There are two types of periodontal pockets: gingival pockets and periodontal pockets. Periodontal pockets are true pockets that occur with the destruction of supporting periodontal tissues. Periodontal pockets can be further classified based on their morphology and the number of tooth surfaces involved. Periodontal pockets form due to the effects of bacterial plaque and the inflammatory response. They are characterized by signs such as bleeding and exudate as well as symptoms like pain. Histologically, the soft tissue wall shows inflammation and the root surface shows structural, chemical and cytotoxic changes. The pocket contains microorganisms, their products, and other materials.