Periodontal disease typically involves inflammation and infection that
ultimately destroys the tissues that support the teeth, gums, periodontal
ligaments, and the tooth sockets (alveolar bone).
It is very important to include overall dental health exam as part of you regular
visit as they are key to diagonse
Periodontal disease, tyically conducted by your dentist
or dental hygienist during a periodontal examination.
A healthy sulcus (pocket or space b/w tooth and gum) measures three millimeters
or less and they does not bleed. The periodontal
probe helps indicate if pockets are deeper than
three millimeters. As periodontal disease progresses,
the pockets usually get deeper. During your visit, you dentist or Dental hyginist
uses a probe (small dental instrument) to measure the sulcus (pocket or space)
between the tooth and the gums.
After the comprehensive exam that includes examination of of pocket depths,
amount of bleeding, inflammation, tooth mobility etc., your dentist will make a diagnosis that will fall into
one of a category below:
Gingivitis is the first stage of periodontal
disease typically occurs due to the long-term effects of plaque deposits.
Plaque and its toxin by-products irritate
the gums, making them tender, inflamed, and most likely make them bleed.
Periodontitis is second stage of periodontal disease in which plaque hardens into calculus (tartar). As calculus
and plaque continue to build up, the gums begin to moveaway from the teeth resulted in deeper pockets
between gums and teeth. These pockets then filled
with bacteria and pus. The gums become very
irritated, inflamed, and bleed easily. Typically slight
to moderate bone loss has also seen patients with Periodontitis.
Advanced Periodontitis is advance stage of periodontal disease in which 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 fo severe bone loss may be present.