Periodontol 2000. 2017 Oct;75(1):152-188. doi: 10.1111/prd.12201.
Treatment of periodontitis aims at preventing further disease progression with the intentions to reduce the risk of tooth loss, minimize symptoms and perception of the disease, possibly restore lost periodontal tissue and provide information on maintaining a healthy periodontium. Therapeutic intervention includes introduction of techniques to change behavior, such as: individually tailored oral-hygiene instructions; a smoking-cessation program; dietary adjustment; subgingival instrumentation to remove plaque and calculus; local and systemic pharmacotherapy; and various types of surgery. No single treatment option has shown superiority, and virtually all types of mechanical periodontal treatment benefit from adjunctive antimicrobial chemotherapy. Periodontal treatment, because of the chronic nature of periodontitis, is a lifelong commitment to intricate oral-hygiene techniques, which, when properly implemented, will minimize the risk of disease initiation and progression.
牙周炎的治疗旨在预防疾病进一步发展，降低牙齿丧失的风险，最大限度地减少症状和疾病的感知，可能恢复丢失的牙周组织，并提供有关保持健康牙周的信息。治疗干预包括引入改变行为的技术，例如：个性化的口腔卫生指导；戒烟计划；饮食调整；龈下器械刮除菌斑和牙石；局部和全身药物治疗；以及各种类型的手术。没有单一的治疗方法显示出优越性，几乎所有类型的机械牙周治疗都受益于辅助抗菌化学治疗。由于牙周炎的慢性性质，牙周治疗是对复杂口腔卫生技术的终身承诺，当正确实施时，将最大限度地降低疾病发生和进展的风险。
