A periodontal pocket appears at the junction of the gums and teeth in inflammatory diseases of the oral cavity (for example, in periodontitis). In this case, there is discomfort while eating, bad breath appears, tissues can fester, and an abscess can develop.
Periodontal pocket conservative treatment
Treatment of a periodontal pocket depends on the degree of development of the disease. If the process has just begun, and the tissues have not begun to decompose, conservative therapy of the underlying disease is prescribed. For example, in case of periodontal disease (non-inflammatory systemic damage to the periodontal tissues), a whole range of therapeutic measures is used. They include the removal of plaque and deposits using ultrasound. After that, anti-inflammatory drug therapy is prescribed. The course of treatment may include an antiseptic mouth rinse and the application of a special gel to the inflamed gums. For moderate to severe periodontal disease, antibiotics are additionally prescribed. After the course of treatment, you must constantly observe careful oral hygiene.
For the successful treatment of periodontitis and periodontal pockets, the oral cavity should be sanitized, that is, teeth affected by caries should be cured or removed.
In the future, if dangerous symptoms appear, such as blood while brushing your teeth, pain and burning in the gums, you should contact your dentist for advice. The unsuccessful shape of the artificial crown can also be the cause of the disease of the periodontal tissues. After adjusting it and a set of measures aimed at eliminating inflammation, the gum will stop hurting.
Curettage is a surgical method for treating a periodontal pocket
With an advanced process, the periodontal pocket should be treated with a surgical intervention called curettage. It is prescribed if the pathological depth of the periodontal pocket is more than 3 mm, if there is inflammation of the gums, abundant deposits of tartar and plaque. Depending on the depth of periodontal pockets and the nature of the operation, there are 2 types of procedures: closed and open curettage.
Closed curettage is used if the depth of the periodontal pockets is up to five millimeters. In this case, the procedure is carried out without cutting the gums and includes the following steps:
- diagnostics of the condition of the gums, - performing local anesthesia, - cleaning of periodontal pockets with special instruments without damaging the gum tissue, - polishing of dental roots.
Closed curettage completely closes small periodontal pockets and effectively reduces deep ones.
If closed curettage is not very effective or if the depth of pathological pockets is more than 5 mm, open curettage is performed. In this case, a surgical dissection of the gums is performed, the operation includes the following stages:
- diagnostics of the condition of the gums, - local anesthesia, - dissection of the gums to access the base of periodontal pockets (flap surgery),
- cleaning pathological pockets with special tools, - application of osteogenic preparations to the damaged part to stimulate the growth of bone tissue, - suturing the gums.
One and a half to two months after the operation, a repeated dental examination is performed to determine the effectiveness of the treatment.
If the tissues holding the tooth are damaged during the operation, bone grafting can be performed. It allows you to fix the tooth in the hole, contributes to further recovery by the forces of the body.