It consists of several sessions of scraping and root planing to decontaminate the root of the tooth. Previously, X-rays and a detailed study of each tooth must be carried out with an electronic probe (Florida Probe) that informs us of the degree of inflammation, recession, mobility and other important data to assess the response to treatment and based on that, establish guidelines for determined actions and an individualized forecast. Likewise, it is essential to instruct the patient in brushing techniques and interdental hygiene.
Once the scrapings are finished, a microbiological analysis is done to determine if there is any more aggressive bacteria that has caused the inflammation and bone loss. This will help us to know whether to use antibiotics or not, and what specific antibiotic is necessary.
At the end of this 1st phase, a periodontal evaluation will have to be carried out again to assess the response to treatment and the need or not to perform surgery.
We can also carry out a genetic analysis to assess the predisposition to suffer from the disease. This will help us to foresee possible complications and make certain decisions for the future.