Abstract

The primary goal of periodontal therapy is to prevent in- flammation and maintain a healthy and functional peri- odontium. The degree of pathological changes in the periodontium mainly affects the choice of the therapeutic method and the success achieved. Non-surgical removal of plaque and calculus is part of the initial phase of man- agement of patients with gingivitis and periodontitis. The therapy consists in the mechanical removal of supra and subgingival plaque deposits, motivation of the patient and instructions for oral hygiene. In this paper, four clinical cases of treatment of periodontal inflammation with cu- rettage of periodontal pockets are presented. Non-surgi- cal treatment is effective in treating periodontal disease. It should always be the first therapy undertaken. Currently, the literature suggests that the use of laser and modern methods for modulating the host response are effective in preventing periodontal inflammation, but however, noth- ing will replace instrumentation during closed curettage. This has not changed over thousands of years and is un- likely to change.

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