Once all periodontal pockets have been removed, we suggest that you sign up for a series of follow-up appointments. This recall system involves arranging appointments at short intervals for dental cleaning and check-ups. If the clinical situation permits, the interval between these appointments can be extended for up to 6 months. Periodontitis is a condition that should be monitored over a longer time-span since it is sometimes the case that inflammation flares up again and the condition may again worsen.
If a first periodontal screening examination indicates periodontitis, further comprehensive examination is needed. This includes the assessment of the periodontal status, advice for dental hygiene at home, and an initial cleaning. The periodontal status includes an exact measurement of the periodontal pockets at six sites per tooth to determine the extent and severity of periodontal disease, as well as an individualized treatment planning.
Conservative, non-surgical periodontal treatment
Following the periodontal assessment and according to international guidelines, further optimisation of dental hygiene at home and conservative, non-surgical periodontal treatment is initiated. In several sessions, dental plaque is removed from the periodontal pockets using ultrasonic and manual tools, if necessary under local anaesthesia. This type of treatment is only carried out by dentists. After a sufficient amount of time for the tissues to heal, a further measurement of the pocket depth is carried out to compare the initial status with the situation after therapy. If there are no residual pockets, you are included in a supportive periodontal treatment (recall) program including regular check-ups and prophylaxis. In case of a persisting inflammation at some sites, a surgical procedure is required to remove any remaining periodontal pockets.
Surgical Periodontal Treatment
After conservative, non-surgical periodontal treatment, the remaining periodontal pockets may impair long-term stability. In this case, a surgical procedure may lead to improved gum condition. Depending on the type of bone loss, there are two types of surgical interventions that can be performed. The pockets can be reduced by removing part of the tissue or, with the help of various materials, it is possible to regain some bone support.