How does pocket reduced after scale and polish? How to explain this?


A_s

Joined
Jun 23, 2019
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What is the mechanism behind pocket reduction after scale and polish?
I know there is repair by forming the long junctional epithelium. But how the pocket is reduced? What is the process?
Thank you!
 
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honestdoc

Verified Dentist
Joined
Jun 14, 2018
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After scaling and root planing, the expectation is for inflammation to go down and re-establish connective tissue and junctional epithelium reattachment. From my observations, I don't see much reattachment but more reduction of inflammation and subsequent gingival recession. From many peer-reviewed articles, there has been a lack of consistent evidence that reattachment occurs especially in deeper pockets greater than 5 mm. Perhaps isolated cases see some reattachment but failed to provide general consensus.
 

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