It is classified as supra bony and infra bony based on its depth in relation to alveolar bone. Mucogingival defect
If the destruction continues unabated apically and reaches the junction of the attached gingiva and alveolar mucosa, the pocket would thus be in violation of the mucogingival junction and would be termed a mucogingival defect. Pocket formation
For the periodontal pocket to form, several elements need to be present. It all starts with the dental plaque . The invasion of the bacteria from the plaque eventually triggers inflammatory response. This in turn results in the gradual destruction of the tissues surrounding the teeth, known as the periodontium. Plaque that has been present long enough to harden and calcify will welcome additional bacteria to the pocket and make it virtually impossible to clean by means of a traditional toothbrush. Continuous destruction of surrounding tissues due to inflammation will lead to degradation of attachment and bone, eventually causing tooth loss. Certain circumstances can worsen the condition and are known as risk factors. These can either be systemic (like diabetes or smoking) or local (like overhanging dental restorative materials causing food trap). It is, therefore, important to manage plaque levels by appropriate oral hygiene measures. The importance of using interdental brushes along with standard or electric toothbrushing should be stressed early on. Early detection of high plaque levels at routine dental visits are found to be beneficial to avoid progression of the pocket formation.
An acral nevus  is a cutaneous condition of the palms, soles, fingers, or toes (peripheral body parts), characterized by a skin lesion that is usually macular or only slightly elevated, and may display a uniform brown or dark brown color, often with linear striations. : 1726 Acral nevi may occur in all ethnic groups, but are more common in dark-skinned people. The acral nevus is a benign skin lesion that can occur at any age, but is generally noticed between 10 and 30 years of age. Both children and adults may be observed with this skin lesion. The prevalence of acral nevi increases directly with degree of skin pigmentation. In a study, palmar or plantar nevi were detected in 42.0% of black (50 of 119) vs 23.0% of whites (79 of 343). Palmar or plantar nevi of 6 mm diameter or larger were detected in 3.4% of blacks (4 of 119) vs 0.6% of whites.They are brown to dark brown in color and have linear streaks of darker pigmentation. Size is usually 7 mm or less, oval or spindle shaped, and well-demarcated. They become stable after an initial growth phase, and the number of lesions also decreases; a new lesion in middle-aged or elderly people should raise suspicion of acral lentiginous melanoma. Additional image
See also
Acral lentiginous melanoma
List of cutaneous conditions

References


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