Step 3 for the treatment of periodontal diseases: non-regenerative periodontal surgery

Abstract

This article outlines the key aspects of considering non-regenerative periodontal surgery in step 3 of the UK version of the EFP S3-level clinical practice guidelines for the treatment of periodontitis. The third step of periodontal treatment is aimed at treating those sites that have not responded adequately, targeting non-responding or residual deep pockets. The purpose of non-regenerative surgery is to achieve access to root surfaces associated with residual pockets for further subgingival instrumentation, aiming to eliminate those lesions that add complexity to the management of periodontitis (such as infrabony defects, root concavities and furcations). At these localized sites, the main objective of periodontal surgery is to improve direct vision and access for professional instrumentation, to reduce or correct anatomical factors, partially regenerate lost periodontal tissue where possible, and ultimately create an environment that is easy and comfortable for the patient and the dental professional to maintain. CPD/Clinical Relevance: Knowledge of the non-regenerative surgical treatment of Stage III and IV periodontitis patients is valuable for dental clinicians.