This is one of the best home remedies for periodontal pockets which can be followed very easily and safely at home. There may be a bluish red vertical zone from the gingival margin to the alveolar mucosa. The process of periodontal pocket formation starts with plaque accumulation and its maturation. The pattern of destruction of underlying bone is horizontal. Periodontal Pockets are two types which are Suprabony and Intrabony pockets. Pathologic granules can be found in areas of collagen degeneration 41. X-ray showing supporting bone X-ray showing periodontal bone loss How are periodontal diseases treated? The deposition of plaque onto the root surface causes degradation of collagen fibers embedded in cementum. Zone where the junctional epithelium is attached to the tooth: This is the zone where the junctional epithelium is attached to the tooth. Flap surgery is especially helpful for people who have tartar deposits in deep pockets. Following the destruction of superficial fibers of the circular ligament, bone resorption is evident. It is also known as a spiral pocket. Thus, periodontal destruction can be observed adjacent to a tooth with no periodontal breakdown. Flap Surgery: Dentists would recommend for flap surgery as you might have deeper space between your gums and tooth. After a periodontal pocket has been scaled, root-planed, and curetted, a reattachment by epithelial cells to the root surface may occur. It is formed by gingival enlargement, without destruction of the underlying periodontal tissues. Mombelli A. Microbial colonization of the periodontal pocket and its significance for periodontal therapy. We can easily diagnose periodontal pockets by observing the gum line and teeth, any presence of plaque or tartar is between gums and teeth can be considered as the early sign of periodontal pockets. 1955 Jan;26(1):14-20. Hence, the adjoining epithelial cells do not get their normal nutrition. All of these classification schemes combine to provide the periodontal diagnosis of the aforementioned … All Right Reserved by Dental Tips for All. Treatment for Periodontal pockets depends on various factors like the depth of pockets and the formation of tartar or plaque around your teeth along with other symptoms. Pathologic granules can be found in areas of collagen degeneration, Areas of variable calcification can be found on the cemental surface. ... which depends on probing pocket depths, vertical defects, involvement of furcation, mobility of teeth etc [4,5]. Leave a comment. Reducing pocket depth and eliminating existing bacteria are important to prevent damage caused by the progression of periodontal disease and to help you maintain a healthy smile. When we neglect cleaning the spaces or with the improper cleaning of the sulcus, Plaque formed in the spaces hardens into tartar which can’t be removed with usual brushing techniques or flossing. Essential Oil Mouth Wash: Using essential oils for teeth and gum health is recommended by many dentists. periodontal ligament ,cementum & alveolar bone. A summary paper of the workshop by Dr. Gary Armitage is available on the AAP Web site at Porphyromonas gingivalis and Prevotella intermedia have been found in the gingiva of aggressive periodontitis cases 32. In the case of pseudopockets, there is no clinical attachment loss as the junctional epithelial attachment is at its normal position i.e. There is proliferation of epithelial cells in the form of finger-like processes into the underlying connective tissue. Kuboniwa M, Lamont RJ. Microorganisms in plaque get embedded into the cementum 42. Periodontal pocket 1. Following the detachment of principal periodontal fibers, the epithelial attachment proliferates down onto the cementum of the tooth to occupy the area that was previously taken up by these fibers. The ecological plaque hypothesis. The virulence factors produced by bacteria in the plaque stimulate the host immune response. Present status of the periodontal vaccine, Periodontal maintenance (Supportive periodontal therapy), Orthodontic-periodontal interrelationship, Piezosurgery in periodontics and oral implantology. Periodontal probe in a periodontal pocket SAMPLE. Author information: (1)Columbia University School of Dental and Oral Surgery, Division of Periodontics, USA. The coronal movement of the gingival margin (gingival enlargement) without the destruction of underlying periodontal tissues is designated as a pseudo pocket or gingival pocket, whereas apical migration of the junctional epithelium with the destruction of supporting periodontal tissues is designated as a true pocket or periodontal pocket. Lamster IB(1). Areas of hemorrhage (with numerous erythrocytes). The destruction of the underlying connective tissue be graded, and curetted, a reattachment epithelial. 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