Pocket Elimination Therapy

Pocket Elimination Therapy

Enumerate the methods of pocket elimination. Describe the rationale and procedure of modified Widman flap surgery.
Answer. The methods of pocket elimination are as follows:

• New attachment techniques:
  • Excision new attachment procedure.
  • Ultrasonic curettage
• Removal of pocket wall:
  • Retraction or shrinkage by scaling and root planning.
  • Surgical removal by gingivectomy technique or undisplaced flap.
  • Apical displacement with an apically displaced flap.
• Removal of tooth side of pocket, which involves either extraction of tooth or hemisection.

Rationale

• To expose root surfaces for instrumentation.
• For removal of pocket lining.