Final answer:
The answer to the initial therapy for periodontal pockets deeper than 5mm includes supragingival scaling and root planning. These procedures are essential to remove plaque and calculus and prevent the progression of periodontitis, which is a severe form of gum disease that can lead to tooth loss.
Step-by-step explanation:
Initial Therapy for Periodontal Pockets
Initial therapy for periodontal pockets that are deeper than 5mm typically includes supragingival scaling and root planning. This treatment aims to remove plaque and calculus from tooth surfaces below the gum line. While polishing and irrigation may be involved in the overall periodontal treatment protocol, they are not specifically required for initial therapy of deep pockets. Antibiotics may also be prescribed in cases of severe infection or as an adjunct to mechanical therapy. However, in periodontal pockets deeper than 5mm, root planning (a process of scaling the root surfaces to remove plaque and calculus) is crucial to address the root cause of the disease and prevent further progression.
Periodontitis is a more advanced stage of periodontal disease, following gingivitis, where the inflammation of the gums spreads deeper into the tissues. It causes receding gums, exposal of the tooth's roots, and in advanced cases, may lead to movement or loss of teeth. Therefore, comprehensive therapy to clean the affected areas and root planning is essential to manage the condition effectively.