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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.
This thin "measuring stick" is gently placed into the space between the gums and the teeth, and slipped below the gumline. If the probe can slip more than 3 mm (0.12 in) below the gumline, the person is said to have a gingival pocket if no migration of the epithelial attachment has occurred or a periodontal pocket if apical migration has occurred.
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 ...
Combined periodontic-endodontic lesions may sometimes be abscesses, but these are considered in a separate category. A gingival abscess involves only the gingiva near the marginal gingiva or the interdental papilla. A periodontal abscess involves a greater dimension of the gum tissue, extending apically and adjacent to a periodontal pocket.
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]
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Gingivoplasty is accomplished with a periodontal knife, a scalpel, rotary coarse diamond stones, electrodes or laser. [2] The technique resembles that of the festooning of an artificial denture, which consists of tapering the gingival margin , creating a scalloped marginal outline, thinning the attached gingiva, creating the vertical ...
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