Sunday, November 15, 2015

Healing Periodontal Pocket At Different Stages

By Mattie Knight


When there is a depth of an abnormal size between teeth and gum, the dental term used to refer to that condition is periodontal pocket. The depth occurs at the point where gingival tissue makes contact with the tooth. Although not obvious, periodontitis patients are most likely to have pockets too. Healing periodontal pocket is an involving task and success is only dependent on much damage has been done already.

Many diverse factors cause pockets in the mouth. One factor that can lead to the problem is a break down in gums resulting in separation from teeth. A gap is formed in the separation, which is quickly filled with harmful bacteria. Bacteria do further damage leading to a deeper gap. Efforts towards healing require that the bacteria be extracted physically and then the gap refilled, reattached, or removed through any other means.

Pockets usually form around the teeth and get deeper over time when not controlled. Severe damage is done by bacteria to bone and tissue. One starts to feel pain when the damage has reached severe levels. Teeth removal may be the only solution eventually. One can lose all their teeth in the mouth if they fail to get the problem under control.

Periodontal pockets are treated depending on how severe they are. During their initial stages, the bone is usually still intact, but gum tissue is damaged. Gaps at stage measure 4-5 millimeters in depth. Formed calculus can be removed through a process called scaling and root planning. Pain may be felt during this process and some dentists dumb gums to avoid it.

Once this process is finished, one should not feel any pain. Plaque may start forming immediately if proper oral care is not done. It is recommended to brush and floss on a daily basis to keep plaque out. It may take some time, but the gums will move closer to the teeth at the root and health will be restored.

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 has to be done to damaged bone to allow for easy reattachment of gum tissue to healthy bone. In moderate stages of the problem, the size of the pockets is usually between 5-7 millimeters. It is inefficient to use scaling and root planning in such cases. That leaves flap surgery the only option.

Flap surgery provides access to the depth for plaque to be removed. It becomes difficult for reconnection to occur between tissue and teeth if surgery is used. Therefore, the gap left poses a continuous risk for the condition to repeat. The only option left would be to see a hygienist every now and then to clean the depth. Advanced stages of the condition calls for removal of teeth and recovery never occurs totally.




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