6 -4 (90) 2026 - M.A. Alieva, F.Kh. Shamsiev - MODERN TREATMENT OF PERIODONTAL DISEASES: A STAGED EVIDENCE-BASED APPROACH AND INDIVIDUAL RISK PROFILE

MODERN TREATMENT OF PERIODONTAL DISEASES: A STAGED EVIDENCE-BASED APPROACH AND INDIVIDUAL RISK PROFILE

M.A. Alieva- Center for the Development of Professional Qualifications of Medical Workers

F.Kh. Shamsiev- Center for the Development of Professional Qualifications of Medical Workers

K.M. Abduyusupova- Center for the Development of Professional Qualifications of Medical Workers

Resume

Periodontal diseases (gingivitis and periodontitis) are among the leading causes of tooth loss in adults, and their treatment requires not only a one-time procedure but also a long-term management strategy. Current concepts view periodontitis as a chronic inflammatory process beginning with a dysbiotic biofilm (microbial biofilm); its incidence and severity largely depend on risk factors such as smoking, diabetes, oral hygiene, and patient compliance. Therefore, a stepwise treatment model is preferred in practice: (1) diagnosis and disease stage/extent assessment, (2) patient education and risk factor management, (3) professional non-surgical therapy (scaling and root planing) and re-evaluation, (4) surgical and regenerative procedures when necessary, (5) stabilization of the result with supportive periodontal therapy (SPT). In severe cases, after the inflammation has subsided, orthopedic rehabilitation (braces, occlusion correction, prosthetics) is performed to restore functional impairment according to plan.

Keywords: periodontitis, gingivitis, stage and degree, biofilm, scaling, regeneration, maintenance therapy, orthopedic rehabilitation.

First page

38

Last page

41

For citation:M.A. Alieva, F.Kh. Shamsiev, K.M. Abduyusupova - MODERN TREATMENT OF PERIODONTAL DISEASES: A STAGED EVIDENCE-BASED APPROACH AND INDIVIDUAL RISK PROFILE//New Day in Medicine 4(90)2026 38-41 https://newdayworldmedicine.com/en/new_day_medicine/4-90-2026

List of References

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