
An increasing number of patients have become aware of the detrimental effects of periodontal disease and tooth-loss and they seek periodontal care. The cornerstone of management of chronic periodontitis is the non-surgical periodontal treatment. The primary goal of periodontal therapy is to preserve the natural dentition by achieving and maintaining a healthy functional periodontium. Many adjunctive treatment modalities have been introduced lately to enhance the therapeutic outcome of periodontal treatment. It appears that there is no periodontal therapy where nonsurgical periodontal therapy is no longer effective. Some of these modalities have been found to offer statistical significant benefit in clinical outcomes than the scaling and root planning alone.