▁some ▁cases ▁ex ud ate . ▁Period ont al ▁po ckets ▁can ▁cause ▁the ▁lo osen ing ▁and ▁loss ▁of ▁dent ition ▁due ▁to ▁destruction ▁of ▁supporting ▁t issues ▁including ▁the ▁al ve olar ▁b one , ▁P DL ▁and ▁ging ival ▁t issue . ▁C lin ical ▁diagn osis ▁of ▁period ont al ▁po ckets ▁is ▁achieved ▁from ▁full ▁mouth ▁period ont al ▁prob ing ▁performed ▁by ▁a ▁dent ist ▁or ▁dent al ▁h yg ien ist . ▁ ▁Tre at ment ▁of ▁period ont al ▁pocket ing ▁requires ▁professional ▁and ▁at ▁home ▁inter vention . ▁At ▁home ▁treatment ▁for ▁period ont al ▁po ckets ▁include ▁met icul ous ▁and ▁routine ▁pla que ▁removal ▁by ▁br ushing ▁and ▁inter pro xim al ▁clean ing . ▁Professional ▁treatment ▁includes ▁routine ▁dent al ▁vis its ▁for ▁deb ride ment , ▁scaling ▁and ▁root ▁plan ing . ▁C lin ical ▁treatment ▁goals ▁are ▁set ▁to ▁control ▁the ▁infl am mat ory ▁disease ▁by ▁removal ▁of ▁cor onal ▁and ▁sub ging ival ▁pla que ▁containing ▁destruct ive ▁path og ens . ▁With ▁the ▁consistent ▁and ▁complete ▁removal ▁of ▁bio film , ▁the ▁in fection ▁can ▁be ▁arrested ▁and ▁health y ▁period ont ium ▁can ▁be ▁achieved . ▁ ▁Another ▁major ▁risk ▁factor ▁of ▁a ▁period ont al ▁pocket ▁is ▁sm oking ▁as ▁it ▁affect s ▁the ▁sever ity ▁and ▁pre val ence ▁of ▁po ckets . ▁Tob acco ▁c ess ation ▁is ▁a ▁necessary ▁inter vention ▁to ▁motiv ate ▁patients ▁to ▁quit ▁sm oking ▁and ▁achieve