Perio Workshop 2014

The Prevention Workshop

Effective prevention of periodontal and peri-implant diseases
_{9-12 November 2014}

The 11th European Workshop in Periodontology took place over four days in November 2014 in the quiet mountain village of La Granja de San Ildefonso, near Segovia, in Spain.

Its focus was the prevention of periodontal and peri-implant diseases, and its over 75 participants – leading international experts in oral-health science, research, protocols and products – worked in four working groups discussing systematic reviews of relevant recent studies, raising and answering questions based on this evidence, and finally producing conclusions to direct approaches in oral hygiene for all professionals in the dental and medical community.

In fact, the eventual conclusions signed off by the chairmen of the four working groups called for the messages of the 11th Workshop to be included in a public health campaign to halt the increase in conditions such as peri-implantitis, which is shown to have increased alarmingly in recent years among patients with dental implants.

The leaders of the Workshop predict a strong and lasting impact from the guidelines it has produced, all of which were published in April 15 in a special supplement of the peridontal science publication, the Journal of Clinical Periodontology.

The 11th Workshop chairman and main organiser, Spanish periodontologist Professor Mariano Sanz, said he was satisfied that the project had fulfilled its purpose.

“Both caries and periodontitis are the most important diseases of mankind in terms of frequency and prevalence,” he stated. “It is important that we understand that these diseases can be prevented very easily but if they develop and become severe it really poses a risk for the health of the patient.”

“We need to customise the prevention measures for each specific patient, and we need to understand what the patient risk profile is in order to provide instructions.”

Guidelines

Refocusing prevention of periodontitis and peri-implantitis

Dental professionals, periodontists, hygienists, and dental students can now download the full general guidelines to emerge from the ‘Prevention Workshop’, a refocussing of oral health priorities based on the conclusions of the XI European Workshop in Periodontology, held in November 2014, focusing on the prevention of periodontal and peri-implant diseases.

Each of the four working groups at this major research workshop has had a full year to review and condense its more extensive conclusions – available here in open access to all – and these are what the European Federation of Periodontology considers as crucial information for all members of the oral health community to take on board. Please read these guidelines. They cover every aspect of multiple research papers which came under systematic review by more than 75 international experts in periodontology.

The issues of implant hygiene routines, placement, risk assessment and infection control are dealt with in the guidelines on prevention of peri-implantitis.

Download full guidelines

Conclusions

The proceedings of the XI European Workshop of Periodontology ‘Effective Prevention of Periodontal and Peri-implant diseases’ are available online in a free, open-access supplement of the April 2015 issue of the Journal of Clinical Periodontology (JCP):

Full proceedings

Reports

• Primary and secondary prevention of periodontal and peri-implant diseases : Introduction to, and objectives of the 11th European Workshop on Periodontology consensus conference
• Principles in prevention of periodontal diseases : Consensus report of group 1 of the 11th European Workshop on Periodontology on effective prevention of periodontal and peri-implant diseases
• Professional mechanical plaque removal for prevention of periodontal diseases in adults – systematic review update
• Managing oral hygiene as a risk factor for periodontal disease: a systematic review of psychological approaches to behaviour change for improved plaque control in periodontal management
• Behaviour change counselling for tobacco use cessation and promotion of healthy lifestyles: a systematic review
• Risk factor assessment tools for the prevention of periodontitis progression a systematic review
• Primary prevention of periodontitis: managing gingivitis
• Efficacy of homecare regimens for mechanical plaque removal in managing gingivitis a meta review
• Efficacy of inter-dental mechanical plaque control in managing gingivitis – a meta-review
• Efficacy of adjunctive anti-plaque chemical agents in managing gingivitis: a systematic review and meta-analysis
• Are anti-inflammatory agents effective in treating gingivitis as solo or adjunct therapies? A systematic review
• Primary prevention of peri-implantitis: Managing peri-implant mucositis
• Peri-implant health and disease. A systematic review of current epidemiology
• Risk indicators for peri-implant mucositis: a systematic literature review
• Efficacy of patient-administered mechanical and/or chemical plaque control protocols in the management of peri-implant mucositis. A systematic review
• Efficacy of professionally administered plaque removal with or without adjunctive measures for the treatment of peri-implant mucositis. A systematic review and meta-analysis
• Effect of professional mechanical plaque removal on secondary prevention of periodontitis and the complications of gingival and periodontal preventive measures : Consensus report of group 4 of the 11th European Workshop on Periodontology on effective prevention of periodontal and peri-implant diseases
• Effect of professional mechanical plaque removal performed on a long-term, routine basis in the secondary prevention of periodontitis: a systematic review
• Evidence for the occurrence of gingival recession and non-carious cervical lesions as a consequence of traumatic toothbrushing (pages S237–S255)
• Management of dentine hypersensitivity: efficacy of professionally and self-administered agents
• Treatment of oral malodour. Medium-term efficacy of mechanical and/or chemical agents: a systematic review