Definition and Classification of Periodontal Pocket
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Definition and Classification of Periodontal Pocket

Periodontal Pocket

Periodontics

Definition

The periodontal pocket is defined as a pathologically deepened gingival sulcus.

Classification:

Depending upon its morphology:

Gingival/false pocket:Formed by gingival enlargement without destruction of the underlying periodontal disease.

The sulcus is deepened because of the increased bulk of gingiva.

Periodontal/True pockets:This pocket occurs with destruction of the supporting periodontal tissue.

Divided into two categories:

SUPRABONY

INFRABONY

Base of Pocket is coronal to level of the alveolar bone.

Base of the pocket is apical to crest of alveolar bone.

Pattern of destruction of underlying bone is horizontal

Pattern of bone destruction is vertical

Interproximally, transseptal, fibres are arranged horizontally in the space between base of the pocket and alveolar bone.

Interproximally, transseptal fibers are oblique rather than horizontal.

On the facial and lingual surfaces, periodontal ligament fiber beneath pocket follow horizontal-oblique course between the tooth and bone.

On facial and lingual surfaces periodontal ligament fibers follow angular pattern of adjacent bone.

Depending upon the number of surface:

Simple Pocket

Involves only one surface

Compound pocket

Pocket present on 2 or more surface.

Spiral/Complex pockets

Originate on one tooth surface and twisting around the tooth of one or more additional surfaces.

Depending upon the nature of the soft tissue wall of the pocket:

  • Edematous pocket.
  • Fibrotic pocket.

Depending upon the disease activity:

  • Active pocket
  • Inactive pocket
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