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.

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.