Diagnosis

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.

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Testimonials

I was not sure what to expect when I decided to try straightening my teeth for my daughter's wedding. There were only three months until the wedding and I really did not believe there would be significant results in such a short period of time. Furthermore, with a wedding in the near future, I was hesitant because I was not sure financially that this would be possible. I was extremely happy after meeting with Dr. Wiele and hearing what could be done with my teeth with the funds I had available. The entire three months went so quickly and the results were beautiful. I was amazed when the braces came off a week before the wedding and my teeth looked so straight and beautiful. The photographer did not have to ask me to smile for the pictures! If you would like to improve your smile, no matter what the reason or the financial situation, talk to Dr. Wiele and his staff. I'm sure glad I did!

Sharron Estes

Thank you all so much for going out of your way to perfect my smile. Everyone is always so wonderful to be around, it makes going to the dentist a fun experience. My teeth look wonderful and I am very pleased with the results. Thank you so much again for everything you have done and everything you continue to do.

Jill Bernard

I would like to thank Dr. Wiele and his staff for an unbelievable dental experience. I went from being terrified of dental work to actually being able to relax and rest in the chair. Thanks for the miracle you worked with my smile. I am truly grateful and realize I smile more than ever. I never knew it would look this awesome. You really are gifted from above!

Rodney Mills

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