West N, Chapple I, Claydon N et al. BSP implementation of European S3-level evidence-based treatment guidelines for stage I−III periodontitis in UK clinical practice. J Dent 2021; DOI: 10.1016/j.jdent.2020.103562. Online ahead of print.

This guideline delivers evidence- and consensus-based clinical recommendations relevant to the UK dental community.

These guidelines aimed to adapt the supranational European Federation for Periodontology (EFP) S3-Level Clinical Practice Guidelines for the treatment of periodontitis (stage I-III) to a UK healthcare environment, taking into account the views of a broad range of stakeholders, and patients. The source guideline was developed using the S3-level methodology, which combined the assessment of evidence from 15 systematic reviews. It encompasses 62 clinical recommendations for the treatment of stage I-III periodontitis, based on a step-wise process mapped to the 2017 classification system. The UK version was developed from the source guideline using a formal process called the GRADE ADOLOPMENT framework. This allows for the adoption (unmodified acceptance), adaptation (acceptance with modifications) and the de novo development. The systematic reviews were updated and a representative guideline group of 75 delegates from 17 stakeholder organisations was assembled into three working groups. Following the formal S3-process, all clinical recommendations were formally assessed for their applicability to the UK and adoloped accordingly. Four steps are outlined with key changes to terminology including the use of the phrase professional mechanical plaque removal (PMPR).