Evidence-based recommendations for periodontal treatment

Song, Young Woo

doi:2025.63.11.370

J Korean Dent Assoc > Volume 63(11); 2025 > Article

Special Issue

Journal of Korean Dental Association 2025;63(11):370-375.
DOI: https://doi.org/10.22974/jkda.2025.63.11.005 Published online November 30, 2025.

치주질환 치료에 대한 근거 기반 제언

Evidence-based recommendations for periodontal treatment

Young Woo Song

Department of Periodontology, Veterans Health Service Medical Center, Seoul, Korea

Correspondence: Young Woo Song, Tel: +82-2-2225-2616,
Email: ywsong84@gmail.com

Abstract

Periodontal disease is a chronic inflammatory condition affecting the supporting tissues of the teeth and is highly prevalent worldwide. Its association with systemic diseases such as cardiovascular disease and diabetes underscores the importance of prevention and long-term management. This review outlines a comprehensive, evidence-based approach to periodontal therapy, emphasizing a stepwise clinical protocol. Treatment begins with oral hygiene instruction, followed by non-surgical periodontal therapy and re-evaluation. If necessary, surgical interventions—including resective and regenerative osseous procedures—are performed. Regenerative therapy encompasses techniques such as guided tissue regeneration, bone grafting, and the use of growth factors, aiming to restore periodontal attachment structures. Postoperative care includes personalized supportive periodontal therapy guided by Periodontal Risk Assessment (PRA), allowing for individualized recall intervals based on patient risk profiles. By synthesizing current knowledge and treatment principles, this review aims to provide practical clinical guidance for the effective management of periodontitis.

Key Words: Periodontal disease; Periodontal treatment; Periodontal maintenance