Periodontal pockets

Incisive Bite

Dr Sharon Robinson

Sunday, November 12, 2017

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IF your mouth is healthy, your gums should fit snugly around each tooth, with the distance between the gum tissue and its attachment to the tooth only one to three millimetres in depth. But gum disease can lead to deeper spaces around your teeth called periodontal pockets and, if untreated, these pockets can lead to tooth loss.

However, with early diagnosis and treatment, you can keep your teeth for a lifetime.

How does a pocket form?

The bacteria in your mouth continually form a sticky film of plaque on your teeth, especially around the gum area. If not removed, this plaque eventually hardens into tartar, which can't be brushed off without a dentist or dental hygienist removing it during a professional cleaning. Ultimately, the toxins from this bacteria continue to form on the tartar and can cause inflammation in your gum tissue, creating a condition referred to as gingivitis.

Inflammation and swelling due to plaque and tartar can result in pocket formation between the gums and the teeth. As it pulls away from your teeth, this inflamed gum tissue is now the perfect venue for more plaque and tartar to hide, deepening the pocket and threatening the bone around your teeth. You can think of this phenomenon as a turtle neck sweater that begins to stretch out around your neck.

Diagnosing periodontal disease

If you're experiencing any of the warning signs of gum disease — such as bad breath, bleeding, red and swollen gums, or gums that have pulled away from your teeth — have your dentist examine your mouth following this discovery. Beyond a visual assessment of your gum tissue, your dentist will measure the pocket depth around each tooth with a periodontal probe, allowing him or her to determine the presence of periodontal disease or how far it has progressed.

How to eliminate these pockets

The first step in treating gum disease is to have your teeth professionally cleaned; this is sometimes called scaling and root planing.

By removing all of the tartar and plaque from your teeth and underneath your gums, the gums can heal and tighten around the tooth again. If you have no significant bone loss, this may be the only treatment you need.

However, in cases where deep periodontal pockets still remain, your dentist may recommend a surgical treatment to stabilise your periodontal condition. And once you've completed periodontal treatment, your dentist or periodontist will surely want to keep you on a more frequent cleaning schedule.

Home care for prevention

Periodontal disease is very preventable, and by keeping up with regular dental visits and a consistent home care routine, the subsequent periodontal pockets will be something you only have to read about.

Here's how to keep your pocket depths at one to three millimetres:

• Use a soft-bristled toothbrush to clean your teeth twice a day, brushing carefully around your gumline where plaque tends to accumulate.

• Replace your toothbrush every three to four months or when you see the bristles start to wear. Flossing once a day is just as important as brushing when it comes to preventing gum disease, but be sure to follow your dentist's recommendation for professional cleanings and gum examination.

Diagnosing and treating periodontal disease in its early stages can eliminate unhealthy periodontal pockets and curb the effect before it progresses to severe bone loss.

Dr Sharon Robinson DDS has offices at the Dental Place Cosmetix Spa, located at shop #5, Winchester Business Centre, 15 Hope Road, Kingston 10. Dr Robinson is an adjunct lecturer at the University of Technology, Jamaica, School of Oral Health Sciences. She may be contacted at 630-4710. Like their Facebook page, Dental Place Cosmetix Spa for an opportunity to take advantage of weekly specials.




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