Periodontal Treatment Guidelines (Chapple & Newton, 2022)

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Periodontal Treatment Guidelines | Iain Chapple & Tim Newton | Friday 04th March 2022

Course Outline

Periodontal Disease is prevalent and has an impact on quality of life and well-being, affecting an estimated 743 million people worldwide (Kassebaum et al. 2014) and alongside caries being responsible for more years lost to disability than any other human disease (GBD 2017). Periodontitis is also independently associated with over 57 systemic diseases, impacting negatively on general as well as medical health (Monsarrat et al 2016). Prevention and management of the disease focuses disruption of the biofilm, through a combination of working with the patient to ensure optimal oral hygiene related behaviours, and treatment by the dental healthcare team. A recent report published by the Economist Intelligence Unit and commissioned by the European Federation of Periodontology has emphasised that effective prevention of periodontal disease could not only save billions in healthcare costs, but also improve general health and well-being.
(https://www.efp.org/publications/special-publications/the-socioeconomic-impact-of-periodontitis/)

This series of lectures will describe the British Periodontal Society’s adoption of the S3-Level European treatment guidelines on managing periodontitis, prior to providing an update on the impact of periodontal diseases on general health. It will emphasise the critical need for to ensure optimal behaviour change is achieved in both periodontal and systemic disease management protocols. The afternoon sessions will focus on theory based, brief interventions to initially encourage, and subsequently maintain behaviour change in our patients, including a reflection on how we change our own behaviour to optimise our care for patients.

Learning Objectives:

Morning Session – 1: S3 Level Periodontal Treatment Guidelines – Steps to success

By the end of the first presentation, delegates will:

  • Understand how and why the new S3-level treatment guidelines were developed and what they mean.
  • Be able to follow the evidence-based guidelines in practice across the 4-steps of periodontal care management.
  • Appreciate the importance of behaviour change and patient engagement to the success of periodontal care.

Morning Session – 2: Death by co-morbidity: is there a role for periodontitis?

By the end of the second presentation, delegates will:

  • Understand the impact of severe periodontitis upon life expectancy.
  • Be able to confidently discuss and explain to patients the impact of oral health upon general health without alarming them.
  • Understand the impact of successful periodontal treatment ion general health and the importance of behaviour change.

Afternoon Session: Promoting Behaviour change & Maintaining Behaviour change

By the end of these lectures the participants will:

  • Have knowledge of psychological theories of behaviour change and habit formation
  • Knowledge of interventions to encourage behaviour change
  • Knowledge of interventions to maintain behaviour change (creating a habit)
  • Set Goals in relation to implementing behaviour change interventions in practice, and started to consider action planning and monitoring of their performance

About Professor Iain L. C. Chapple BDS, FDSRCPS (Glas), FDSRCS (Edin), Ph.D. CCST (Rest Dent)

Iain Chapple is Professor of Periodontology, Director of Research for the Institute of Clinical Sciences, and former Head of the School of Dentistry (2016-2020) at The University of Birmingham UK.

Iain is former Scientific Editor of the British Dental Journal and former Associate Editor of: Journal of Periodontal Research and Journal Clinical Periodontology (to 2021); Current Associate Editor of Periodontology 2000. He has written 13-textbooks and 35 book chapters.

Iain served the IADR Periodontal Research Group (PRG) as President (2006-7), Group Chair (2008-1015) and Counsellor (2016). He served the European Federation of Periodontology (EFP) as: Treasurer (2007-2013); EFP Workshop co-chair (2008-current); Chairman of the Scientific Advisory Committee; Editor of JCP Digest (2014-2016); EFP Secretary General (2016-2019).

He was British Society of Periodontology President 2014-2015 and awarded the Charles Tomes medal of the Royal College of Surgeons (2011) and the IADR Distinguished Scientist in Periodontal Research 2018. He was awarded the special citation award of the American Academy of Periodontology 2018.

Iain leads Birmingham’s Periodontal Research Group, has published over 230 peer-reviewed manuscripts in the international scientific literature. He leads a regional periodontal service for a population base of 6 million and a national service for adults with Epidermolysis Bullosa.

About Tim Newton

Tim Newton splits his time between three broad areas: Academic research and teaching; Clinical care; and University administration. As an academic Tim holds the position of Professor of Psychology as Applied to Dentistry at King’s College London Faculty of Dentistry, Oral & Craniofacial Sciences, as well as honorary Professorial positions with University College London and University College Cork. In 2016 Tim was awarded the Behavioural, Epidemiological and Health Services Research Distinguished Scientist Award by the International Association of Dental Research. He is an honorary member of the British Orthodontic Society and was the Webb Johnson Lecturer, Royal College of Surgeons of England, as well as the Otago Community Trust visiting professor of dentistry, University of Otago.

Tim’s research interests lie particularly in theory based interventions to change behaviour in relation to oral health and the management of dental anxiety and phobia. His research in the area of behaviour change focusses largely on the design, implementation and testing of brief interventions to enhance the oral health behaviour of patients attending primary dental care settings. Dental Phobia is common in adult and child populations – with approximately 10% of all people affected by dental phobia worldwide, and a further 30% displaying moderate anxiety when attending the dentist. Tim has designed and championed a proportionate intervention model for dental anxiety and phobia.

Tim is Honorary Consultant Psychologist at Guy’s & St Thomas’ NHS Foundation Trust, providing Cognitive Behaviour Therapy to support individuals with dental phobia to overcome their fear, and support for individual’s facing challenging dental procedures. He is also a Consultant Advisor to The Office of the Chief Dental Officer

He is committed to ensuring that research is of the highest scientific and ethical standards in protection of the rights of research participants and the wider public served by the research community. In pursuance of this he is Dean of Research Culture for King’s College London.

Tim is proud to be Trustee of two charities related to oral and dental health: the Alliance for a Cavity Free Future and the Oral Health Foundation.