2. The Periodontal Pocket
The periodontal pocket, defined as a
pathologically deepened gingival
sulcus.
One of the most important clinical
features of periodontal disease.
3. CLASSIFICATION
Pockets can be classified as follows:
1. Gingival pocket (pseudo pocket):
gingival enlargement without destruction
of the underlying periodontal tissues.
2. Periodontal pocket: This type of
pocket occurs with destruction of the
supporting periodontal tissues.
9. CLINICAL FEATURES
• Bluish-red and thickened marginal gingiva.
• Gingival bleeding, suppuration, or both.
• Tooth mobility.
• Diastema formation.
• Localized pain or pain "deep in the bone“.
10.
11.
12.
13. Pocket Contents
Periodontal pockets contain:
• Microorganisms and their products (enzymes,
endotoxins, and other metabolic products).
• Gingival fluid
• Food remnant
• Salivary mucin
• Desquamated epithelial cells, and leukocytes.
• Plaque-covered calculus
• Purulent exudate, if present, consists of living,
degenerated, and necrotic leukocytes.
• Serum and a scant amount of fibrin.
14. Clinical Attachment Loss
• Clinical attachment loss is defined
as the extent of the periodontal
support that has been destroyed
around a tooth.
• In health, one might assume that
this should be expressed as zero
millimeters