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Pocket Reduction

All teeth have spaces between the gums and the teeth. In healthy situations, these spaces are tight and shallow.  With periodontal disease, inflammation in the gum tissue causes the tissue to move away from the tooth and creates deeper spaces or “pockets.” As the pockets become deeper, your toothbrush can no longer reach the area for cleaning, and it creates a space that bacteria can hide and accumulate. This can lead to bone loss around the teeth, and if untreated, to tooth loss.

To prevent further bone or tooth loss Dr. Bramanti may recommend a pocket reduction procedure. During this procedure the gums are gently folded back from the teeth and permits removal of the disease-causing bacteria. In some cases, irregular bone may be smoothed to prevent areas where bacteria can hide. The gums are replaced and the pockets are removed creating a healthier situation, and one in which you and your hygienist are better able to clean and maintain health.

What is Pocket Reduction?

Pocket reduction is used to reshape deformities and remove pockets in the alveolar bone surrounding the teeth. It is a common necessity in effective treatment of more advanced periodontal diseases. The ultimate goal of pocket reduction is to reduce or eliminate the periodontal pockets that cause periodontal disease.

The specific goals of pocket reduction include:

  • Reducing Bacterial Spread

Bacteria from the mouth can spread throughout the body and cause other life-threatening conditions such as heart disease and respiratory disease. Removing deep tartar and thereby bacteria can help reduce the risk of bacterial spreading.

  • Preventing Bone Loss

The immune system’s inflammatory response prompted by periodontal bacteria can lead to bone loss in the jaw region, and cause teeth to fall out. Pocket reduction seeks to stop periodontal disease before it progresses to this level.

  • Enhancing the Smile

Mouths plagued with periodontal disease are often unsightly. Brown gums, rotting teeth, and ridge indentations can leave a person feeling depressed and too self-conscious to smile. Fortunately, pocket reduction can help reduce bacteria and disease and thereby restore your mouth to its former radiance, while restoring confidence at the same time.

  • Facilitating Home Care

As the gum pocket deepens, it can become nearly impossible to brush and floss adequately. Pocket reduction reduces pocket size, making it easier to brush and floss, and thereby preventing further periodontal disease.

If you believe you have deep pockets and gum disease, call Dr. Bramanti to have your condition thoroughly evaluated. Dr. Bramanti will diagnose your condition and guide you to the best path of care to provide you with enduring health.

Call today 559-438-7800.

Ephesians 2:10

"A sanctuary of clinical excellence"

​Thomas E. Bramanti, D.D.S., Ph.D.

Board-Certified Diplomate American Board of Periodontology/Implant Dentistry

Board-Certified Diplomate American Board of Oral Implantology/Implant Dentistry

​Certified TMJ Expert, The Pankey Institute 

Fellow American Academy of Implant Dentistry
Clinical Assistant Professor at UCSF in the Department of Oral and Maxillofacial Surgery

Clinical Assistant Professor UCSF-Fresno Medical Education Program, School of Medicine


5660 N. Fresno Suite 110

Fresno, CA 93710


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