Predictive, preventive, personalised and participatory periodontology: 'the 5Ps age' has already started.
Identifieur interne : 000244 ( Main/Exploration ); précédent : 000243; suivant : 000245Predictive, preventive, personalised and participatory periodontology: 'the 5Ps age' has already started.
Auteurs : Carlo Cafiero [Italie] ; Sergio MatarassoSource :
- The EPMA journal [ 1878-5077 ] ; 2013.
Abstract
An impressive progress in dentistry has been recorded in the last decades. In order to reconsider guidelines in dentistry, it is required to introduce new concepts of personalised patient treatments: the wave of predictive, preventive and personalised medicine is rapidly incoming in dentistry. Worldwide dentists have to make a big cultural effort in changing the actual 'reactive' therapeutic point of view, belonging to the last century, into a futuristic 'predictive' one. The first cause of tooth loss in industrialised world is periodontitis, a Gram-negative anaerobic infection whose pathogenesis is genetically determined and characterised by complex immune reactions. Chairside diagnostic tests based on saliva, gingival crevicular fluid and cell sampling are going to be routinely used by periodontists for a new approach to the diagnosis, monitoring, prognosis and management of periodontal patients. The futuristic '5Ps' (predictive, preventive, personalised and participatory periodontology) focuses on early integrated diagnosis (genetic, microbiology, host-derived biomarker detection) and on the active role of the patient in which networked patients will shift from being mere passengers to responsible drivers of their health. In this paper, we intend to propose five diagnostic levels (high-tech diagnostic tools, genetic susceptibility, bacterial infection, host response factors and tissue breakdown-derived products) to be evaluated with the intention to obtain a clear picture of the vulnerability of a single individual to periodontitis in order to organise patient stratification in different categories of risk. Lab-on-a-chip (LOC) technology may soon become an important part of efforts to improve worldwide periodontal health in developed nations as well as in the underserved communities, resource-poor areas and poor countries. The use of LOC devices for periodontal inspection will allow patients to be screened for periodontal diseases in settings other than the periodontist practice, such as at general practitioners, general dentists or dental hygienists. Personalised therapy tailored with respect to the particular medical reality of the specific stratified patient will be the ultimate target to be realised by the 5Ps approach. A long distance has to be covered to reach the above targets, but the pathway has already been clearly outlined.
DOI: 10.1186/1878-5085-4-16
PubMed: 23763842
PubMed Central: PMC3703280
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Predictive, preventive, personalised and participatory periodontology: 'the 5Ps age' has already started.</title><author><name sortKey="Cafiero, Carlo" sort="Cafiero, Carlo" uniqKey="Cafiero C" first="Carlo" last="Cafiero">Carlo Cafiero</name><affiliation wicri:level="1"><nlm:affiliation>University of Naples "FEDERICO II", Naples 80131, Italy. c.cafiero@unina.it.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>University of Naples "FEDERICO II", Naples 80131</wicri:regionArea><wicri:noRegion>Naples 80131</wicri:noRegion></affiliation></author><author><name sortKey="Matarasso, Sergio" sort="Matarasso, Sergio" uniqKey="Matarasso S" first="Sergio" last="Matarasso">Sergio Matarasso</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:23763842</idno><idno type="pmid">23763842</idno><idno type="doi">10.1186/1878-5085-4-16</idno><idno type="pmc">PMC3703280</idno><idno type="wicri:Area/Main/Corpus">000235</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000235</idno><idno type="wicri:Area/Main/Curation">000235</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000235</idno><idno type="wicri:Area/Main/Exploration">000235</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Predictive, preventive, personalised and participatory periodontology: 'the 5Ps age' has already started.</title><author><name sortKey="Cafiero, Carlo" sort="Cafiero, Carlo" uniqKey="Cafiero C" first="Carlo" last="Cafiero">Carlo Cafiero</name><affiliation wicri:level="1"><nlm:affiliation>University of Naples "FEDERICO II", Naples 80131, Italy. c.cafiero@unina.it.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>University of Naples "FEDERICO II", Naples 80131</wicri:regionArea><wicri:noRegion>Naples 80131</wicri:noRegion></affiliation></author><author><name sortKey="Matarasso, Sergio" sort="Matarasso, Sergio" uniqKey="Matarasso S" first="Sergio" last="Matarasso">Sergio Matarasso</name></author></analytic><series><title level="j">The EPMA journal</title><idno type="ISSN">1878-5077</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">An impressive progress in dentistry has been recorded in the last decades. In order to reconsider guidelines in dentistry, it is required to introduce new concepts of personalised patient treatments: the wave of predictive, preventive and personalised medicine is rapidly incoming in dentistry. Worldwide dentists have to make a big cultural effort in changing the actual 'reactive' therapeutic point of view, belonging to the last century, into a futuristic 'predictive' one. The first cause of tooth loss in industrialised world is periodontitis, a Gram-negative anaerobic infection whose pathogenesis is genetically determined and characterised by complex immune reactions. Chairside diagnostic tests based on saliva, gingival crevicular fluid and cell sampling are going to be routinely used by periodontists for a new approach to the diagnosis, monitoring, prognosis and management of periodontal patients. The futuristic '5Ps' (predictive, preventive, personalised and participatory periodontology) focuses on early integrated diagnosis (genetic, microbiology, host-derived biomarker detection) and on the active role of the patient in which networked patients will shift from being mere passengers to responsible drivers of their health. In this paper, we intend to propose five diagnostic levels (high-tech diagnostic tools, genetic susceptibility, bacterial infection, host response factors and tissue breakdown-derived products) to be evaluated with the intention to obtain a clear picture of the vulnerability of a single individual to periodontitis in order to organise patient stratification in different categories of risk. Lab-on-a-chip (LOC) technology may soon become an important part of efforts to improve worldwide periodontal health in developed nations as well as in the underserved communities, resource-poor areas and poor countries. The use of LOC devices for periodontal inspection will allow patients to be screened for periodontal diseases in settings other than the periodontist practice, such as at general practitioners, general dentists or dental hygienists. Personalised therapy tailored with respect to the particular medical reality of the specific stratified patient will be the ultimate target to be realised by the 5Ps approach. A long distance has to be covered to reach the above targets, but the pathway has already been clearly outlined. </div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">23763842</PMID><DateCompleted><Year>2013</Year><Month>07</Month><Day>08</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>30</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Print">1878-5077</ISSN><JournalIssue CitedMedium="Print"><Volume>4</Volume><Issue>1</Issue><PubDate><Year>2013</Year><Month>Jun</Month><Day>14</Day></PubDate></JournalIssue><Title>The EPMA journal</Title><ISOAbbreviation>EPMA J</ISOAbbreviation></Journal><ArticleTitle>Predictive, preventive, personalised and participatory periodontology: 'the 5Ps age' has already started.</ArticleTitle><Pagination><MedlinePgn>16</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1878-5085-4-16</ELocationID><Abstract><AbstractText>An impressive progress in dentistry has been recorded in the last decades. In order to reconsider guidelines in dentistry, it is required to introduce new concepts of personalised patient treatments: the wave of predictive, preventive and personalised medicine is rapidly incoming in dentistry. Worldwide dentists have to make a big cultural effort in changing the actual 'reactive' therapeutic point of view, belonging to the last century, into a futuristic 'predictive' one. The first cause of tooth loss in industrialised world is periodontitis, a Gram-negative anaerobic infection whose pathogenesis is genetically determined and characterised by complex immune reactions. Chairside diagnostic tests based on saliva, gingival crevicular fluid and cell sampling are going to be routinely used by periodontists for a new approach to the diagnosis, monitoring, prognosis and management of periodontal patients. The futuristic '5Ps' (predictive, preventive, personalised and participatory periodontology) focuses on early integrated diagnosis (genetic, microbiology, host-derived biomarker detection) and on the active role of the patient in which networked patients will shift from being mere passengers to responsible drivers of their health. In this paper, we intend to propose five diagnostic levels (high-tech diagnostic tools, genetic susceptibility, bacterial infection, host response factors and tissue breakdown-derived products) to be evaluated with the intention to obtain a clear picture of the vulnerability of a single individual to periodontitis in order to organise patient stratification in different categories of risk. Lab-on-a-chip (LOC) technology may soon become an important part of efforts to improve worldwide periodontal health in developed nations as well as in the underserved communities, resource-poor areas and poor countries. The use of LOC devices for periodontal inspection will allow patients to be screened for periodontal diseases in settings other than the periodontist practice, such as at general practitioners, general dentists or dental hygienists. Personalised therapy tailored with respect to the particular medical reality of the specific stratified patient will be the ultimate target to be realised by the 5Ps approach. A long distance has to be covered to reach the above targets, but the pathway has already been clearly outlined. </AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cafiero</LastName><ForeName>Carlo</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>University of Naples "FEDERICO II", Naples 80131, Italy. c.cafiero@unina.it.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Matarasso</LastName><ForeName>Sergio</ForeName><Initials>S</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>06</Month><Day>14</Day></ArticleDate></Article><MedlineJournalInfo><Country>Switzerland</Country><MedlineTA>EPMA J</MedlineTA><NlmUniqueID>101517307</NlmUniqueID><ISSNLinking>1878-5077</ISSNLinking></MedlineJournalInfo></MedlineCitation><PubmedData><History><PubMedPubDate 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