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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.
In dentistry, pocket reduction surgery is a periodontal surgery performed in order to reduce the probeable depth of the gingival sulcus (known as a periodontal pocket in disease) to allow for less plaque accumulation and greater access for hygiene.
Pocket depths greater than 3 mm can also be a sign of gingival hyperplasia. The periodontal probe can also be used to measure other dental instruments, tooth preparations during restorative procedures, gingival recession, attached gingiva, and oral lesions or pathologies.
In some people, gingivitis progresses to periodontitis — with the destruction of the gingival fibers, the gum tissues separate from the tooth and deepened sulcus, called a periodontal pocket. Subgingival microorganisms (those that exist under the gum line) colonize the periodontal pockets and cause further inflammation in the gum tissues and ...
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 ...
The gingival pocket between the tooth and the gingival should be no deeper than 1–3mm to be considered healthy. There is also the absence of bleeding on gentle probing. [11] Periodontal diseases can be caused by a variety of factors, the most prominent being dental plaque.
Periodontal Pockets. Illustration of periodontal pocket on the right side of the tooth causing periodontal disease. A periodontal pocket is formed from a disease process; it is defined as the apical extension of the gingiva, resulting in detachment of the periodontal ligament (PDL). [2]
In the presence of periodontal disease, the gingival sulcus becomes a periodontal pocket and the oxidation reduction potential will decrease to low levels as the site is very anaerobic. At the same time, the gingival crevicular fluid would have increased by 147% when gingivitis is present and would have increased by up to 30-fold where ...