DIAGNOSING 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 care at least twice a year.
X-rays are used to diagnose bone loss surrounding the roots of the teeth. If evidence of bone loss is seen on x-rays periodontal treatment is mandatory. If left untreated the likelihood of tooth-loss is high.
A periodontal probe (small dental instrument) is gently used to measure the sulcus (pocket) 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, and tooth mobility to make a diagnosis that will fall into a category below:
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.
Mild to Moderate Periodontal Disease
Plaque hardens into calculus (tartar). As calculus and plaque continue to build up below the gum line, 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.
Severe Periodontal Disease
The teeth lose more support as the gums, bone, and periodontal ligament continue to be destroyed by tartar and bacteria. Unless treated, the affected teeth will become very loose and may be lost.
Scaling, root planing and bite adjustment can improve the health of tissue, often being curative themselves.
Daily brushing and flossing removes plaque from teeth and gums and helps reduce tartar deposits.
Periodontal disease affects more than 80% of Americans by the age of 45. Certain factors contribute to its progression.