What Is Perioscope Therapy? — Perio On Point
Clinical explainer

What perioscope therapy is.

1. The instrument

A perioscope is a dental endoscope: a fiber-optic bundle in a sterile sheath introduced subgingivally, with a fluid stream to keep the field clear, displaying the root surface on a monitor at high magnification.

2. What visualization changes

Deposit location, extent, and complete removal can be confirmed visually rather than inferred tactilely. Root anatomy — concavities, furcations, restorative overhangs, cemental tears — is directly observable.

Subgingival tissue as displayed on the perioscopy monitor during treatment

The subgingival field as it appears on the monitor during treatment.

3. Where it sits in a treatment sequence

Adjunct to scaling and root planing, not a replacement for it, and not a replacement for surgical therapy where surgical therapy is indicated. Often preceded by a full-mouth debridement when heavy supragingival calculus is present.

4. A typical appointment

Local anesthetic, quadrant-by-quadrant work. Chair time depends on scope:

ScopeTime
1–3 teeth60 minutes
4–6 teeth / one quadrant90 minutes
2 quadrants (half mouth)2 hours
Full mouth4.5 hours
5. After treatment

Re-evaluation and probing at 8 weeks. Perio maintenance every 3 months, with the patient's own dentist and hygienist.

Read the post-operative instructions →

Is this something you need now?