When the disease is in an advanced stage and a lot of bone support has already been lost, the most that can be done is to stop the progression of the disease so that it doesn’t get any worse. The lost bone is difficult to recover. However, there are regenerative techniques that can sometimes give very good results.
The basic treatment consists of eliminating the existing infection by thoroughly cleansing the gums, under local anesthesia.
If the condition is very advanced or requires regeneration, a small surgical intervention will be necessary, also under local anesthesia. Antibiotics can be used to complement the treatment.
What’s most important is that the patient is aware of their problem and accepts that, after the initial treatment, they will need to go to their dentist at least once a year to have an annual cleaning, for the rest of their life. Oral hygiene is essential in order to treat these types of problems. Only in this way can an effective therapy be achieved.