Dealing with periodontal disease in practice can be hugely challenging. Constraints of funding systems both NHS and private and trying to convince patients of the relevance of this treatment remain huge barriers to care. This lecture considers the most effective evidence-based treatments at our disposal. Decision-making on extracting teeth can make disease management realistic and successful. A systematic approach can simplify each decision in any situation.

• Understand the extent of periodontal disease in our populations
• Overview of the latest evidence and guidance on managing perio disease effectively
• In depth look at tooth prognosis: factors which help decision making on whether to extract teeth
• Once teeth have gone what then? In susceptible patients do we alter our prosthodontic decisions?