Treatment of periodontosis

Abstract

Periodontosis is a rare, chronic, non-inflammatory degenerative disease of the periodontal tissues, characterized by progressive alveolar bone atrophy, gingival recession, and tooth mobility without pronounced inflammatory signs. Unlike periodontitis, which is primarily associated with microbial infection and immune response, periodontosis is considered to have a multifactorial etiology, including genetic predisposition, vascular disorders, systemic diseases, and metabolic imbalances. The clinical challenge lies in its asymptomatic onset, which often leads to delayed diagnosis when tissue destruction is already advanced. This article provides a comprehensive review of modern therapeutic approaches to the management of periodontosis, combining professional oral hygiene, pharmacological support, physiotherapy, regenerative surgical techniques, and long-term maintenance therapy. Data from recent literature, clinical trials, and observational studies are analyzed to highlight effective methods for slowing disease progression and improving functional and aesthetic outcomes. Emphasis is placed on patient education, early intervention, and multidisciplinary collaboration in treatment planning.