Scaling andcurettage Plastic instruments Plastic instruments reinforced with graphite Gold-plated curettes Ultrasonic or sonic scaler covered with a plastic sleeve
Polishing (i) Rubber cup with a nonabrasive polishing paste Such as aluminum oxide, tin oxide, APF-free prophy paste, and low-abrasive dentifrice (ii) Air polishing (Use remains controversial)
Locally applied chemotherapeutics For example: chlorhexidine digluconate (0.12%), plant alkaloids, or phenolic agents
Locally applied chemotherapeutics Such as Arestin, Atridox, PerioChip, or Dentomycin
Water irrigation For example: Hydro Floss
Subgingival irrigation Antiseptic agents such as Peroxide, Listerine, or Chlorhexidine using a plastic irrigation tip