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In cases that are not too severe and/or have responded well to the non-surgical therapy, maintenance may be all that is required.  In more severe cases and depending on the outcome of the non-surgical treatment, surgery may be indicated.

SURGICAL PERIODONTAL TREATMENT

Periodontal surgical therapy may be indicated in deep sites in order to achieve thorough subgingival debridement.  This is the corrective phase of therapy, where pocket elimination surgery is often indicated to prevent disease recurrence, and disease-induced anatomical defects can be corrected to facilitate improved plaque control.  In selected cases, regenerative surgery will restore part of the tissues that have been lost in the disease process.  

PERIODONTAL PLASTIC SURGERY
 
Periodontal plastic surgery refers to soft and hard tissue procedures aiming to prevent or correct anatomic, developmental, traumatic or disease induced defects of the gingiva, alveolar mucosa or bone, e.g. root coverage, gingival augmentation, correction of mucosal defects at implants, socket preservation, crown lengthening, fraenectomy, augmentation of the edentulous ridge.

SUPPORTIVE PERIODONTAL THERAPY (MAINTENANCE)

Oral hygiene reinforcement and full-mouth debridement at regular 3-6 month intervals, depending on the severity of the disease and standard of self-performed plaque control, are imperative measures in order to maintain the periodontal tissues in a healthy state.  Local delivery of antimicrobials may be indicated in selected cases.