Causes of periodontal pockets
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If gingival diseases are not treated, the inflammation will extend to supporting tissue causing periodontal tissue destruction and bone resorption leading to periodontal pockets. The more the treatment is delayed, the more the destruction of periodontal tissue and bone, and the more difficult the treatment, which may lead to teeth loss.
In normal gingiva, there is a normal sulcus (1-3 mm) between the tooth and the gingiva, this sulcus can be cleaned with tooth brush and dental floss, and it helps keeping the gingiva healthy by maintaining its secretions. Inflammation of the gingiva and the periodontal tissue causes deepening of this pocket due to tissue destruction and bone resorption until it reach a stage that cannot be cleaned without doing periodontal surgery to expose the root for cleaning.
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Healthy gingiva
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Periodontal pocket
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The toothbrush cannot clean the periodontal pocket; you should go to the dentist to treat it
If the periodontal pocket is not treated, the tissue destruction and bone resorption will continue which will cause tooth mobility and eventually tooth loss
Deep pocket causing severe bone destruction and periodontal abscess
Deep pockets causing severe bone destruction and teeth mobility. All the anterior teeth are hoopless and indicated for extraction
Same case after extraction and bone graft from the chin area (block graft) to prepare for dental implants
Ignoring treatment leads to extension of the calculus to end of the root, abscess formation and tooth loss at the end.
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