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Subgingival microorganisms (those that exist under the gum line) colonize the periodontal pockets and cause further inflammation in the gum tissues and progressive bone loss. Examples of secondary causes are those things that, by definition, cause microbic plaque accumulation, such as restoration overhangs and root proximity.
Plaque tends to build up around the gingival margin (the gumline) and in gingival crevices or periodontal pocket (below the gumline). The release of waste products from the bacteria living in the biofilm causes an inflammatory response in the gums which become red and swollen, bleeding easily when disturbed.
Flap surgery/pocket reduction surgery: The goal of this surgery is to reduce pocket depth and make cleaning the teeth and gums easier. During the procedure, the gum is lifted away from the tooth ...
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.
A dentist explains the common causes of bleeding gums, why gum tissue is generally more sensitive, treatment, and prevention practices. Skip to main content. 24/7 Help. For premium support please ...
Gingival enlargement has a multitude of causes. The most common is chronic inflammatory gingival enlargement, when the gingivae are soft and discolored. This is caused by tissue edema and infective cellular infiltration caused by prolonged exposure to bacterial plaque, and is treated with conventional periodontal treatment, such as scaling and root planing.
What is the impact of periodontitis? Ultimately, periodontitis is a gum disease which, if left to progress, can cause problems with the jaw bone that holds the teeth in place.
Another potential cause occurs when a periodontal pocket is scaled incompletely. [15] Following this procedure, the gingival cuff tightens around the tooth, which may be enough to trap the bacteria left in the pocket. A gingival retraction cord which is accidentally left in situ is an occasional cause of a periodontal abscess.
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