For periodontal desease your dentist may follow a protocol that include:
Instruction, reinforcement, and evaluation of the patient’s plaque control should be performed. Supra- and sub gingival scaling and root planing should be performed to remove microbial plaque and calculus. Antimicrobial agents or devices may be used as adjuncts. Local factors contributing to periodontitis should be eliminated, or controlled. To accomplish this, the following procedures may be considered:
A. Removal or reshaping of restorative overhangs and over-contoured crowns; B. Correction of ill-fitting prosthetic appliances; C. Restoration of carious lesions; D. Odontoplasty; E. Tooth movement; F. Restoration of open contacts which have resulted in food impaction G.Treatment of occlusal trauma.
Periodontal examination
Before remove calculus and after remove calculus
If the periodontal desease is chronic, your dentist has to follow a different protocol. It includes:
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Surgical treatments
Periodontal surgery:
A variety of surgical treatment modalities may be appropriate in managing the patient.
1. Gingival augmentation therapy.
2. Regenerative therapy:
A. Bone replacement grafts;
B. Guided tissue regeneration;
C. Combined regenerative techniques.
3. Resective therapy:
A. Flaps with or without osseous surgery;
B. Gingivectomy.
Non- surgical treatments
Occasional redness or bleeding of gums while brushing teeth, using dental floss or biting into hard food (e.g. apples) 
