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EFP




EFP Manifesto Complete Guide 

Today, I’d like to discuss the important clinical practice guidelines provided by the Journal of Clinical Periodontology. These guidelines play a crucial role in enhancing patient outcomes in periodontal care, and they emphasise the need for evidence-based approaches throughout the diagnosis, treatment, and maintenance of periodontal health.


To begin, a comprehensive assessment is vital. Clinicians must conduct detailed evaluations that include probing depths, attachment levels, and radiographic imaging. This thorough evaluation is essential for establishing an accurate diagnosis and understanding the extent of periodontal disease.

Now, let’s delve into the treatment insights for stages 1 to 3 of periodontal disease. 

Stage 1, or Initial Periodontitis, is characterised by mild attachment loss and probing depths of 4 mm or less. Here, the primary focus is on non-surgical treatment, primarily through scaling and root planing. This deep cleaning removes plaque and calculus from the root surfaces. It’s crucial that we empower our patients through education, helping them understand the importance of good oral hygiene. Regular follow-ups are essential to monitor their progress and reinforce effective hygiene practices.

As we move to Stage 2, known as Moderate Periodontitis, we see moderate attachment loss and probing depths of 5 to 6 mm. While non-surgical methods remain the first line of treatment, we must be prepared to consider surgical options if patients do not respond adequately. Flap surgery may be necessary to reduce pocket depths and improve access for cleaning. At this stage, evaluating systemic factors—such as diabetes or smoking—is critical, as these can influence disease progression. Continued patient education is vital, helping individuals understand the implications of their condition and the importance of adhering to treatment and maintenance plans.


Finally, we reach Stage 3, or Severe Periodontitis. This stage is marked by significant attachment loss and probing depths of 6 mm or more, often accompanied by tooth mobility. Treatment here becomes more complex, requiring a combination of non-surgical and surgical interventions. While we may start with non-surgical methods, surgical options such as flap surgery, bone grafting, and guided tissue regeneration often become necessary. It’s also crucial to address any underlying systemic conditions that may complicate treatment outcomes. Collaboration with other healthcare professionals is essential in managing these patients effectively.

Throughout all stages, we cannot underestimate the importance of patient education and engagement. Involving patients in their treatment plans fosters a sense of ownership over their periodontal health. Clear communication about the disease process, treatment options, and maintenance strategies significantly enhances patient compliance and, ultimately, outcomes.

Regular maintenance visits are vital for all patients, particularly those with more advanced disease. These appointments allow us to monitor their progress, reinforce oral hygiene practices, and detect any signs of disease recurrence early.

In conclusion, by adhering to the guidelines outlined in the Journal of Clinical Periodontology, we can significantly improve our practice and optimise patient outcomes. The commitment of the journal to regular updates ensures that we are always informed about the latest evidence and best practices, fostering a culture of continuous learning and improvement in periodontal care.

Thank you for your attention.


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