S3-Leitlinien zur Behandlung von Parodontitis der Stadien I–III und IV
摘要
The 2018 updated classification of periodontal diseases led to the development of new evidence-based guidelines to ensure precise and effective treatment of periodontal and peri-implant diseases. The German S3 guideline for the treatment of stage I to III periodontitis is based on recommendations of the European Federation of Periodontology and forms the foundation for the forthcoming adaptation of guidelines for stage IV.
ObjectiveThe aim of this work is to outline the evidence-based steps in periodontal therapy as per the S3 guideline, including diagnostic, risk management, and treatment recommendations.
Material and methodsThe S3 guideline was developed through systematic literature review and expert consensus. The described therapeutic phases and recommendations are based on internationally recognized studies and meta-analyses of very high methodological quality.
ResultsPeriodontal therapy comprises four phases: 1. behavioral therapy to improve oral hygiene and control risk factors, 2. causal therapy focusing on subgingival biofilm disruption, 3. specific interventions for non-responders, and 4. lifelong supportive periodontal therapy (SPT). Stage IV patients require a multidisciplinary approach to restore functionality and aesthetics.
ConclusionThe S3 guideline provides an evidence-based framework for the structured treatment of periodontitis. Accurate diagnostics and individualized treatment are essential to ensure long-term therapeutic success and stable oral health.