Parameter on “Refractory” Periodontitis

The American Academy of Periodontology has developed the following parameter on the treatment of “refractory” periodontitis. Patients should be informed of the disease process, therapeutic alternatives, potential complications, expected results, and their responsibility in treatment. Consequences of no treatment should be explained. No treatment is very likely to result in further progression of the disease and eventual tooth loss. Given this information, patients should then be able to make informed decisions regarding their periodontal therapy. J Periodontol 2000;71:859‐860.