HuFriedyGroup Clinical Navigator

Targeted Healing Approach for Teeth and Implants

Interactive clinical decision pathway
e78d43d
ContinueContinueContinueContinueAlready in SPTAlready in SPTContinueContinueContinueContinueResidual pocketsResidual pocketsAccess flapAccess flapResectiveResectiveRegenerativeRegenerativeContinueContinueContinueContinueContinueContinueContinueContinueYes, resolvedYes, resolvedStableStableResolved (rare)Resolved (rare)Endpoints metEndpoints metContinueContinue→ Residual pocketsDiagnosisHealthyGingivitisPeriodontitisGingivitis txJourneySPT entryStep 1Re-eval 1Step 2Re-eval 2SurgeryAccess flapResectiveRegenerativeRe-eval 3SPT

Surgical Approach (Step 3)

Select based on defect morphology. Repeat subgingival instrumentation may resolve shallow residual pockets without surgery (R6.1).

Periodontist
EFP S3 staircase — Step 3 highlighted
EFP S3 staircase — Step 3 highlighted

Surgical periodontal therapy in non-compliant patients without adequate plaque control is not recommended.

Evidence Guidelines & evidence
  • EFP S3 R6.1
    For sites with residual probing depths ≥ 4 mm with BOP or with deep residual probing depths (PD ≥ 6 mm), repeated subgingival instrumentation may be performed in step 3.
1

Pre-surgical prerequisites

Adequate self-performed OH and demonstrated compliance are required. Adjust prosthetic factors that block hygiene access. Surgical periodontal therapy should be provided by clinicians with specific training (R6.2).

Illustration · Step 1
Core
Select

—

Premium

—

2

Select approach by defect morphology

Access flap → residual moderate pockets (PD 4–5 mm) without intrabony defect (R6.2). Resective → suprabony / horizontal defects, apically positioned flap ± osseous recontouring (R6.4). Regenerative → intrabony defects ≥ 3 mm with 2–3 containing walls, bone graft ± membrane (R6.3).

Illustration · Step 2
3

Repeat instrumentation as alternative

For shallow residual pockets (PD = 5 mm with BOP) or where access is the limiting factor, repeat subgingival instrumentation may resolve disease without surgery (R6.1).

Illustration · Step 3
Core

—

Select
Premium

Your decision

Access flap
Residual moderate pockets — no bony defect to regenerate
  • Residual PD 4–5 mm
  • No intrabony defect
  • Compliant patient
Resective
Suprabony / horizontal defects
  • Suprabony defect
  • Horizontal bone loss
  • Pocket elimination indicated
Regenerative
Intrabony defects ≥ 3 mm
  • Intrabony defect ≥ 3 mm
  • 2–3 containing bony walls
  • Compliant patient