How is periodontitis diagnosed?

Diagnosing periodontitis
An examination by the dentist is the only way to correctly assess the condition of the gums. In addition to the clinical assessment with a gum probe, X-rays must also be taken to assess the condition of the bone.
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How do you get diagnosed with periodontitis?

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.
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Does periodontal disease show on xray?

Taking x-rays is part of the periodontal disease diagnosis process. When your dentist is evaluating your gum health, they use x-rays to check how much jawbone you have surrounding each tooth. Since the bone is what keeps your teeth secure, bone loss is an indication of periodontitis, which is a serious oral infection.
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What are the 5 symptoms present in periodontitis?

What are the symptoms of periodontitis?
  • gums that bleed when you brush your teeth or floss.
  • bad breath.
  • changes in the position of your teeth or loose teeth.
  • receding gums.
  • red, tender, or swollen gums.
  • buildup of plaque or tartar on your teeth.
  • pain when chewing.
  • tooth loss.
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How does a dentist know if you have periodontal disease?

Your dentist will look for inflammation of the gums and plaque or tartar at the base of the teeth. Using a probe, your dentist will determine the severity of your gum disease by measuring pockets in your gums and decide if further tests are required.
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Diagnosis of Periodontitis



Can periodontitis be misdiagnosed?

Periodontal disease is more commonly known as gum disease. There are several different forms of it. Some are more serious than others, but it is important to be able to identify the symptoms. Gum disease can easily be misdiagnosed, especially by people who don't know what the signs are.
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Will I lose my teeth if I have periodontal disease?

Periodontitis is a severe gum infection that can lead to tooth loss and other serious health complications. Periodontitis (per-e-o-don-TIE-tis), also called gum disease, is a serious gum infection that damages the soft tissue and, without treatment, can destroy the bone that supports your teeth.
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How quickly does periodontitis progress?

Slight Periodontal Disease

During the early gingivitis stages, gum inflammation can occur in as little as five days. Within two to three weeks, the signs of generalized gingivitis become more noticeable. If you still leave this untreated, it would progress to slight periodontal disease.
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Is periodontitis curable?

Periodontitis can only be treated but cannot be cured. Gingivitis, on the other hand, can be prevented by maintaining proper oral hygiene practices and visiting the dentist for checkups and exams.
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What does periodontal pain feel like?

Periodontal abscesses usually occur in areas with periodontal pockets, in which deep spaces are generated around the teeth. They cause a dull, gnawing, localized pain but are not painful to percussion. The discomfort ranges from low intensity aches to severe acute pain.
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What is the best mouthwash to use for periodontal disease?

Top 3 Best Mouthwash for Periodontal Disease
  1. TheraBreath Periodontist Recommended Healthy Gums Oral Rinse. ...
  2. Crest Pro-Health Gum and Breath Purify Mouthwash. ...
  3. Colgate Peroxyl Antiseptic Mouthwash and Mouth Sore Rinse, 1.5% Hydrogen Peroxide.
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How is mild periodontitis treated?

Treatment of Periodontitis
  1. Mild periodontitis can usually be treated by thorough cleanings done by your dentist or dental hygienist. ...
  2. Moderate periodontitis incorporates multiple sittings of scaling and root planing until the gums have healed completely and reattached themselves to the teeth.
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What is mild periodontitis?

Slight Periodontal Disease: Slight periodontal disease is the second stage of gum disease. It isn't reversible, but can be managed. Once you reach stage two, the infection has spread to the bone and has begun to destroy bones. The bacteria have become more aggressive, which is what leads to bone less.
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Is aggressive periodontitis painful?

The bacterial inflammation causes teeth to lose support. Eventually the teeth will become loose and fall out. Sometimes the infection becomes so severe that it can cause a tooth abscess. This can be quite painful.
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What happens if you don't treat periodontal disease?

Long-term risk of untreated periodontal disease

Untreated gingivitis will progress into periodontitis, which is a more severe stage of gum disease. The infection and pockets deepen while eating away at your jaw until your teeth become loose and fall out.
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Does periodontal disease hurt?

It's typically caused by poor brushing and flossing habits that allow plaque—a sticky film of bacteria—to build up on the teeth and harden. In advanced stages, periodontal disease can lead to sore, bleeding gums; painful chewing problems; and even tooth loss.
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Can Listerine cure periodontitis?

While LISTERINE® mouthwash products can help prevent early gum disease, they are not indicated to treat periodontitis.
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Can you live with periodontal disease?

Living with periodontal disease can cause aesthetic complications and bone loss of a serious nature. Unlike other injuries, periodontal disease does not cause any pain. It is a silent disease when the teeth gum becomes inflamed and bleeds.
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What are the stages of periodontal disease?

Periodontitis is broken down into four stages:
  • Periodontitis Stage 1: Initial.
  • Periodontitis Stage 2: Moderate.
  • Periodontitis Stage 3: Severe with potential for tooth loss.
  • Periodontitis Stage 4: Severe with potential for loss of all the teeth.
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What is the first stage of periodontal disease?

Gingivitis – Early Stage of Gum Disease.
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What causes sudden periodontitis?

Causes. Necrotizing periodontal disease is caused by a mixed bacterial infection that includes anaerobes such as P. intermedia and Fusobacterium as well as spirochetes, such as Treponema. ANUG may also be associated with diseases in which the immune system is compromised, including HIV/AIDS.
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When should I see a periodontist?

If you notice that your teeth seem to appear elongated or that your gums are receding at all, then you should schedule an appointment with a periodontist. Longer-looking and loose-feeling teeth can indicate recession of the gums and/or bone loss as a result of periodontal disease.
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What is Stage 4 periodontal disease?

In stage four the periodontal disease has taken a firm hold. Your gums will be visibly receding, exposing tender tooth enamel which can be easily damaged and then start to decay. The hidden damage to your jawbone will start to become noticeable as your teeth start to loosen, becoming wobbly or even moving position.
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Do dentists lie about periodontal disease?

Sometimes patients get a prophy when periodontal disease IS present. Too many hygienists get caught up in the "run and gun" mode and miss that periodontal disease is present, primarily because they omit the full-mouth periodontal charting/recording. In my opinion, under-diagnosing is just as bad as over-diagnosing.
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How do they fix periodontal disease?

Surgical treatments

If you have advanced periodontitis, treatment may require dental surgery, such as: Flap surgery (pocket reduction surgery). Your periodontist makes tiny incisions in your gum so that a section of gum tissue can be lifted back, exposing the roots for more effective scaling and root planing.
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