They also concentrate in the gingival sulcus. In addition, fabric filaments containing tetracycline can be packed into recalcitrant pockets for 7 to 10 days. Another approach is to surgically eliminate the pocket and recontour the bone so that the patient can clean the depth of the sulcus. Regenerative surgical and biologic techniques may be attempted to encourage alveolar bone growth. Splinting of loose teeth and selective reshaping of tooth surfaces to eliminate traumatic occlusion may be necessary.
Extractions are often unavoidable in advanced disease.
If present, systemic factors should be controlled before initiating periodontal therapy. All rights reserved.