Systematische Parodontitistherapie und Kieferorthopädie

Zusammenfassung

Die aktuelle Klassifikation parodontaler und peri-implantärer Erkrankungen und Zustände teilt die Parodontitis in vier Schweregrade (Stadium I-IV) und drei Progressionsgrade (Grad A-C) ein. Die erste, 2020 von der Europäischen Föderation für Parodontologie (EFP) verabschiedete und 2021 in Deutschland von der Deutschen Gesellschaft für Parodontologie (DG PARO) implementierte Leitlinie zur Therapie der Parodontitis adressiert die Stufen I-III der Parodontitis und beinhaltet deren systematische, stufenweise Behandlung. In der 2022 verabschiedeten Leitlinie zur Therapie der fortgeschrittenen Parodontitis (Stadium IV) werden interdisziplinäre Behandlungskonzepte verschiedener zahnmedizinischer Disziplinen beschrieben, deren Evidenz bewertet und daraus Behandlungsempfehlungen abgeleitet. Dieser Artikel soll eine Übersicht zur Klassifikation der parodontalen Erkrankungen geben und die systematische Parodontitistherapie unter besonderer Berücksichtigung der kieferorthopädischen Behandlung von Patienten mit Parodontitis zusammenfassen.

Abstract

The current classification of periodontal and peri-implant diseases and conditions provides four stages of disease severity (stage I-IV) as well as three grades of disease progression (grade A, B, C) of periodontitis. The first guideline for the therapy of periodontitis (stage I-III) describes the concept of a step-wise periodontal therapy (step 1–4), and it has been established by the European Federation of Periodontology (EFP) and implemented in Germany by the German Society of Periodontology (DG PARO) in 2020 and 2021, respectively. In 2022, the guideline for the therapy of periodontitis stage IV was adopted by the EFP, and different treatment concepts, including multiple dental disciplines, were develolped based on the existing evidence. This article should provide an overview on the classification of periodontal diseases and describe the systematic periodontal therapy in the light of orthodontic treatment of patients with periodontitis.

Schlüsselwörter

Parodontitis - Parodontitistherapie - Kieferorthopädie

Key words

Periodontitis - periodontal therapy - orthodontics

Publication History

Article published online:
07 December 2023

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