Complete and sufficient treatment of periodontal pockets and disease requires commitment from the patient. There are two primary goals involved in the treatment process. Reducing and/or removing the formed bacterial colonies underneath gums is the first goal of treatment. The other primary goal is reducing vulnerability of the patient by eradicating risk factors such as smoking. Both primary goals are achieved from home if the pockets are still in their infancy stages. However, professional intervention is needed in healing periodontal pocket if the disease is already advanced.
In early stages of the disease, only the gum is affected, while the bone remains largely unaltered. The depth of pockets is very shallow, only extending to 5 millimeters at most. Scaling and root planing, also referred to as deep cleanings is the most commonly used process in this case. The process aims at removing all formed calculus in the gums.
Pockets can grow tender over time and that can be noticed by the surgeon during a scaling and root planing operation. Tenderness causes pain and to avoid that, numbing may be necessary. The operation does not cause after it is done. Daily brushing and flossing is necessary if future reoccurrence of this problem is to be avoided due to an accumulation of plaque. Healing gums will snug back over the root after the operation.
In cases where pockets are moderate in depth or advanced, there is usually actual loss of bone. Pockets may be a bit deeper, reaching 7 millimeters in depth. Scaling and planing becomes insufficient for total removal of calculus. This is because the bottom of the pockets cannot be accessed with ease. The best method used here is referred to as flap surgery. With this method, the periodontist has enough access to do thorough cleaning.
The space between the tooth and gum is incised during flap surgery. After incising the space, the gum is peeled back at the neck of the tooth. After peeling back the gum, enough space is got for debriding the tooth and removing deep-seated calculus. All tissues that are affected can be returned to position after the surgery. This eliminates chances of cosmetic change.
The inability of the gum to reconnect to the tooth when the incision has been done is one of this problems of flap surgery. That makes pockets to persist even after removing the infection and calculus. Frequent hygienist cleanings are therefore necessary in order to prevent future reoccurrence of this problem. It is also possible to reposition gums in order to remove pockets during surgical procedure.
Surgery is always applicable in all cases and sometimes pockets may have reached a very advanced stage where they are very deep. That makes complete elimination of such pockets impossible. Although such pockets cannot be eliminated completely, they can be minimized and their chances of progressing can be minimized through correct measures.
Sometimes periodontal disease and pockets are considered chronic diseases that cannot be cured or eliminated completely. Susceptibility continues to exist and the cause of plaque and infection are always present in the mouth. Daily vigilance and dental hygiene are the best approaches to avoiding and healing the diseases.
In early stages of the disease, only the gum is affected, while the bone remains largely unaltered. The depth of pockets is very shallow, only extending to 5 millimeters at most. Scaling and root planing, also referred to as deep cleanings is the most commonly used process in this case. The process aims at removing all formed calculus in the gums.
Pockets can grow tender over time and that can be noticed by the surgeon during a scaling and root planing operation. Tenderness causes pain and to avoid that, numbing may be necessary. The operation does not cause after it is done. Daily brushing and flossing is necessary if future reoccurrence of this problem is to be avoided due to an accumulation of plaque. Healing gums will snug back over the root after the operation.
In cases where pockets are moderate in depth or advanced, there is usually actual loss of bone. Pockets may be a bit deeper, reaching 7 millimeters in depth. Scaling and planing becomes insufficient for total removal of calculus. This is because the bottom of the pockets cannot be accessed with ease. The best method used here is referred to as flap surgery. With this method, the periodontist has enough access to do thorough cleaning.
The space between the tooth and gum is incised during flap surgery. After incising the space, the gum is peeled back at the neck of the tooth. After peeling back the gum, enough space is got for debriding the tooth and removing deep-seated calculus. All tissues that are affected can be returned to position after the surgery. This eliminates chances of cosmetic change.
The inability of the gum to reconnect to the tooth when the incision has been done is one of this problems of flap surgery. That makes pockets to persist even after removing the infection and calculus. Frequent hygienist cleanings are therefore necessary in order to prevent future reoccurrence of this problem. It is also possible to reposition gums in order to remove pockets during surgical procedure.
Surgery is always applicable in all cases and sometimes pockets may have reached a very advanced stage where they are very deep. That makes complete elimination of such pockets impossible. Although such pockets cannot be eliminated completely, they can be minimized and their chances of progressing can be minimized through correct measures.
Sometimes periodontal disease and pockets are considered chronic diseases that cannot be cured or eliminated completely. Susceptibility continues to exist and the cause of plaque and infection are always present in the mouth. Daily vigilance and dental hygiene are the best approaches to avoiding and healing the diseases.
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