lundi 16 novembre 2015

How Healing Periodontal Pocket Can Be Achieved

By Mattie Knight


It is common for over-sized depths to be created between teeth and gums, and when that occurs, the condition is referred to as periodontal pocket in dentistry. The position of occurrence of the depth is usually where gingival tissue and tooth come into contact. Periodontitis patients are at a higher risk of developing pockets, but that is not automatic. Healing periodontal pocket involves several procedures depending on one major factor, that is, severity. The severe the situation, the more complicated the healing process.

The causes of pockets in the mouth are many and diverse. One cause, which is also very common is break down in gum tissues causing a separation from teeth. Once the separation has occurred, space is created which is then filled with bacteria from the mouth. Bacteria multiply quickly and do more damage that leads to the space widening a lot over time. Healing process usually involves removing the bacteria physically and filling the space that is left behind.

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.

The severity of the problem dictates what treatment is adopted for periodontal pockets. Infection is usually confined to the gum tissues, while bones remain intact during initial stages of the disease. At that stage pockets have a depth of 4 to 5 millimeters. The best method used is usually scaling and root planning to eliminate formed calculus. Numbing of gums is done if pockets are tender to reduce or eliminate pain as the process is done.

Pain should stop immediately the process is complete. Plaque reforms if oral hygiene is not maintained properly. Better results will be achieved if flossing and brushing are done daily. Health is restored in a matter of months when gums shrink back to cover the gap.

In few cases, gums fail to shrink back into the correct position because they are swollen. That may require the swollen gums to be trimmed back by a dentist. This process is done using a tool called a gingivectomy. Failure to trim the swollen gums creates space for plaque to start accumulating again and soon or later the pockets recur.

Smoothening is done in case bone has been damaged so that reattachment of gum tissues to healthy bone is made easy. Pockets are 5-7 millimeters deep in moderate stages of the disease, This size makes scaling and planning insufficient, which makes exploitation of other options necessary. Normally flap surgery becomes the best approach for solving the problem.

Flap surgery creates space and an opening through which access can be gained to the depth for cleaning the deposit. Once the surgery is done, gum tissue never reconnects to the tooth easily. This leaves a gap that makes the only way to prevent a repetition of the problem making regular visits to a hygienist to keep cleaning the plaque out. Recovery in cases where the pockets are in an advanced stage is hard and usually the tooth may have to be removed.




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