At first, a general medical inquiry is made covering current medications, habits and co-existing illnesses
- e.g. diabetes, high blood pressure - that can contribute to the current symtoms or create unwanted effects.
We then evaluate clinical as well as radiological findings and measure the depth of the gums.

Next the bacterial infection must be treated.
Therefore, the therapy begins with the visit to the clinics hygiene specialist where the professional cleaning is provided. The gums surrounding the teeth and the upper roots are numbed through local anaesthetic, then cleaned. Improved probing methods and specialized instruments are then employed to remove tartar deep beneath the gums and to flush the roots (curretage).

The main goal of initial therapy is to destroy the germs which have contributed to the present condition.