Why is it essential to assess tooth surface before selecting treatment for pocket therapy?

Assessing the tooth surface before selecting treatment for pocket therapy is crucial primarily because it allows for the identification of calculus and alterations to the cementum. This evaluation helps determine the extent of periodontal disease and the presence of subgingival deposits that can exacerbate the condition. Calculus is a hardened form of plaque that contributes to the attachment loss associated with periodontal disease. If calculus is present, it must be removed to successfully manage periodontal pockets and encourage healing.

Moreover, examining the cementum is important because it can become altered due to disease processes or previous treatments. Any inconsistencies or damage to the cementum can affect the prognosis of periodontal therapy and the subsequent treatment plan, including the potential need for surgical intervention. By focusing on the condition of the tooth surface, practitioners can tailor their approach to effectively treat the periodontally compromised teeth, ensuring both the health of the periodontal tissues and the longevity of the teeth.

The other options, while relevant in their own contexts, do not directly influence the specific planning of pocket therapy as significantly as the presence of calculus and the state of cementum do. Identifying dental restorations, assessing cosmetic appearance, or checking bite alignment are important for comprehensive dental care, but they do not address the immediate requirements for managing periodontal