A 45-year-old male patient reported to the Department of Periodontology, Krishnadevaraya College of Dental Sciences and Hospital, Bangalore for management of dull and nagging pain since 4 days in 45 and 46. Intraoral examination revealed generalized periodontal pockets (4-7 mm), Grade II furcation involvement in 46 and localized periodontal abscess in respect to 44 and 45. Radiographically, 44 and 45 demonstrated moderate angular bone loss with a deeper component distally. The case was diagnosed as moderate chronic periodontitis with chronic localized periodontal abscess at 44 and 45. A comprehensive treatment plan including non-surgical and presumptive surgical therapy including use of LLLT and bone graft was presented before the patient and signed informed consent was obtained.On day 1, intra-sulcular emergency abscess drainage was carried out at 44 and 45. Non-surgical periodontal therapy consisting of full mouth scaling and root planing was completed within next three weeks, with follow-up up of three months. The clinical parameters were recorded [Table/ Fig-1,2]. Observing optimal plaque control, good patient compliance and deep residual pockets, decision for surgical treatment was made and informed to the patient.