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A periodontal pocket can become an infected space and may result in an abscess formation with a papule on the gingival surface. Incision and drainage of the abscess may be necessary, as well as systemic antibiotics; placement of local antimicrobial delivery systems within the periodontal pocket to reduce localized infections may also be considered.
A periodontal pocket contains dental plaque, bacteria and subgingival calculus. [6] Periodontal pathogens continually find their way into the soft tissues, but normally they are held in check by the immune system. [7] A periodontal abscess represents a change in this balance, related to decreased local or systemic resistance of the host. [8]
Nonsurgical scaling and root planing are usually successful if the periodontal pockets are shallower than 4–5 mm (0.16–0.20 in). [72] [73] [74] The dentist or hygienist must perform a re-evaluation four to six weeks after the initial scaling and root planing, to determine if the person's oral hygiene has improved and inflammation has ...
A periodontal abscess involves a greater dimension of the gum tissue, extending apically and adjacent to a periodontal pocket. A pericoronal abscess may occur during an acute episode of pericoronitis in the soft tissue surrounding the crown of a partially or fully erupted tooth, usually around a partially erupted and impacted mandibular third ...
Bleeding on probing, but gingival pockets < 3 mm 2: Periodontal pocketing < 3mm, but calculus (dental) present with or without plaque retentive factors such as "overhanging" restorations 3: Shallow periodontal pockets 4 - 5.5 mm (i.e. first band on probe partially visible) 4: Deep periodontal pockets > 6 mm (first band on probe disappears)
Gingivectomy is the primary treatment method available in reducing the pocket depths of patients with periodontitis and suprabony pockets. [4] [5] In a retrospective comparison between different treatment approach to periodontitis management based on the initial and final gingival health, conventional gingivectomy was proven to be more successful in reducing pocket depths and inflammation ...
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[2] on at least two permanent teeth (one which is a first molar) and no involvement of more than two teeth other than the first molars and incisors, [2] [33] lack of inflammation and evidence of deep periodontal pocket with advanced bone loss. [2] There is also a relatively fast progression of periodontal tissue loss. [33]