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It is well recognized that periodontitis is a multifactorial disease. Few of the factors contributing to the onset and progression of periodontal disease can however, be altered by the patient or the clinician, to prevent the recurrence of periodontitis. Some factors can be modulated, i.e. bacterial colonization and smoking. Good control of supragingival plaque is an effective way to prevent disease progression. It has been shown that an effective supragingival oral hygiene may even affect the subgingival micro biota. Successful periodontal therapy with regular SPT can promote periodontal health & reduce tooth loss. Following active periodontal therapy, an interval should be established for periodic ongoing care.
If the patient was placed on regular SPT, many of the teeth would not have been extracted. The Periodontist’s role doesn’t end with just completing the surgeries. Frequent recall visits must be scheduled based on the severity of the disease and the prognosis of the case. This would ensure that the treated sites are kept in check against the array of microorganisms and plaque which would otherwise harbour the oral cavity and hinder the oral health. Further research predicting disease activity may include more accurate method for documentation & assessment by clinical attachment levels, improved imaging technology, microbiological assessment & enhanced evaluation of GCF component which would permit SPT schedule to be better adapted to the needs of individual