Chair and Head Department of Periodontology, School of Dentistry, Faculty of Health, University of Witten, Germany
Despite intensive postoperative oral hygiene protocols, the risk of a persistent inflammatory reaction is high in deep periodontal pockets. The combination of mechanical debridement, supported by careful decontamination using a hypochlorite-based antimicrobial gel, provides an effective option for germ reduction & biofilm removal. Cross-linked hyaluronic acid is applied to support healing processes and "seal" the cleansed wound site from re-infection. This case report presents a typical protocol for the successful non-surgical treatment of deep periodontal pockets according to this "Clean & Seal" concept in the context subgingival scaling or supportive periodontal therapy.