I would suggest you to go trough Deas & Mealey 2010 in Periodontology 2000. Hope it is helpful for you.

As result of the aggressive nature of these conditions and lack of response to conventional periodontal therapy

The condition is managed by

Non-surgical (initial phase I/II) therapy

Revaluation

Surgical therapy

Supportive periodontal therapy

Orthodontic treatment

 Systemic antibiotics – to complement non-surgical therapy as the undisturbed subgingival plaque is protected by the biofilm effect

Tetracycline 250 mg qds for 14 days

Metronidazole 250 mg and Augmentin 375 mg (amoxicillin 250 mg) tds for seven days

Revaluation

Sites of active destruction as demonstrated by bleeding on probing and deep periodontal pockets are indications for surgical intervention

 Surgical therapy

Modified Widman Flap

Total elimination of pocket lining which is invaded by causative periopathogens

Accessibility for proper debridement of the osseous defects

 Supportive periodontal therapy

As result of the aggressive nature of the condition, the patient recall should NOT exceed three months intervals

Maintenance recall will prevent the recurrence of the disease and detect any “new” development of periodontal lesions

 Orthodontic treatment

To improve aesthetic problem when required (complete resolution of the condition)

Six months following therapy?

Helo!

I wuold like to read yuor artikle about treatment protocol aggressiv periodontites

Thank yuo