and active tissue destruction; and (3) subsequent treatments, to manage the pre-existing conditions and prevent the risk of disease recurrence and/or control the potential sequelae.</p><p><strong>Conclusion: </strong>The present S2k-level CPG informs clinical practice, health systems, policymakers and, indirectly, the public on the available and most effective interventions in the management of acute periodontal conditions.</p>","PeriodicalId":15380,"journal":{"name":"Journal of Clinical Periodontology","volume":" ","pages":""},"PeriodicalIF":8.3000,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Periodontology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jcpe.70166","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The European Federation of Periodontology (EFP) has developed Clinical Practice Guidelines (CPGs) for the treatment of periodontitis and for the management of peri-implant diseases. In accordance with the 2018 Classification, acute periodontal conditions are characterised by rapid-onset pain or discomfort, tissue destruction and infection. Therefore, the development of a CPG to guide patients and clinicians in their management is justified.
Aim: To develop an S2k-level CPG for the management of acute periodontal conditions, necrotising periodontal diseases, periodontal abscesses and acute manifestations of endodontic-periodontal lesions.
Methods: This S2k-level CPG was developed by the 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 two commissioned systematic reviews, evaluation of the quality and strength of evidence, formulation of specific recommendations and a structured consensus process involving leading experts and a broad base of stakeholders. Recommendations were based on the best available evidence, combined with structured expert consensus, particularly in areas where direct evidence remains scarce.
Results: The S2k-level CPG for the management of acute periodontal conditions presents a structured approach, grouping the recommendations in three successive steps: (1) confirming diagnosis, following the case definitions of the 2018 classification; (2) initial treatment, to control the acute condition including pain and active tissue destruction; and (3) subsequent treatments, to manage the pre-existing conditions and prevent the risk of disease recurrence and/or control the potential sequelae.
Conclusion: The present S2k-level CPG informs clinical practice, health systems, policymakers and, indirectly, the public on the available and most effective interventions in the management of acute periodontal conditions.
期刊介绍：
Journal of Clinical Periodontology was founded by the British, Dutch, French, German, Scandinavian, and Swiss Societies of Periodontology.
The aim of the Journal of Clinical Periodontology is to provide the platform for exchange of scientific and clinical progress in the field of Periodontology and allied disciplines, and to do so at the highest possible level. The Journal also aims to facilitate the application of new scientific knowledge to the daily practice of the concerned disciplines and addresses both practicing clinicians and academics. The Journal is the official publication of the European Federation of Periodontology but wishes to retain its international scope.
The Journal publishes original contributions of high scientific merit in the fields of periodontology and implant dentistry. Its scope encompasses the physiology and pathology of the periodontium, the tissue integration of dental implants, the biology and the modulation of periodontal and alveolar bone healing and regeneration, diagnosis, epidemiology, prevention and therapy of periodontal disease, the clinical aspects of tooth replacement with dental implants, and the comprehensive rehabilitation of the periodontal patient. Review articles by experts on new developments in basic and applied periodontal science and associated dental disciplines, advances in periodontal or implant techniques and procedures, and case reports which illustrate important new information are also welcome.
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