Periodontal disease begins with the development of plaque. If plaque stays on your teeth longer than a couple of days it will begin to harden around the gum line into a substance called tartar or calculus. Tartar can only be removed during a professional dental cleaning and its presence makes plaque more difficult to get rid of.
The longer tartar and plaque remain in your teeth, the more they will irritate and inflame your gums. Eventually you will develop the earliest signs of periodontal disease which is a condition called gingivitis. As the disease develops it will gradually cause pockets to develop in between your gums and teeth and these fill up with plaque bacteria and tartar. The bacteria produce toxins which further inflame your gums, causing the pockets to become deeper and which are colonized by even more bacteria. Eventually the infection will be so deep that it will destroy the bone around your teeth.
Periodontal or Gum Pockets
When you have gum disease, bacteria in your mouth will gradually infect your gum tissues as well as the surrounding bone and ligaments that hold your teeth in place. The body’s immune system tries to fight this infection and the result is inflammation which causes the gums to become tender, swollen and to gradually recede.
Normally, healthy gums will fit tightly around the teeth and there should be a minimal gap between the gum and the tooth. If this depth is probed it should be between 1 mm and 3 mm.
Periodontal Pockets Causes
When gums become infected then they gradually begin to pull away from the teeth as they recede and will no longer fit snugly around the teeth.
As the gums begin to pull away then the gap between the tooth and the gum tissue gradually becomes larger, creating what is called a gum pocket or periodontal pocket. When this occurs the pocket becomes deeper and if probed is likely to have a depth in excess of four or 5 mm. It may also bleed when probed.
Periodontal Pockets Problems
One of the problems with periodontal pockets is that they may gradually expose the tooth roots as the gums recede, making teeth appear longer than before. This can also have a destabilizing effect on the teeth. These deep gum pockets are extremely difficult to keep clean.
Periodontal pockets provide the perfect home for disease-causing bacteria that will multiply and thrive in this environment. If you do have periodontal pockets then we will recommend gum disease treatmentto reduce their size and to clean out the bacteria. The overall aim will be to restore gum health and to get the gum tissue fitting more snugly around your teeth so this area can no longer be so easily colonized by bacteria.
For more information about periodontal disease or Periodontal Disease Treatment in NYC talk to top periodontists, best specialists Dr. Daniel Royzman and Dr. Daria Royzman or contact our Manhattan, NYC center:
D & D Periodontal Associates, P.C.
57 W 57th St #605
New York, NY 10019
Phone: (212) 759-7763