HuFriedyGroup Clinical Navigator

Targeted Healing Approach for Teeth and Implants

Interactive clinical decision pathway
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ContinueContinueContinueContinueAlready in SPTAlready in SPTContinueContinueContinueContinueResidual pocketsResidual pocketsAccess flapAccess flapResectiveResectiveRegenerativeRegenerativeContinueContinueContinueContinueContinueContinueContinueContinueYes, resolvedYes, resolvedStableStableResolved (rare)Resolved (rare)Endpoints metEndpoints metContinueContinueDiagnosisHealthyGingivitisPeriodontitisGingivitis txJourneySPT entryStep 1Re-eval 1Step 2Re-eval 2SurgeryAccess flapResectiveRegenerativeRe-eval 3SPT

Re-evaluation of Step 2

Endpoints met (no PD > 4 mm) → SPT. Residual pockets > 4 mm → Step 3.

GPDental HygienistPeriodontist
Step 2 → SPT path when no Step 3 needed
Step 2 → SPT path when no Step 3 needed

Endpoints (R5): PD ≤ 4 mm at all sites, no BOP. Reaching these endpoints means SPT (skip Step 3). Falling short means Step 3.

Evidence Guidelines & evidence
  • EFP S3 R5 — endpoints
    Treatment endpoints after step 2: probing depth ≤ 4 mm at all sites with no bleeding on probing.
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Re-assessment at 8–12 weeks

Full-mouth probing depths, BOP, suppuration. Endpoints (R5.x): PD ≤ 4 mm with no BOP at any site. Persistent PD ≥ 5 mm or PD = 4 mm with BOP → consider Step 3 surgery.

Illustration · Step 1
Core
Select

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Your decision

Endpoints met
→ SPT
  • PD ≤ 4 mm at all sites
  • No BOP
  • No suppuration
Residual pockets
→ Step 3 (surgery)
  • PD > 4 mm with BOP
  • Bone loss progressing
  • Surgical defect identified

Expert perspectives

“If you reach PD ≤ 4 mm with no BOP at re-evaluation, you have done your job. Most patients can be maintained with SPT alone.”
Prof. David Herrera
Periodontology, Complutense University Madrid