Dr.Ramfjord wrote, "The statistically significant total gain of attachment following subgingival curettage compared with a slight loss following surgical pocket elimination obviously will call for revision of current practice if these results are confirmed by more extensive studies."

Our current standard of care would include modified Widman flap surgery and would not be characterized as pocket elimination and scaling and root planing which may be less invasive than gingival curettage. The results of this study held up well in the following two studies as we shall see.