The first stage: basic treatment. Eliminate or control clinical inflammation and occlusal pathogenic factors. The contents include: ① Educate patients about the methods of self-control of dental plaque, such as correct brushing methods and habits, using dental floss and toothpicks to remove adjacent dental plaque and food impaction, using dental plaque indicator to check the control of dental plaque, and using mouthwash to maintain oral hygiene. ② The prognosis of extraction is poor, which is not conducive to the restoration of the missing teeth in the future. ③ supragingival scaling, subgingival scaling and root planing were performed to remove pathogenic factors such as plaque and tartar. ④ Use antibacterial drugs to control infectious inflammation as needed. ⑤ Adjust the bite. ⑥ Treat dental caries and correct bad restorations and food impaction. ⑦ Treatment of combined periodontal and endodontic diseases.
The second stage: periodontal surgery and loose tooth fixation. It was performed 2 ~ 4 weeks after basic treatment. When the depth of periodontal pocket is greater than 5 mm, periodontal surgery is performed to completely level the root surface, remove infectious substances in the periodontal pocket, correct the deformity of gingiva and membranous gingiva, and treat alveolar bone defect under direct vision. The types of operations include gingivectomy, curettage of bag inner wall, excision and new attachment, flap curettage, membranous gingival surgery, bone repair, bone transplantation and loose tooth fixation.
The third stage: strengthening teeth and permanent restoration treatment. Bushen Gu Chi Pill, Gu Chi Ointment and Liuwei Dihuang Pill should be taken after periodontal surgery to enhance the host's defense ability and consolidate the effect of periodontal treatment. Permanent restoration treatment can be started 2 ~ 3 months after operation, including the restoration of missing teeth, permanent splint, food impaction correction and so on.
The fourth stage: maintain the curative effect and review it regularly. Review once every six months, check the patient's plaque control and periodontal condition, carry out oral hygiene education, make a treatment plan in time when problems are found, and carry out treatment again. If the patient can't control the plaque persistently, the doctor's meticulous treatment will become a time-consuming and laborious work, and the treatment effect will be difficult to maintain.