title: Primary and secondary prevention of periodontal and peri-implant diseases: Introduction to, and objectives of the 11th European Workshop on Periodontology consensus conference.
abstract: BACKGROUND
  Periodontitis prevalence remains high. Peri-implantitis is an emerging public health issue. Such a high burden of disease and its social, oral and systemic consequences are compelling reasons for increased attention towards prevention for individuals, professionals and public health officials.
  
  
  METHODS
  Sixteen systematic reviews and meta-reviews formed the basis for workshop discussions. Deliberations resulted in four consensus reports.
  
  
  RESULTS
  This workshop calls for renewed emphasis on the prevention of periodontitis and peri-implantitis. A critical element is the recognition that prevention needs to be tailored to the individual's needs through diagnosis and risk profiling. Discussions identified critical aspects that may help in the large-scale implementation of preventive programs: (i) a need to communicate to the public the critical importance of gingival bleeding as an early sign of disease, (ii) the need for universal implementation of periodontal screening by the oral health care team, (iii) the role of the oral health team in health promotion and primary and secondary prevention, (iv) understanding the limitations of self-medication with oral health care products without a diagnosis of the underlying condition, and (v) access to appropriate and effective professional preventive care.
  
  
  CONCLUSIONS
  The workshop provided specific recommendations for individuals, the oral health team and public health officials. Their implementation in different countries requires adaptation to respective specific national oral health care models.
authors: European Research Group on Periodontology, Genova, Italy.
authors: Maurizio S
authors: MS
authors: Tonetti
authors: Iain L C
authors: IL
authors: Chapple
authors: Søren
authors: S
authors: Jepsen
authors: Mariano
authors: M
authors: Sanz
mesh_terms: D003245:Consensus Statements as Topic; D017281:Cost of Illness; D003773:Dental Plaque / Q000517:prevention & control; D003807:Dentin Sensitivity / Q000517:prevention & control; D042241:Early Diagnosis; D005889:Gingival Recession / Q000517:prevention & control; D005891:Gingivitis / Q000175:diagnosis / Q000517:prevention & control; D006209:Halitosis / Q000517:prevention & control; D006267:Health Education, Dental; D006293:Health Promotion; D006297:Health Services Accessibility; D006801:Humans; D008403:Mass Screening; D057873:Peri-Implantitis / Q000175:diagnosis / Q000517:prevention & control*; D010510:Periodontal Diseases / Q000175:diagnosis / Q000517:prevention & control*; D011322:Primary Prevention; D018570:Risk Assessment; D055502:Secondary Prevention; D012651:Self Medication; D057085:Tooth Wear / Q000517:prevention & control
keywords: clinical recommendations; consensus conference; evidence based medicine; gingival bleeding; gingivitis; health policy; peri-implant mucositis; peri-implantitis; periodontitis; prevention; public health