ال Pocket مبيخفش ليه ؟ سؤال بيتكرر كتير....ليه دايما علاج "البوكت " ملوش نتايج دايمه وعاده المريض بيرتاح في الاول جدا وبعد فتره بيرجع بنفس الشكوي تاني ؟!!! The answer is: usually it's due to incomplete treatment!!في حاجه بتقع منك او انت متعود على خطوات معينه بتعملها لاي مريض بريو وشكرا Why?!!!!Because not each "pocket" has the same line of treatment!!!So, let's review the steps of how to manage the "pocket" problem First, let's start with the "diagnosis", it is the main key of success, and to diagnose the periodontal problem here we have two main diagnostic tools that help us to reach accurate diagnosis:1) Clinical examination, using periodontal probe , measuring the pocket depth "PD" , bleeding on probing "BOP" and clinical attachment loss "CAL".2) Radiographic examination, using periapical, bite wing, and/or panorama.By those two tools we can reach the correct diagnosis , prognosis and establishing proper treatment plan.How that could be ?!For example, if the CAL is 5 mm or less, so non-surgical treatment "scaling and root planing +medication" will be the whole treatment plane that is needed.If the CAL is 5mm or more, so the case is indicated for periodontal surgery, and the non-surgical treatment alone "scaling and root planing +medication " will not be enough , and that is why I mentioned that mostly the cause of periodontal disease recurrence is incomplete treatment. Why we should do periodontal surgery ?!To complete the debridement of the local factors "plaque and calculus " that caused the periodontal disease, sometimes we call it "open scaling and root planing ". And that can't be accomplished without surgery ?!Unfortunately no! , beyond 5mm CAL we can't perform proper debridement.So, it's complicated!!!Absolutely not!! It just require to know the basic surgical steps, to do flap and the rest is so easy.#GreenLineDentistry#