Pocket parodontale

Definition

One calls pocket parodontale the space which is created between the Dent and the Gencive at the time of the Maladie parodontale.

The depth of the pocket is measured between the top of the marginal Gencive (or free gum) and the epithelial fastener (the level where the gum sticks to the tooth).
In the absence of pathology, one observes a small space between the top of the marginal gum and the epithelial fastener, from 1 to 2,5 mm: it is the Sulcus.
At the time of a Gingivite, this space will increase, either following a swelling of the gum, or more often following a loss of fastener. The depth of pocket increases in the Parodontite, since there is in more one loss of bone.

Etiology

In fact the Bactérie S of the Dental plaque are responsible for the formation of pockets.
The best means of avoiding this problem is thus to have a oral Hygiène rigorous.

Evolution

The pockets parodontales have few chances to disappear all alone in the absence of treatment.
The bacteria inside these pockets gradually will become Anaérobie S, and thus will constitute a more pathogenic flora. Moreover it is impossible to clean only the interior of these pockets. They are thus likely to worsen. It is necessary to consult a Dentiste.

Treatment

The principal treatment is etiologic (one will eliminate the cause from the disease). It consists in cleaning the pockets, thanks to a Détartrage and/or a Surfaçage.
So really the depth of pocket is too important, one can have recourse to surgery parodontale (one can carry out mucco-gingival scraps and/or a filling of pocket).

See too

External bonds

Gingivite and parodontite
Treatment of the gums

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