“How do you fix deep pockets in gums?”
I have deep pockets in gums and I want to ix them. What are the treatment options?
2 Answers
DentistDentist
You should be working with a dentist/hygienist who knows how to deal with these. Depending on how deep the pockets are, you may need to see a specialist called a Periodontist. These pockets are caused by bacteria and occasionally by medication. If they are caused by medication, your dentist should speak to your physician to see if there is another medication you can take that won't affect your gums like that. If it is caused by bacteria, there are several different treatments that may help to resolve it. The ideal thing is to keep everything clean enough that you don't develop these pockets to start with. If bacteria gets under your gums, to put things very simply, it irritates the base of the pocket where the gums attach to your tooth and causes it to try to move away from the irritation. This causes the pocket t get deeper and more difficult to try to keep clean. And more bacteria accumulate in there, the pocket gets deeper, and it starts a whole cycle. On top of that, one likes to be a certain distance from your gums, so as the pocket gets deeper, the base of the gums gets closer to the bone so the bone starts to recede away, and you get bone loss that can then loosen the teeth. Welcome to the world of Periodontitis. What you should be doing at home is doing a super good job of brushing your teeth. I've been finding that a power toothbrush does a better job of cleaning than a manual one - just don't scrub with it. You put it against your single tooth and let it do its own thing for at least 3 seconds. Then move it on to the next tooth for at least 3 seconds. Then move it on to the next tooth. You also need to clean between the teeth. Teeth are not flat down their sides. They have a "groove" called a concavity. Floss will slide right over the concavity and not clean in it. An interdental cleaner, i.e.. a narrow ProxaBrush ( looks like a little bottle brush) or something like a Gum Pick which has little fuzzies on one end, is far more effective. Or a WaterFlosser by WaterPik which has a periodontal tip that you can put against your gums and, using it on low speed/pressure, will flush out the pocket. Use it with a zero-alcohol antibacterial rinse to keep things clean. Do everything at home that you should, but it is urgent to get your gums dealt with professionally to stop the disease from progressing further. Good luck.