Chronic periodontitis results in the loss of periodontal attachment structures. If left untreated, tooth loss eventually may result.
The currently available scientific evidence supports consistent plaque control at home and the routine use of SRP along with locally-delivered sustained-release antimicrobials and sub-antimicrobial systemic dosing of doxycycline in the professional treatment of chronic periodontitis.
Osseous and regenerative surgery has been shown to provide desirable outcomes in consecutive case reports and animal models.
Surgical and non-surgical therapies are complementary options available for consideration over time when managing the occurrence and progression of a chronic disease.
More scientific evidence is needed to answer questions that will even better define therapies most likely to produce even better long-term outcomes.