Periodontal pocket: the treatment of inflammation

The periodontal pocket is a recess, which separates the gum from the tooth. When the disease of periodontal tissues is increased, resulting in a deepening fall food particles, there is an accumulation of soft plaque and deposition of dental calculus. These adverse factors cause inflammation of the gums and if untreated leads to gradual loosening and loss of teeth. To prevent their loss can be, time to seek medical help.

The development of the pathological process

Normally, the pocket in the gum is recessed not more than 3 mm. Small depth is formed from the soft tissues of the neck does not prevent its self-cleaning. Progressive deepening and inflammation of the gums is a characteristic symptom of periodontal disease. The gums between the teeth, it swells, starts to hurt, it may appear pus. The initial stage of development of the disease is a gingivitis. At this stage, to remove inflammation easy enough — it is necessary to carefully monitor the oral hygiene, regular professional teeth cleaning, removing soft and hard plaque, rinse your mouth with antiseptics and infusions of herbs.

Further development of the inflammatory process is accompanied by a significant increase in the number of bacteria. The enzymes secreted by them have a negative impact on periodontal fiber, gradually causing their destruction. At this stage periodontal pockets undergo several changes and become periodontal. The activity of the inflammatory process increases, the affected soft tissue to the touch bleeding gums occur erosion.

The cavity between the tooth and gum becomes deeper, connective tissue, ensuring the integrity of the dentition, affected by inflammation and weakened.

In the absence of treatment and cleaning of gingival pockets process will apply not only to the fibers of the periodontal ligament, but the bone of the jaw.

The decrease of the gums leads to a gradual uncovering of a tooth. The destroyed tissue is not able to provide a mount of the root tip in the hole and at some point it falls.


At the initial stage of disease pockets in the gums once a year is washed with an antibacterial agent. Additionally appointed daily application to the affected area of medicines, rinse the mouth treatment compositions. With periodontitis of moderate severity effective method of curettage, in severe disease used photodynamic, surgical techniques, and splinting the cable.

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Types of curettage, indications for the procedure

Distinguish between open and closed types of curettage. This method provides effective removal of plaque, food debris, diseased gum tissue and softened the cement of the tooth. For closed curettage using diode laser or ultrasonic scaler. This treatment method pockets in the gums is used in cases when the depth surrounding a tooth cavity does not exceed 5 mm. the Recess is cleaned, the root of a tooth is processed and polished, the affected tissue is removed. It helps to restore the connection of the teeth with the gums.

Open curettage is a surgery using local anesthesia. During surgery, the tissue in the interdental papillae dissected, remove dental calculus, periodontal pocket is thoroughly cleaned of sediments. The drug is then applied, accelerating the growth of the epithelium and inhibits the activity of pathogenic microbes. The root of a tooth is polished for a more snug fit to it of the mucous membrane and the wound is sutured. The rehabilitation period after the procedure is two weeks, after the patients reported positive results gums are not bleeding, not sick, leaves redness and swelling, the depth of the pocket decreases.

The indication for the operation curettage are:

  1. the depth of the pockets of detached gum tissue greater than 3 mm;
  2. has accumulated a large amount of solid deposits;
  3. the gums are affected by the inflammatory process.

Photodynamic method

Non-surgical method to treat running or severe form of periodontal disease using photodynamic therapy. Before the procedure is performed by a professional cleaning of the oral cavity, after which the gums are treated with chlorophyll derived from the algae spirulina. In response to his drawing of the cells secrete substances-photosensitizers. After 30 minutes, the doctor sends to the diseased tissue the laser beam. Its radiation leads to the disintegration of photosensitizers with active oxygen emission.

Under the action of oxidation caused by the inflammation of the microbes are completely destroyed. The doctor removes the damaged areas of fabric and closes the periodontal pocket. The advantage of this method of treatment: gentle painless treatment and high efficiency — a single procedure is sufficient to eliminate inflammation and bleeding. On the gums forms a film that prevents the penetration of infection and relapse of the disease. To restore the diseased tissue helps the application of osteogenic agents and amino acids.

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Surgical technique

When the depth of the periodontal pocket more than 4-5 mm is used a patchwork method. During the operation, the gums separate from the tooth surface, remove the contents of the pocket, treat the cleaned cavity and root antiseptic. Then the soft gum tissue is fixed in the correct position with stitches. In most cases the method gives positive results. His disadvantages are experienced by the patient of stress and a long recovery period.

Cable splinting

This treatment helps to strengthen teeth that have begun to unravel. Technology splinting is the tying of the movable units of the dentition aramid thread is particularly durable. Located on the perimeter row of teeth are drilled thin grooves, after laying the thread closed reflective material. The color of the filling matches the shade of the teeth, so it is virtually invisible.

The cable-stayed method of splinting prevents the loosening of the dentition, while allowing the natural mobility of the teeth, not allowing the bones of the jaw to atrophy. Bond aramid thread does not violate the diction and does not cause discomfort to the patient. To restore cavities dentition in place of lost teeth, it is desirable to use the prosthesis not of sintered metal carbide, and a mixture of composition of the ceramics and glass or titanium, in order not to overload the jaw.

The use of folk remedies

At the initial stage of periodontal disease to improve the condition of the gums, you can use the drugs that made of herbal ingredients according to recipes of traditional medicine. They inhibit bacteria and improve wound healing. Additionally it is useful to massage the gums with a toothbrush with a soft bristle brush followed by rinsing with infusions of chamomile, oak bark or sage.

A good therapeutic effect is ensured by the following means:

  • The rind of unripe walnuts, infused with olive butter (1 tablespoon per 250 ml). For the infusion the mixture should be placed in the refrigerator. Periodically, you need to get a jar and shake. After a week, strain and use to lubricate the gums 3-5 times a day.
  • The infusion or the juice of plantain. To prepare, pour 20 g leaves of Cup of boiling water. To use mouthwash. Squeezed from fresh leaves of the plant juice applied on the affected areas of the gums 3 times a day.
  • Compresses of shredded fresh beets. Mass, pressing, wrapped in cheesecloth and kept on the gums for 15 min. Frequency — 3 times per day.
  • Infusion of herbs persicaria maculosa. Pour a spoonful of crushed vegetative parts of the plant Cup boiling water. Let stand 15 min. to Use 2 times a day, putting the gums swabs soaked with warm infusion.
  • The slurry from the crushed berries of sea buckthorn. Wrap a lot of the fruits in the double-layered piece of gauze and apply on affected areas 2 times a day for 20 min.
  • Tincture of the fruit of viburnum with honey. You need to mix 500 g of berries with the same amount of buckwheat honey and 500 ml of 70% ethanol (medical) alcohol. Put in a dark place for 2 weeks. Method of use: 1 tbsp. l. 3-4 times a day 20 minutes before meals. Welcome funds helps to strengthen the immunity and cure periodontal disease. Additionally, you can attach to the gum moistened with tincture of cotton swabs.
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To prevent the development of periodontal disease


To prevent inflammation of the gums and deepening of the gingival pockets allows regular brushing, mouthwash after every meal, use floss (special thread) for cleaning interdental gaps. Periodically, but not constantly, should be used to remove hard plaque toothpaste, consisting of abrasives. Qualitative removal of dental stone would provide professional teeth cleaning with ultrasound.

For the timely detection and elimination of occurring in the oral cavity pathological processes it is recommended to visit the dentist 2 times a year.