What is the best way to manage a gum disease called periodontitis in aggressive stage?

Surgery: See a dental specialist called a periodontist. They will probably start you out with a deep cleaning called a scaling and root planing and then perhaps plan on some gum surgery and even the extraction of some teeth.

Aggressive perio: Please make sure you get treatment from a periodontist you need the gums and bone treated all the while on antibiotics aggressive bone loss must be well supervised otherwise you will be in danger of losing teeth.

Aggressive treatment: If you are only 20, then this may be rapidly progressing gum disease which usually needs to be treated surgically. See your dentist for an evaluation.

Professional care: Advanced periodontitis must be treated by a highly trained general dentist or periodontist. The treatment will involve an intense and deep cleaning, use of systemic antibiotics, special rinses, possible gum surgery, rigorous homecare, 3-4 professional cleaning a year and possibly the placement of localized antibiotics. Regardless, there is no real cure, but vigilance will keep it in remission!