Initial/ hygiene phase

The top priorities of periodontal therapy are to eliminate inflammation and to stabilize the situation. For this, it is essential to create optimum oral hygiene conditions in order to reduce probing depths, regain attachment and to avoid tooth loss in the long term.

Patient motivation

A key component of any therapy is an in-depth interview with the patient to foster cooperation. This can include providing background information on causes of and treatment options for periodontal diseases. It is important to educate the patient about additional risk factors – especially smoking. Many patients don’t understand that smoking also has a negative effect on periodontal health and jeopardizes the response to treatment.

Oral hygiene instructions

Effective plaque control based on proper oral hygiene is a prerequisite for successful anti-infective therapy. Diligent cooperation of the patient is therefore crucial for the success of treatment. Detailed guidance on brushing technique and the use of aids such as dental floss, interdental brushes, etc. are therefore essential. Mouth rinses can also help the patient to achieve effective plaque control.

Dental assistant explains oral hygiene

Dental status

To help the patient put what he/she has learned into practice at home, the conditions inside the mouth must be relatively hygiene-friendly. Defective crown and filling margins, loose fillings, pseudopockets, teeth that aren’t worth preserving, etc. are therefore eliminated. This permits the removal of the niches in which plaque builds up, where bacteria otherwise survive despite optimum therapy and may thus jeopardize the success of treatment in the long term.

Teeth cleaning

Professional teeth cleaning involves removing hard and soft deposits and calculus from the surfaces of teeth and accessible root surfaces. Various tools and instruments are used for this. It reduces the periodontopathogenic bacterial load and creates the conditions for the success of further therapeutic measures.