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TMJ Expert Dr. Sid Solomon DDS

Pocket Irrigation

Pocket Irrigation

Periodontal disease is a progressive condition which leads to gum inflammation, the recession of bone and gum tissue, and tooth loss if left untreated.  There are a variety of effective treatments and procedures available, including pocket irrigation, which can assist in treating the progression of the disease.

Pocket irrigation aims to cleanse plaque from the interdental (between teeth) and subgingival (under the gumline) regions of the mouth in order to prevent the colonization of harmful oral bacteria.  This procedure is also used to deliver antibacterials to the subgingival areas.

Reasons for pocket irrigation

Pocket irrigation, which is also known as oral irrigation, is a versatile dental treatment used for several different preventative purposes.  Pocket irrigation may be performed as part of a professional dental cleaning, or at home with a specially modified oral irrigator.

Here are the main ways in which pocket irrigation can be beneficial:

  • Interdental cleaning – Pocket irrigators blast plaque, food particles and other debris from between the teeth.  The removal of harmful materials and bacteria keep the gum pockets cleaner and shallower; thus helping the gum tissue remain healthy.
  • Halitosis prevention – Halitosis (or bad breath) is generally a result of old food particles between the teeth, and tooth decay.  A toothbrush or dental scraper alone may not be able to reach into the depths of the gum pockets, but water jets can flush out food particles and help clean above and below the gumline.
  • Subgingival cleaning – Pocket irrigators have a rounded tip which eliminates the risk of tissue damage while cleaning under the gumline.  The side port opening facilitates extensive cleansing by flushing out bacteria, particles and toxins from below the gumline.
  • Antimicrobial application – Antimicrobial substances have proven effective for eliminating and preventing some strains of harmful oral bacteria.  Antimicrobial substances can be combined with water, or used as a stand-alone treatment for successful pocket irrigation.

What does pocket irrigation treatment involve?

Pocket irrigation is generally performed in combination with other dental treatments; for example, as part of a professional dental cleaning or in combination with pocket reduction surgery.

In the case of a pocket reduction surgery, the tartar and subgingival plaque will be removed with special scaling and root planing instruments.  When the pockets are free of debris, an antimicrobial agent may be applied using an oral irrigator.  This will help reduce harmful oral bacteria which still remain in the pockets.

During a deep cleaning procedure, a pocket irrigator may be used after scaling and root planing to cleanse the pockets.  Again, an antimicrobial agent may be applied to help reduce subgingival oral bacteria.

Pocket irrigation can be performed at home as part of the daily oral routine using a water jet or water pick.  Flushing the interdental area with water is less harmful to soft tissue than dental floss, but should not be used as a substitute for professional dental cleaning.

If you have any questions about pocket irrigation, cleaning your teeth, periodontal disease and treatment, please ask your dentist.

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by Anonymous on October 2, 2018

This is a great dental office. They greet you when you enter, and give you a status report on how soon you will be seen. They do thorough and professional work on you, so you are always satisfied with the results. And when you are finished, they are generous with their time planning your next visit, and answering any questions you might have. They also give fantastic advice on what you should be doing at home to maintain great dental health.

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by CRYSTAL L on October 2, 2018

First class operation. Excellent care for over a decade!

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by NAZY Z on October 2, 2018

On time and took care of exactly what I was concerned about.. Thank you had a great experience

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by William (Drew) P on October 2, 2018

The costs are incredibly high, even with insurance. I would not go back and not refer anyone. I am going to try to be placed with a different primary care dentist.

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by Kami C on October 2, 2018

He is very patient and kind when dealing with TMD. I also like his techniques he uses to get to the root of the issue and not just patch it up like many dentists I have dealt with before.

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by VICTORIA B on October 2, 2018

Office very nice, and staff friendly. Dr Solomon very professional and full of expert information , would go back and tell friends, Thank You