HuFriedyGroup Clinical Navigator

Targeted Healing Approach for Teeth and Implants

Interactive clinical decision pathway
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Step 1 — Behaviour change & supragingival

Risk-factor control, OH instruction, supragingival PMPR. Foundation of all subsequent steps (R4.x).

GPDental HygienistPeriodontist
EFP S3 staircase — Step 1 highlighted
EFP S3 staircase — Step 1 highlighted

Step 1 is mandatory before Step 2. Without behaviour change and supragingival biofilm control, subgingival instrumentation outcomes are compromised.

Evidence Guidelines & evidence
  • EFP S3 R4.1
    Behaviour change interventions targeting risk factors should be implemented as part of the first step of therapy.
  • EFP S3 R4.2
    Smoking cessation interventions should be offered to all patients who smoke.
  • EFP S3 R4.3
    Diabetes-mellitus control interventions should be offered to all patients with diabetes mellitus.
  • EFP S3 R4.7
    Professional mechanical plaque removal (PMPR) is recommended for all patients to remove supragingival plaque and calculus and any plaque-retentive factors.
1

Behaviour change interventions

Address modifiable risk factors: motivational interviewing for OH, smoking cessation (R4.2), diabetes control reinforcement (R4.3). Document risk profile (R4.4).

Illustration · Step 1
2

Self-performed mechanical plaque control

Tailored OH instructions including interdental brushes / floss as appropriate (R4.5). Adjunctive chemical agents may support short-term plaque control (R4.6).

Illustration · Step 2
3

Supragingival professional mechanical plaque removal (PMPR)

Full-mouth supragingival biofilm + calculus removal (R4.7). Required foundation before any subgingival instrumentation.

Illustration · Step 3
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