Periodontitis is one of the most prevalent chronic inflammatory diseases of the periodontium, characterized by progressive destruction of the connective and bone tissues surrounding the tooth. The lack of timely and effective treatment leads to tooth loss, deterioration of oral health, and a significant decline in the patient’s quality of life. This article presents a comprehensive review of modern treatment approaches for periodontitis, including mechanical debridement, pharmacological therapy, surgical interventions, and regenerative techniques. Particular attention is paid to the individualization of therapeutic strategies depending on the stage of the disease, the depth of periodontal pockets, the presence of systemic risk factors, and the patient's microbial status. Comparative characteristics of various treatment modalities are provided along with clinical examples of successful implementation of a combined approach. The effectiveness of multistage therapy using advanced technologies such as guided tissue regeneration, laser therapy, and the use of osteoconductive biomaterials is substantiated. The study emphasizes the importance of an interdisciplinary approach and regular supportive care to ensure stable long-term outcomes.

periodontitis, scaling, curettage, periodontal surgery, regeneration, biomaterials.

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