Depends. It depends on what stage your periodontitis is diagnosed (mild, moderate or severe) and what kind of osseous defect around the tooth (vertical or horizontal). Scaling/root planing with or without local antibiotic delivery is effective for mild-moderate periodontitis. Osseous surgery or regenerative procedures using bonegraft, membrane or emdogain is effective for moderate-severe periodontitis.
Treat the cause. The perio protect method has been shown to kill 99.98% of the bacteria that cause periodontitis. The custom formed trays are used for treatment and then used to prevent redevelopment of the disease. It can be used with lasers, s&rp and all other forms of treatment. Surgery is used in those areas where there is infected cells that don't respond to direct medicine delivery.