The conseravative treatment of periodontitis includes instruction of oral home care and a special cleaning of the roots beneath the gums that is called scaling and root planing. The scaling and root planing is done under local anesthesia and usually is finished in four seccions.
The periodontist may judge that some patients might benefit from the simultaneous systemic delivery of antibiotics during the scaling and root planing and prescribe the appropriate scheme. The tissues are left to heal for a period of four to six weeks and then a reevaluation is done.
At the end of this healing period the inflammation and infection are treated but the destruction in the soft tissue (root recession) and bone loss remain.