### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have a deep pocket on #36 and was told by a periodontist that it had very poor prognosis . She advised me either to have it extracted (which means she could offer an expensive implant) or to have a root canal done followed by a perio cleaning. My intuition told me it was not an endo problem because the tooth did not ache, only was slightly sensistive. However, later it started aching. I rushed to an endodontist, who did the first part of RCT (put some medication ). Questions: Was it the right thing to do? What is the next step? To have gum grafting? Can I have a gingival mask?

### output:

The normal depth of gingival Julius is 2 mm. Periodontal pocket occurs in case of chronic gum inflammation. In case of periodontal pockets, there is loss of bone and ligament and the Julius gets deepened.  So you require pocket reduction surgery for this. Pocket reduction surgery is done to reduce the depth of the periodontal pockets and to allow less of plaque and calculus deposits and greater access for hygiene.  Pocket reduction surgery reduces the bacterial spread, stops the bone loss and enhances the smile of the patient.  If the surgery is not performed, then more destruction of gums can take place and the tooth may eventually become loose and fall. Get the surgery asap to avoid any complication.  The surgery will be performed under local anesthesia or general anesthesia.  The gums are pulled back from the teeth and bacteria and calculus will be eliminated. There will be significant reduction in periodontal pocket depth after the surgery and the condition of gums and teeth will improve significantly. Till the time you get surgery for pocket reduction done, maintain a good oral hygiene and brush and floss regularly.