Treatment of periodontitis may include several steps the gums and underlying bone .
Several steps are the first of which often requires the removal of the local causative factors in order to create a biologically compatible environment between the tooth and the surrounding periodontal tissues .
Treatment of periodontitis may include several steps , the first of which often requires the removal of the local causative factors in order to create a biologically compatible environment between the tooth and the surrounding periodontal tissues , the gums and underlying bone .