What is the primary distinction between false and true pocketing?

The primary distinction between true and false pocketing is based on the concept of reversibility versus irreversibility. True pockets, also known as periodontal pockets, occur when there is a loss of attachment due to periodontal disease, which often involves the destruction of supporting structures around the teeth and cannot be reversed without intervention. These pockets indicate a significant pathological change in the periodontium.

In contrast, false pockets occur when there is an increase in gingival tissue due to inflammation or swelling, leading to a pocket-like space, but there has been no loss of attachment or destruction of the underlying bone. This means that false pockets can often be reversed with effective oral hygiene and treatment, as they have not yet led to a degradation of the periodontal support.

Understanding this distinction is crucial for dental professionals, as it influences treatment planning and the prognosis for periodontal health. True pockets require more complex management, often including deep cleaning and possibly surgical intervention, while false pockets can sometimes be managed through improved hygiene and nonsurgical therapies.