Tissue Healing

The soft tissues readily re-attach to the cementum once debridement has taken place. Re-attachment will eliminate the dead space of the pocket but this new attachment can be weaker than the original, depending on which of the following four tissue types repopulate the surface of the root most quickly.

Gingival Epithelium

If gingival epithelium attaches most quickly a long junctional epithelium results. This is not desirable, as it is very weak.

Gingival Connective Tissue

When gingival connective tissue connects first, root resorption often occurs.

Alveolar Bone

If alveolar bone cells arrive first, either root resorption or ankylosis with result.

Periodontal Ligament

When periodontal ligament connects most quickly, new attachment can occur. This option is the most desirable.