periodontal pocket classification

Author information: (1)Columbia University School of Dental and Oral Surgery, Division of Periodontics, USA. The increasing number of transmigrating neutrophils interferes with the epithelial attachment and when the volume of neutrophils reaches approximately 60% or more of junctional epithelium, there is disruption of epithelial barrier creating an open communication between the pocket and the underlying tissue, Because of the disrupted epithelial barrier, the, The junctional epithelial attachment at the base of the pocket is much shorter (coronoapical length: 50-100 μm) than the normal sulcus. 2018 Feb;76(1):43-50. Areas of leukocyte-bacteria interaction (area demarcated by numerous leukocytes emerging into the pocket wall, where they are frequently covered by bacteria in an apparent process of phagocytosis). Formation of new blood vessels is seen as an attempt to repair the damaged tissue. Pocket depth measurement is an essential part of the periodontal diagnosis. Hypocalcified areas can be found where the plaque is constantly present. Studies have shown bacteria in cementum, which can be found at cementodentinal junction 43, 44 and even in the dentinal tubules 45. Positive reactions with anti-Prevotella nigrescens antibody were located at the epithelium-associated plaque area in the middle pocket … Pockets can be classified as follows: Figure 20-1 Illustration of pocket formation that indicates expansion in two directions (arrows) from the normal gingival sulcus (left) to the periodontal pocket (right). Infrabony periodontal pocket – The base of the pocket is more towards the apical portion of the crest of alveolar bone, and the bone-destructive pattern is vertical. In the areas between the processes, the epithelial layer is thin and an occasional microscopic breach may occur in its continuity, thereby forming a microscopic ulcer. (c) Copyright 2020. As stated above, periodontal pocket formation primarily has bacterial etiology. Use Dental floss to clean between micro spaces, Use Mouthwash every day after brushing your teeth. This is one of the best home remedies for periodontal pockets which can be followed very easily and safely at home. The bone destruction pattern is horizontal in Suprabony pockets. periodontal ligament ,cementum & alveolar bone. In addition to the above contents, purulent exudate may be present in the pocket. The following zones starting from the tooth surface outwards have been proposed based on these studies. Suprabony Pocket also known as supracrestal or supra alveolar pocket occurs when the bottom of the pocket is coronal to the underlying alveolar bone. As a result, those cells which are furthest from the source of nourishment, i.e. Brushing Your Teeth: One of the best ways to cure pockets is to brush on a regular basis in the morning and evening. Furthermore, pus formation does not relate to the depth of the periodontal pocket. Shallow pockets may demonstrate extensive pus formation, whereas deep pockets may not. Tags: Periodontal pockets Periodontal pockets Definition. Various host and microbial factors are responsible for the disease progression, which includes virulence of the microorganisms involved, host immune response, environmental factors and genetic factors. Other signs include the below but it is suggested to consult a dentist to understand and confirm the occurrence of periodontal pockets. Deeper pockets are more difficult for you and your dental care professional to clean, so it’s important for you to reduce them. Areas of hemorrhage (with numerous erythrocytes). Good oral hygiene is the best precaution for any kind of dental problem. Areas of epithelial desquamation (demonstrating areas of semi-loosened and folded epithelial squames with one end usually attached to the pocket wall surface and the other end free toward the pocket space), Areas of ulceration (areas with exposed connective tissue), and. The degenerative changes on the lateral wall of periodontal pocket are more severe than the base of the pocket. Oil Pulling: One of the oldest and ayurvedic method for many benefits. Periodontal Pockets also classification based on tooth surfaces involved as Simple pocket ( only one tooth surface involved), complex pockets (involves more than one surface), and compound or spiral pocket (originating on one tooth surface and twisting around the tooth to involve one or more additional surfaces. Zone where the junctional epithelium is attached to the tooth: This is the zone where the junctional epithelium is attached to the tooth. Our current understanding of periodontal pocket formation is the result of various studies done on ligature-induced lesions in animals 1-10, observations made from sections of the human maxilla and mandible 11-14, studies on neutropenic dogs 15 and broken mouth periodontitis studies done on sheep 16. It must be understood that the above discussion is focused on general aspects of pocket formation. In the case of Grade C periodontitis, with minimal plaque deposits, we can see an aggressive periodontal breakdown. Like regular health checkups, it is important to get your dental health checkup also every 3 months. Kuboniwa M, Lamont RJ. Mombelli A. Microbial colonization of the periodontal pocket and its significance for periodontal therapy. Periodontology 2000. The deposition of plaque onto the root surface causes degradation of collagen fibers embedded in cementum. The periodontal pockets can be classified on the basis of following criteria, According to the relation between the base of the pocket and the crest of remaining alveolar bone. This reattachment is called a long junctional epithelium. They observed different areas with different biological activity. The collagen fibers degrade by two methods, one by collagenases 24 and other enzymes of host and the bacterial origin and second by fibroblasts which phagocytize collagen fibers. (2018) Proceedings of the World Workshop on the Classification of Periodontal and Periimplant Diseases and Conditions, Journal of Clinical Periodontology 45 Special Issue. it is suggested consult the dentist before taking any supplements as it is a must to know the suitable quantity and kind of supplements you need. Classification of periodontal diseases has, ... mesial of 11, indicative of a periodontal pocket and an apical. 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