It is common for over-sized depths to be created between teeth and gums, and when that occurs, the condition is referred to as periodontal pocket in dentistry. The position of occurrence of the depth is usually where gingival tissue and tooth come into contact. Periodontitis patients are at a higher risk of developing pockets, but that is not automatic. Healing periodontal pocket involves several procedures depending on one major factor, that is, severity. The severe the situation, the more complicated the healing process.
The occurrence of pockets in the mouth results from many different causes. However, one of the major one is when there is a break down in the gums that cause them to be separated from teeth. The pockets usually get filled with harmful bacteria that occur in the mouth. Once the bacteria are inside that space, they multiply rapidly and lead to the opening deepening even more.
Failure to manage pockets while still at the initial stage allows them to get deeper because they form around teeth. Bone and gum tissue are severely damaged by the action of bacteria. Pain is likely to be felt when as the situation gets worse. Eventually, the only solution left would be to extract teeth. All teeth may have to be extracted in very severe cases that have been going on for years.
The severity of the problem dictates what treatment is adopted for periodontal pockets. Infection is usually confined to the gum tissues, while bones remain intact during initial stages of the disease. At that stage pockets have a depth of 4 to 5 millimeters. The best method used is usually scaling and root planning to eliminate formed calculus. Numbing of gums is done if pockets are tender to reduce or eliminate pain as the process is done.
Pain should not be experienced after the process. Lack of proper oral hygiene leads to formation of plaque again. Daily brushing and flossing is recommended for better and faster results. Gums shrink back to the teeth and health is restored within a couple of month.
If gums are swollen, they may fail to shrink back into the original position. A dentist has to trim such gums back. A gingivectony is the instrument used for trimming gums backward. If not trimmed, the gums form spaces with teeth and recurrence of pockets is eminent.
Smoothening is done in case bone has been damaged so that reattachment of gum tissues to healthy bone is made easy. Pockets are 5-7 millimeters deep in moderate stages of the disease, This size makes scaling and planning insufficient, which makes exploitation of other options necessary. Normally flap surgery becomes the best approach for solving the problem.
Flap surgery opens the tooth to allow easy access to space for cleaning the bacteria and other substances deposited. After the surgery, it is hard to the gum tissue to reconnect to the tooth. If that happens, the patient has to rely on regular visits to a hygienist to control reoccurrence of the problem. More advanced stages of pockets makes recovery and chances of keeping the tooth much harder.
The occurrence of pockets in the mouth results from many different causes. However, one of the major one is when there is a break down in the gums that cause them to be separated from teeth. The pockets usually get filled with harmful bacteria that occur in the mouth. Once the bacteria are inside that space, they multiply rapidly and lead to the opening deepening even more.
Failure to manage pockets while still at the initial stage allows them to get deeper because they form around teeth. Bone and gum tissue are severely damaged by the action of bacteria. Pain is likely to be felt when as the situation gets worse. Eventually, the only solution left would be to extract teeth. All teeth may have to be extracted in very severe cases that have been going on for years.
The severity of the problem dictates what treatment is adopted for periodontal pockets. Infection is usually confined to the gum tissues, while bones remain intact during initial stages of the disease. At that stage pockets have a depth of 4 to 5 millimeters. The best method used is usually scaling and root planning to eliminate formed calculus. Numbing of gums is done if pockets are tender to reduce or eliminate pain as the process is done.
Pain should not be experienced after the process. Lack of proper oral hygiene leads to formation of plaque again. Daily brushing and flossing is recommended for better and faster results. Gums shrink back to the teeth and health is restored within a couple of month.
If gums are swollen, they may fail to shrink back into the original position. A dentist has to trim such gums back. A gingivectony is the instrument used for trimming gums backward. If not trimmed, the gums form spaces with teeth and recurrence of pockets is eminent.
Smoothening is done in case bone has been damaged so that reattachment of gum tissues to healthy bone is made easy. Pockets are 5-7 millimeters deep in moderate stages of the disease, This size makes scaling and planning insufficient, which makes exploitation of other options necessary. Normally flap surgery becomes the best approach for solving the problem.
Flap surgery opens the tooth to allow easy access to space for cleaning the bacteria and other substances deposited. After the surgery, it is hard to the gum tissue to reconnect to the tooth. If that happens, the patient has to rely on regular visits to a hygienist to control reoccurrence of the problem. More advanced stages of pockets makes recovery and chances of keeping the tooth much harder.
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