Periodontal treatment guidelines stress that periodontal health should be achieved in the least invasive and most cost-effective manner. This is often accomplished through non-surgical periodontal treatment, including scaling and root planing (a careful cleaning of the root surfaces to remove plaque and calculus [tartar] from deep periodontal pockets and to smooth the tooth root to remove bacterial toxins), followed by adjunctive therapy such as local delivery antimicrobials and host modulation, as needed on a case-by-case basis.
Most periodontists would agree that after scaling and root planing, many patients do not require any further active treatment, including surgical therapy. However, the majority of patients will require ongoing maintenance therapy to sustain health. Non-surgical therapy does have its limitations, however, and when it does not achieve periodontal health, surgery may be indicated to restore periodontal anatomy damaged by periodontal diseases and to facilitate oral hygiene practices.
The bone and gum tissue should fit together like a turtleneck around your neck. But when periodontal disease is present, this supporting tissue and bone is destroyed and pockets in the gums develop. Eventually, if too much bone is lost, the tooth will need to be extracted.
Guided tissue bone regeneration helps the body to regenerate lost bone. By repairing the damage done by periodontal disease, this procedure will increase the chances of keeping your natural teeth and will decrease the odds of serious health problems associated with periodontal disease.