S3-level treatment guideline for an evidence-based treatment of periodontal diseases

The main goals of the 4 stages of therapy.

– Stage 1 of therapy:

- Recommendations on the selection of oral hygiene products and methods,

- Control of gum inflammation: additional methods of therapy,

- Control of risk factors: smoking and diabetes mellitus;

– Stage 2 of therapy:

- Protocol of subgingival instrumental processing,

- Protocol of disinfection of the entire oral cavity,

- Hand vs ultrasonic instruments,

- Justification of the use of systemic antibiotics,

- Indications for the use of local antibiotics,

- Host-modulators: evidence base;

– Stage 3 of therapy:

- Flap surgery vs tool processing,

- Criteria for choosing a flap design,

- Resection periodontal surgery vs flap surgery,

- Protocol of treatment of intraosseous defects and choice of materials,

- Treatment of furcation defects;

– Stage 4 of therapy:

- Prevention of relapses,

- Supportive therapy.