A study of the cost-effectiveness of non-surgical treatments for peri-implantitis, a summary of which has been published in JCP Digest 05 (2015:42), ranked treatments in terms of value for money but concluded that more evidence was needed to be able to reach firm conclusions.
The study, published in full in the May 2015 edition of the Journal of Clinical Periodontology (JCP), concluded that the treatments which offered best value for money were (in descending order) debridement alone, the use of Air-Flow technology, debridement combined with PerioChip (a biodegradable chip containing chlorhexidine gluconate), and debridement combined with local antibiotics.
But the researchers noted that the study was limited to the German healthcare model, used only a single parameter (probing pocket depth) to measure effectiveness, and used data from an online survey with a very limited number of responders. Moreover, there was considerable “decision uncertainty” because of a lack of robust evidence.
As a result, they concluded that “robust treatment recommendations for peri-implantitis require more comprehensive and patient-centred evidence.” This would appear to be a key priority area for research in order to provide more robust evidence-based guidance for clinicians managing peri-implant diseases.
The original paper, ‘Cost-effectiveness of non-surgical peri-implantitis treatments’, was written by Stefan Listl, Nadine Frühauf, Bettina Dannewitz, Christiane Weis, Yu-Kang Tu, Huei-Ju Chang, and Clovis Faggion Jr.
It was précised for the JCP Digest by postgraduate periodontology students at the Department of Oral Health Sciences in the Faculty of Medicine at the Catholic University of Leuven, Belgium, under the supervision of Marc Quirynen and Wim Teughels.
JCP Digest 05 is available for viewing and download in pdf format from the EFP website. Each edition of the JCP Digest provides a concise summary of a relevant research paper from the JCP. All issues can be accessed here.
A video of the memorable ceremony which closed the EuroPerio 8 congress has now been released on the EFP's YouTube channel.
The 98-minute video, 25 years of periodontology in Europe, gives those who attended EuroPerio8 in London the chance to relive one of the event’s highlights and enables those who could not be there to see what all the fuss was about.
Most of the June 6 closing session was dedicated to a comprehensive review of periodontology over the past 25 years in Europe, an early celebration of the EFP’s quarter-century anniversary in 2016.
Mariano Sanz, scientific chairman of EuroPerio8, and Maurizio Tonetti, editor-in-chief of the Journal of Clinical Periodontology, were the co-presenters of this review, which featured appearances via previously recorded interviews by leading perio researchers and practitioners.
These were contributions from Tord Berglundh, Iain Chapple, Pierpaolo Cortellini, Jean-Louis Giovannoli, David Herrera, Niklaus Lang, Jan Lindhe, Phoebus Madianos, Wim Teughels, Stefan Renvert, Massimo de Sanctis, Ubele van der Velden, and Otto Zuhr.
Perhaps the highlight of the whole ceremony was the appearance on stage of the two "architects of modern periodontology", Sweden's Jan Lindhe and Switzerland's Klaus Lang, who took part in a lively debate that was enthusiastically received by the audience.
The video concludes with Francis Hughes, chairman of the EuroPerio8 organising committee, thanking all those involved in making the event such a success and handing over to the organising committee for EuroPerio9 (Amsterdam, 2018), led by former EFP president Michèle Reners.
The final words are spoken by the current EFP president Søren Jepsen, who told the assembled delegates: “It’s unbelievable what Francis and his team have accomplished, for arranging this record-breaking, fantastic, outstanding congress. The best EuroPerio ever!”
The EFP’s YouTube channel, www.youtube.com/user/PerioWorkshop, was launched three years ago and offers more than a hundred perio-related videos ranging from scientific presentations to EuroPerio8 speakers talking about the event’s host city of London.
The EFP recommends that viewers subscribe to this channel and thereby receive updates on new videos as they are uploaded to the site.
Members of the executive committee and all the EFP’s committees met in Madrid from November 7 to 9, at the Media and Health Promotion Workshop, to draw up a communications plan for 2016.
They agreed an extensive series of activities for next year, which marks the 25th anniversary of the founding of the federation. These include a periodontal awareness campaign, a roadshow that will present EFP material at meetings of the federation’s national-society members, and activities to celebrate European Periodontology Day on May 12.
They also agreed to draw up a perio health-promotion strategy and to approach the World Health Organization (WHO) with the aim of giving a presentation to officials early in 2016. This would build on last June’s meetings with members of the European Parliament in Brussels.
A key part of the EFP’s promotional strategy will be aimed at increasing perio awareness among dentists and dental hygienists and at influencing national dental associations. The campaign will also seek to increase awareness of periodontal issues among organisations working with diabetes.
The EFP is planning to give presentations to the International Federation of Diabetes, the European Society of Cardiology, and the European Patients’ Forum.
Other plans for 2016 include the launch of an online perio magazine for patients and professionals, the relaunch of the EFP Manifesto, and the issuing of guidelines for celebrating periodontal health to be given to the national societies,
The Madrid meeting took the form of a three-day workshop, in which a team of 10 media and health-promotion professionals worked closely with EFP committee members in exploring how the federation can take forward its strategic vision of ‘Periodontal health for a better life.’
The workshop’s participants were given hands-on instruction in how to handle television and radio interviews, with practical sessions at the TV and radio studios of Madrid’s CEU San Pablo University.
There were also presentations on how to prepare communications plans and outreach campaigns, how to write effectively for different interest groups, how to manage social media, how to manage institutional relationships, and how to use scientific events and meetings.
The keynote lecture was given by Glenn Laverack, a leading expert in health promotion and empowerment who is an honorary professor of health promotion at the University of Southern Denmark.
Dr Laverack emphasised the importance of addressing not only individual patients but also inequality and the social determinants of health, saying that a health-promotion strategy should be both “top-down” (telling people what to do) and “bottom-up” (finding out what people’s needs are).
He posed the question “What can the EFP do?” and highlighted five approaches that the EFP could consider as part of future activities. Laverack said that the federation could provide an expert and legitimate collective voice, help provide an evidence base, fund activities directly and directly, build a CSO (civil society organisation) network, and take part in advocacy and lobbying.
He suggested that the time was right for the EFP to take its messages about the importance of periodontal health not only to European institutions but also to the World Health Organization. This idea was received enthusiastically by the committee members and plans are now being drawn up to send an EFP delegation to the WHO in Geneva early in 2016.
The team of professionals which led the individual workshops was put together by Nítida Branding, the communications consultancy which works closely with the EFP’s external affairs committee.
“It was a great workshop and we learnt a lot,” said Mariano Sanz, chairman of the European Workshop in Periodontology who acted as chairman for the Madrid event.
“Communication is of paramount importance to the European Federation of Periodontology,” said Edwin Winkel, chairman of the EFP’s external affairs committee. “Communication is not only important in relation to the national societies and the professionals but also to the public. This workshop helped us a lot to find the best strategies for the EFP to achieve this.”
Søren Jepsen, president of the EFP, said: “This workshop has shown us how we can move forward together, with more effective communication and new initiatives in health promotion that will help us to manifest our strategic vision of periodontal health for a better life.”
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