Curettage of a periodontal pocket is a common procedure that is performed for gum disease. Consider what this manipulation is, what types of curettage of periodontal pockets exist.
The purpose and essence of curettage of the periodontal pocket
Trying to figure out what this procedure is, let’s start with the definition of “periodontal pocket”. A periodontal, or periodontal, pocket is a pathological space formed as a result of the destruction and exfoliation of the periodontal joints. This is due to the presence of tartar, which, penetrating deeper, under the gum, causes inflammation. With the progression of pathological processes, periodontal pockets increase, exposing the teeth, causing them to loosen and fall out.
In order to prevent aggravation, curettage of periodontal pockets is prescribed – a manipulation that allows you to clean the formed spaces between the tooth and gum from deposits, eliminate inflammation and bleeding, and prevent damage to deeper tissues. Depending on the stage of the disease, the depth of the lesion, either closed or open curettage is performed.
Features of closed curettage of periodontal pockets
This type of manipulation is carried out with a pocket depth of up to 3-5 mm (mild and moderate damage). Closed curettage is relatively uncomplicated and does not require special skills. The procedure includes the following main steps:
- performing local anesthesia;
- cleaning pockets with special metal tools and an ultrasonic device;
- polishing of tooth roots;
- treatment with antiseptics;
- applying medical dressings to the gums.
As a rule, at the same time curettage is carried out in the area of two to three teeth. The wounds heal within a week, and within a month after the procedure, a connective tissue is formed that attaches the gum to the root and neck of the tooth.
Features of open curettage of periodontal pockets
Open curettage is a surgical operation that requires special training and high professionalism. It is carried out at a depth of periodontal pockets exceeding 5 mm. The manipulation steps are:
- introduction of local anesthesia;
- dissection of gum tissues to provide access to the base of periodontal pockets;
- cleaning pockets;
- antiseptic treatment;
- application of drugs that improve tissue growth;
- suturing and bandaging.
The sutures are removed after about 10 days, complete recovery of the periodontium occurs within a few months.
Laser curettage of periodontal pockets
Curettage of a periodontal pocket with a laser is a more modern and expensive procedure that has many advantages over traditional methods, namely:
- deep access to pathological areas of the periodontium;
- no bleeding;
- there is no need to apply bandages after the procedure;
- fast postoperative period.