Diagnosis

Periodontal Disease.

Periodontal disease is diagnosed by your dentist or dental hygienist during a periodontal examination.  This type of exam should always be part of your regular dental check-up.

A periodontal probe (small dental instrument) is gently used to measure the sulcus (pocket or space) between the tooth and the gums.  The depth of a healthy sulcus measures three millimeters or less and does not bleed.  The periodontal probe helps indicate if pockets are deeper than three millimeters.  As periodontal disease progresses, the pockets usually get deeper.

Your dentist or hygienist will use pocket depths, amount of bleeding, inflammation, tooth mobility, etc., to make a diagnosis that will fall into a category below:

Gingivitis

Gingivitis is the first stage of periodontal disease.  Plaque and its toxin by-products irritate the gums, making them tender, inflamed, and likely to bleed.

Periodontitis

Plaque hardens into calculus (tartar).  As calculus and plaque continue to build up, the gums begin to recede from the teeth.  Deeper pockets form between the gums and teeth and become filled with bacteria and pus.  The gums become very irritated, inflamed, and bleed easily.  Slight to moderate bone loss may be present.

Advanced Periodontitis

The teeth lose more support as the gums, bone, and periodontal ligament continue to be destroyed.  Unless treated, the affected teeth will become very loose and may be lost.  Generalized moderate to severe bone loss may be present.

 

Related Periodontal (Gum) Disease Articles

Heart and Gum Disease Link - Dear Doctor MagazineThe Link Between Heart & Gum Diseases
Inflammation has emerged as a factor that is involved in the process of Cardiovascular Disease (CVD), which commonly results in heart attacks and strokes. While the precise role inflammation plays in causing chronic CVD remains an area of intense current investigation, much more is now known. The good news is that, based on current research, we know that if we can reduce the inflammation caused by periodontal disease, we can reduce the risk for heart attacks and strokes... Read Article

Periodontal (Gum) Disease - Dear Doctor Magazine Understanding Gum (Periodontal) Disease
Have your gums ever bled when you brushed or flossed? This most commonly overlooked simple sign may be the start of silent (periodontal) disease leading to tooth loss. Learn what you can do to prevent this problem and keep your teeth for life... Read Article

Diabetes - Dear Doctor Magazine Diabetes & Periodontal Disease
Diabetes and periodontal disease are chronic inflammatory diseases that impact the health of millions of people. What you may not know is that diabetes and periodontal disease can adversely affect each other... Read Article

Warning Signs of Periodontal (Gum) Disease - Dear Doctor Magazine Warning Signs of Periodontal (Gum) Disease
This article provides the warning signs of periodontal (gum) disease. Don't wait until it's too late... Read Article

 

 


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