Which factor primarily influences the maintenance of a healthy sulcus post-treatment?

The maintenance of a healthy sulcus following periodontal treatment is primarily influenced by patient compliance with oral hygiene. After surgical intervention or any periodontal therapy, the success of treatment relies heavily on the patient's ability and commitment to follow the prescribed oral hygiene practices. Regular brushing, flossing, and any adjunctive care recommended by the dental professional help prevent the accumulation of plaque, which can lead to inflammation and the potential for pocket depth to increase again.

Without consistent oral hygiene efforts, even the most effective surgical treatments can fail to sustain periodontal health. This highlights the importance of patient education and engagement in their own oral care routine to ensure that the benefits of the treatment are maintained over the long term.

While the degree of periodontal surgery, the initial depth of the pockets, and the presence of calculus can play roles in the initial treatment outcome, they do not equate to the ongoing influence of a patient’s daily hygiene practices in maintaining health after treatment.