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For the periodontal pocket to form, several elements need to be present. It all starts with the dental plaque [tone]. The invasion of the bacteria from the plaque eventually triggers inflammatory response. This in turn results in the gradual destruction of the tissues surrounding the teeth, known as the periodontium. [6]
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.
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.
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 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 ...
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.
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.
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.