The Next Stage in Periodontal Therapy ― Moving Beyond SRP:Three Clinical Pillars for Transforming Tomorrow’s Practice — Diagnosis, Evaluation, and Technique - The 6th International Dental Symposium

Session

10/ 3(Sat)

15:15 - 16:45

4F〜6F ホール C

Session 44

Session 45

The Next Stage in Periodontal Therapy
― Moving Beyond SRP:Three Clinical Pillars for Transforming Tomorrow’s Practice
― Diagnosis, Evaluation, and Technique

歯周治療 Next Stage
～SRPを“やって終わり”にしない！明日の臨床を変える3つの力【判断・評価・操作】～

Even when you feel you have successfully completed scaling and root planing (SRP), is the treatment truly leading to positie clinical outcomes?
Once you can visualize the subgingival environment, the next step is accurately assessing the condition, performing treatment with confidence, and properly evaluating the results to move on to the next stage of care. In this session, three speakers will discuss instrument selection, consistency in instrumentation, post-SRP evaluation, and clinical decision-making for long-term stability. Explore how to move beyond simply performing SRP and connect treatment outcomes to successful periodontal care.

Japan

Ms. Yuriko
Chiba 千葉
由利子先生（DH）

Hirosedori Dental Clinic 広瀬通り歯科クリニック

Lecturer

Enhancing the quality of SRP: Clinical decision-making, instrument selection, and techniques for consistent execution

Assessment – Developing a tactile understanding of subgingival conditions through periodontal instrumentation
Instrument selection – Choosing the right instruments to maximize tactile sensitivity and debridement efficiency
Execution (instrumentation) – Translating clinical assessment and instrument selection into predictable SRP techniques

SRP is far more than a technical scaling procedure; it is a critical component of periodontal therapy in which treatment outcomes depend on sound clinical judgment and consistent, reproducible instrumentation. This lecture will discuss location-specific treatment strategies based on the condition of the periodontal tissues, principles of instrument selection according to root surface characteristics, and key techniques for achieving predictable clinical results. Rather than simply performing SRP, the focus will be on the practical decision-making and technical execution required to consistently translate treatment into successful clinical outcomes.

Japan

Ms. Seira
Ito 伊藤
星良先生（DH）

Maruyama Green Dental Clinic 円山グリーン歯科

Lecturer

Clinical decision-making after SRP: Connecting initial periodontal therapy to SPT

Is the patient truly ready to transition to SPT after SRP?
Why clinical uncertainty may persist despite improvements in probing depths
Re-evaluation as the foundation for clinical decision-making, not simply a measure of treatment success
Determining appropriate SPT intervals to achieve long-term periodontal stability
Selecting the appropriate instruments for patients with attachment loss during supportive periodontal therapy

Re-evaluation following SRP is more than a confirmation of treatment outcomes; it is a critical decision point for determining whether to transition to SPT, perform further non-surgical intervention, or proceed with periodontal surgery. Through clinical cases spanning the initial examination, initial periodontal therapy, and ongoing SPT, this lecture will discuss how to interpret not only improvements in clinical parameters such as PPD and BOP, but also inflammation control, residual risk factors, and changes associated with the patient's life stage. In addition, individualized SPT interval planning, management of attachment loss, and the principles of instrument selection and maintenance during the SPT phase will be presented, providing a clinical approach to translating SRP into stable periodontal management.

Japan

Ms. Yumiko
Tanigaki 谷垣
裕美子先生（DH）

Yasufuku Dental Clinic
Opal Dental Clinic 安福歯科医院
オパールデンタルクリニック

Lecturer

Mastering periodontal instrumentation in 30 minutes: Practical techniques from active therapy to supportive care

Clinical assessment (strategy) – A decision-making approach to selecting the appropriate treatment strategy based on clinical findings
Instrumentation techniques (active therapy) – Practical tips for instrument selection and techniques to overcome common clinical challenges
Instrument maintenance (optimization) – Why the instruments themselves may be the key to successful treatment, illustrated through clinical videos
Long-term maintenance (supportive care) – Clinical perspectives on preserving periodontal stability through long-term case management

Achieving predictable outcomes in periodontal therapy requires several fundamental principles. This lecture will present practical tips and techniques that can be applied in daily clinical practice from four perspectives: assessment, active therapy, optimization, and long-term maintenance.
Using clinical cases, the lecture will discuss clinical decision-making in challenging situations, key technical considerations, appropriate instrument selection and maintenance, and approaches to long-term maintenance for preserving periodontal stability.
Practical insights that can be immediately applied in daily clinical practice will also be shared.