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    Periodontal Pocket

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    Dr Ruchita Patil

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    © All Rights Reserved
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    Periodontal Pocket

    Uploaded by

    Dr Ruchita Patil
    1 views3 pages

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    1 views3 pages

    Periodontal Pocket

    Uploaded by

    Dr Ruchita Patil

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    IDENTIFICATION: PERIODONTAL POCKET

    A periodontal pocket is a pathologically deepened gingival sulcus around a


    tooth at the gingival margin.
     Different types of Periodontal Pocket include:
    Gingival Pocket: There is no destruction of the supporting periodontal tissue.
    Suprabony: occurs when the bottom of the pocket is coronal to the underlying
    alveolar bone.
    Intrabony: occurs when the bottom of the pocket is apical to the level of the
    adjacent alveolar bone. With this second type, the lateral pocket wall lies
    between the tooth surface and the alveolar bone.

     Landmarks of Periodontal pocket


    1. Crest of ingival margin
    2. Cementoenamel junction
    3. Base of the pocket (coronal 1/3 of JE)
    4. Crest of the alveolar bone
    5. Mucogingival junction

    CLINICAL FEATURES:
    1. Pocket Depth: The depth of the periodontal pocket is measured using a
    periodontal probe. Normally, the depth of the gingival sulcus is 1-3 mm. In
    periodontal disease, the pocket depth increases and may be 4 mm or more.
    2. Bleeding on Probing: The presence of bleeding upon probing is a common
    sign of inflammation within the periodontal pocket.
    3. Suppuration: In advanced cases, the periodontal pocket may exhibit
    suppuration, which is the discharge of pus.
    4. Mobility: Teeth affected by periodontal pocketing may become mobile or
    loose due to the destruction of supporting structures.
    5. Gum Recession: The gum tissue may recede, exposing the root surface of
    the tooth.
    6. Bad Breath: Foul odor or bad breath (halitosis) can be present due to
    bacterial infection within the periodontal pocket.

    MANAGEMENT:
    1. Non-Surgical Periodontal Therapy: The first line of treatment for
    periodontal pockets involves scaling and root planing. This is a deep cleaning
    procedure performed by a dental professional to remove plaque, tartar, and
    bacterial toxins from the root surfaces and pocket space. It helps reduce
    inflammation and promotes gum reattachment.
    2. Antibiotic Therapy: In some cases, antibiotics may be prescribed to control
    bacterial infection. They can be taken orally or placed directly into the
    periodontal pocket.
    3. Dental Maintenance: Regular dental visits for professional cleanings and
    monitoring of the periodontal health are essential. Dental professionals may
    recommend more frequent cleanings to manage periodontal pockets effectively.
    4. Surgical Interventions: If non-surgical therapy is not sufficient, surgical
    procedures such as flap surgery, bone grafting, guided tissue regeneration, or
    periodontal pocket reduction surgery may be performed to access and clean the
    periodontal pocket, and to promote tissue regeneration.
    5. Supportive Periodontal Therapy: Once the initial treatment is completed,
    ongoing maintenance and monitoring are crucial. This includes regular
    professional cleanings, reinforcement of oral hygiene practices, and periodontal
    examinations to ensure the health and stability of the periodontal tissues.
    Reference:
    Newman and Carranza’s, Clinical Periodontology, thirteenth edition, chapter
    23, Pg No. 1710-1716

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