Applying the periodontal risk assessment model (Lang & Tonetti, 2003), the number of residual pockets of ≥5 mm failed to be a patient factor predicting tooth loss in the maintenance phase (Matuliene et al., 2010). The core outcome set will be defined by a consensus of key stakeholders including patients, dentists, hygienists/therapists, specialists, clinical researchers and policymakers. If active disease is detected, re-treatment is undertaken during the maintenance therapy over a series of appointments, in effect, returning the patient to a phase of active periodontal treatment. Furcation involvement (FI) was assessed clinically at start of periodontal therapy and assigned according to Hamp et al. Aim of this study was to evaluate tooth loss (TL) during 10 years of supportive periodontal therapy (SPT) in periodontal compromised patients and to identify factors influencing TL on patient level. Number of times cited according to CrossRef: Evidence-based, personalised and minimally invasive treatment for periodontitis patients - the new EFP S3-level clinical treatment guidelines. Today we understand that periodontitis is an inflammatory disease and that a proportion of the population is susceptible (Bartold & Van Dyke. Along with brushing and flossing after every time eating, individuals can also in increase their periodontal well-being by being intentional about the food and drink they consume. This is done so that the active periodontal infection is reduced and the overall tissue quality is improved prior to surgery. Active periodontal therapy is defined as a standard treatment consisting of oral hygiene instructions, biofilm and calculus removal (a.k.a. Calculus present under the gum line cannot be removed by brushing harder. In that respect, also a recent systematic review concluded that there is insufficient evidence to determine the superiority of different periodontal therapy protocols or adjunctive strategies to improve tooth survival during the periodontal maintenance phase (Manresa, Sanz‐Miralles, Twigg, & Bravo, 2018); no trials evaluated supportive periodontal therapy versus monitoring only. As a … The full text of this article hosted at iucr.org is unavailable due to technical difficulties. However, no clinical probing measures at the end of active periodontal treatment were found to contribute significantly to the risk of recurrence of periodontitis (presumably “need for re‐treatment”) when applying the periodontal risk assessment model (Matuliene et al., 2010). Clearly, there are unidentified variables causing data heterogeneity and affecting the risk of tooth loss, for example different treatment traditions over the last 60 years, geographical variation, dental care reimbursement systems, the popularity of implant therapy and number of remaining natural teeth. Nevertheless, Matuliene and co‐workers identified that after active periodontal therapy, residual pockets ≥6 mm and full‐mouth bleeding scores of ≥30%, represented a risk for tooth loss for the patient (Matuliene et al., 2008). However, with our current knowledge, we realize that chronic inflammation of the periodontal tissues (clinically visible as red and swollen gingiva and professionally assessed by bleeding on probing or noticed by the patients as bleeding after tooth brushing) even when none or when minimal periodontal attachment loss and alveolar bone loss are incurred (e.g., pregnancy gingivitis) may give rise to a systemic inflammation affecting other organs, such as the cardiovascular system or the course of a pregnancy and development of the embryo in utero (Daalderop et al., 2018; Dave & Van Dyke, 2008; Linden, Lyons, & Scannapieco, 2013; Sanz et al., 2019; Schenkein & Loos, 2013). Your first step in treating periodontitis is a conservative, nonsurgical treatment called scaling and root planing (SRP). Involving people living with periodontitis as co‐researchers in the design of these studies would also help to improve their relevance. APT is a shorter form of Active Periodontal Therapy. Periodontal Therapy Your oral health and general wellbeing is our focus and our specialist team can provide you with all types of periodontal therapy to ensure you get the care you deserve. Non-surgical therapy does have its limitations however, and when health is not achieved surgery may be indicated to restore periodontal anatomy damaged by this disease. In fact, periodontal Therefore, it is a challenge to design clinical studies on active periodontal therapy keeping above facts in mind, since the recruitment of study subjects may yield a large majority of patients with chronically inflamed, but not actively progressing periodontal lesions. By no means, it has been our intention to discard more than 50 years of valuable clinical research in periodontology. initial or cause‐related therapy) with or without adjunctive antimicrobials and with or without surgical treatment. Material and Methods. Are dental diseases examples of ecological catastrophes? 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