Periodontal status and reevaluation

Following the initial/hygiene phase, the dentists checks the patient’s response to the measures implemented so far. On the basis of this examination, a decision is made regarding whether further treatment is necessary or whether the patient can be transferred to the maintenance phase.

Measuring periodontal pockets

Reevaluation takes place approx. 2-4 weeks after completion of the initial/hygiene phase. It provides an opportunity to check patient compliance, hygiene scores and clinical parameters. In order to assess this fully, a complete evaluation of the patient’s periodontal status is carried out. The aspects examined include:

  • pocket depth
  • recession
  • furcation involvement
  • degree of mobility

Marker bacteria analysis

A microbiological analysis with micro-IDent®/micro-IDent®plus supports decision-making regarding whether additional therapeutic measures are necessary. The test result indicates, for example, whether bacterial species are present that are capable of penetrating soft tissue and bone and thus maintain the inflammation, despite thorough mechanical cleaning. In such cases, adjunctive antibiotic therapy is strongly recommended as part of the non-surgical treatment for the periodontitis.

Further therapy

Ideally, the reevaluation will show that the goals of the preliminary treatment have been achieved and the patient can be discharged directly into the maintenance phase. If there has not been a satisfactory improvement in the clinical parameters, however, the patient is transferred to non-surgical periodontal therapy, where the focus is on subgingival debridement and calculus removal and thus the reduction/elimination of subgingival bacteria. The periodontal status evaluation together with the microbiological analysis serves as a basis for subsequent treatment planning.