Development Of Clinical Pathway For Non-Surgical Management Of Chronic Periodontitis
- Author:
Wisam KAMIL
1
;
Ooi Yow HIAN
;
Shahida MOHD-SAID
;
Siti Lailatul Akmar Zainuddin
;
Haslinda RAMLI
;
Erni NOOR
;
Rasidah AYOB
;
Aznida Firzah Abdul Aziz
;
Aniza ISMAIL
;
Saperi SULONG
;
Tuti Ningseh MOHD-DOM
Author Information
1. Kulliyyah of Dentistry, International Islamic University of Malaysia, Kuantan Campus, Jalan Sultan Ahmad Shah. Bandar Indera Mahkota Campus. 25200 Kuantan, Malaysia. (Currently in Australia)
- Publication Type:Original Article
- Keywords:
Case definitions;
clinical pathway;
periodontitis
- From:Malaysian Journal of Public Health Medicine
2018;Special Volume(1):26-32
- CountryMalaysia
- Language:English
-
Abstract:
The vast range of treatment protocols available for non-surgical management of chronic periodontitis can affect the consistency of clinical decision-making for dentists. This is further compounded by the different case definitions for periodontitis used in various clinical studies. The aim of this paper is to describe the steps taken leading to an expert consensus of periodontitis case definition followed by the development of a clinical pathway for managing chronic periodontitis. To assist reaching a consensus on a standard case definition of periodontitis for clinical research, a roundtable discussion was held involving 13 dental specialists and researchers from universities and the Ministry of Health. Participants discussed clinical experiences in identifying periodontitis and related issues based on scientific evidence. A further expert panel discussion consisting of 8 periodontists was conducted at another session to review current management practices and evidence-based practices available from the literature and generated a clinical pathway for non-surgical management of periodontitis. The case definition derived from the roundtable discussion recognises differentiation of selected clinical parameters and their thresholds as well as the extent and severity of the periodontitis. As for the newly developed clinical pathway, experts collectively defined the appropriate goals to satisfy the multidimensional needs of the patients which are translated into detailed elements of care, including the sequence of events of patients at each dental visit over time. The agreed case definition will facilitate selection and recruitment of cases for clinical studies while the clinical pathway can be used to reduce variations between clinicians.
