Diagnosis & Treatment Planning

A periodontal examination is performed by your dentist or dental hygienist. This painless treatment is used to assess periodontal disease severity and measure it. This type of examination should always be included in your routine dental examination.

The pocket space (sulcus) between the tooth and the gums is softly measured with a periodontal probe, a fine tool calibrated in millimetres (mm). The depth of a healthy pocket is three millimetres or less and does not hemorrhage. The disease is indicated by a pocket depth of more than 3 mm.

Pockets generally deepen as the periodontal disease advances. Pocket depths, inflammation, the quantity of bleeding, and tooth movement will all be used by your dentist or hygienist to develop a diagnosis that fits into one of the following categories:

The first stage of periodontal disease is gingivitis. Gingivitis is a condition in which the gums become inflamed. Bacterial plaque collects in the small crevices between the gums and the teeth, causing them to become painful, irritated, and prone to bleeding.


Periodontitis has few symptoms in its early stages, and many people wait until the condition has progressed severely before seeking treatment. Gums that are receding, inflamed, irritable, or bleeding; deeper pockets; gingival recession; and poor breath are also possible symptoms (Halitosis).

Patients should be aware that gingival inflammation and bone loss are generally painless. As a result, people may mistakenly believe that painless bleeding after teeth cleaning is unimportant, even if it could be a sign of advanced periodontitis in that patient.

Advanced Periodontitis
When the supporting bone is damaged, advanced periodontitis develops, causing the teeth to lose more attachment. Without treatment, the damaged teeth grow loose, fall off, or need to be extracted by a dentist. There may be generalized mild to severe bone loss.

Periodontal Disease: Diagnosis

Periodontal disease is a bacterial infection that spreads from your gums to the bone surrounding your teeth. This infection must be removed, and the affected area must be allowed time to heal. Depending on the severity of your infection, there are two generally acknowledged treatments: non-surgical and surgical treatment.

One to two regular cleanings will be indicated in the early stages of the disease when no harm has been done. You will also be given tips on how to improve your everyday oral hygiene routines at home. We will also provide you with routine dental cleanings on a regular basis.

Periodontal treatment involves scaling and root planning to remove plaque and calculus around the teeth if the disease has progressed to a more advanced state. While the area is numb, it is normally done one quadrant of the mouth at a time. Tartar, plaque, and toxins are removed from above and below the gum line (scaling), and rough patches on root surfaces are smoothed during this operation (planning). This therapy aids in the healing of gum tissue and the reduction of pockets. To aid with infection prevention and recovery, medications, medicated mouth rinses, and an electric toothbrush may be prescribed.

In more advanced cases, surgical treatments may be needed to reduce pocket depths, making teeth easier to clean.

To arrange for your appointment or to request more information:
Please call (905) 664-0808.

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