How do dentists treat people who have periodontosis?

Treatment of periodontal disease begins with instruction in oral hygiene. The main cause of inflammation of the periodontal tissues is the presence of bacterial plaque, meaning poor oral hygiene. If the disease is in its initial stage, the condition improves considerably or completely simply by changing habits.
If, in addition to the marginal gingiva, the inflammation has already affected other periodontal structures, therapy continues with removal of calculus, scaling and root planing in the pockets, curettage of the pockets and, finally, surgical therapy; flap operations and guided tissue regeneration with replacement of lost bone mass. Unfortunately, people lose a great many teeth because of periodontal disease. The main problem is early diagnosis. At the very beginning the disease is asymptomatic, meaning without pain, apart from occasional bleeding from the gums. The profession emphasizes the importance of a panoramic X-ray image, because its harmfulness is negligible compared with the important information it provides about destruction of periodontal tissues.