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West, Nicola and Chapple, Ian and Culshaw, Shauna and Donos, Nikos and Needleman, Ian and Suvan, Jeanie and Nibali, Luigi and Patel, Amit and Preshaw, Philip M. and Kebschull, Moritz and EFP workshop participants and methodological consultant, . (2024) BSP implementation of prevention and treatment of peri-implant diseases - the EFP S3 level clinical practice guideline. Journal of Dentistry, 149: 104980. ISSN 0300-5712

AI Summary:

The UK version of the EFP S3-level clinical practice guideline for the Prevention and Treatment of Peri-implant Diseases was developed using a formal process called the GRADE ADOLOPMENT framework. The guideline provides evidence- and consensus-based clinical recommendations for the prevention and treatment of peri-implant diseases in the UK healthcare system.

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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.

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West, Nicola

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Chapple, Ian

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Culshaw, Shauna

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Warner, Frances and Sherriff, Andrea and Culshaw, Shauna and Holliday, Richard and Ryan, Vicky and Conway, David I. (2024) Trends and socioeconomic inequalities in the dental attendance of adult smokers in Scotland from 2009 to 2019, a repeated cross-sectional study. BMC Public Health, 24 (1): 2156. ISSN 1471-2458

Simpson, Annabel and Johnston, William and Carda-Diéguez, Miguel and Mira, Alex and Easton, Chris and Henriquez, Fiona L. and Culshaw, Shauna and Rosier, Bob T. and Burleigh, Mia (2024) Periodontal treatment causes a longitudinal increase in nitrite-producing bacteria. Molecular Oral Microbiology, 39 (6). pp. 491-506. ISSN 2041-1006

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Donos, Nikos

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Needleman, Ian

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Suvan, Jeanie

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Marruganti, Crystal and Luthra, Shailly and Hussain, Syed Basit and Suvan, Jeanie and D'Aiuto, Francesco (2025) Healthy lifestyles and better periodontal health: results from two large population‐based surveys. Journal of Periodontal Research, 60 (2). pp. 144-153. ISSN 0022-3484