Examination and Diagnosis

When the patient visits the dentist for the first time, in addition to the condition of the teeth and the presence of caries, the dentist must also check for the possible presence of periodontal disease and bleeding gums.

Periodontal disease is the leading cause of tooth loss in the adult population, although most people do not know it. It is very common to have periodontal problems after the age of thirty. This means that some patients will have more or less severe problems of gum inflammation and loss of bone supporting the teeth.

Unfortunately, making a diagnosis is not always easy and we all know that in medicine no two people always react in the same way. Bleeding is one of the frequent symptoms of gum inflammation, but it is not always present. It is common for smokers not to have bleeding.

That is why when we visit the dentist we should always ask about our gum health.

Problemas de encias sangrantes
Probe measuring a bag
The use of the Periodontal Probe is indispensable for diagnosis. The probe is an instrument of vital importance for our health. It has a handle and a millimetre tip with a blunt point so as not to puncture the gum. This instrument must be properly used by expert hands to obtain the necessary information.
 
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Graduated probe used for periodontal diagnosis
El profesional deberá introducir la sonda en el espacio existente entre el diente y la encía. En condiciones de salud, cuando la encía llega al diente forma un pequeño pliegue que se denomina Sulcus. Este pliegue debe de tener uno o dos milímetros, pero en situaciones de inflamación la unión epitelial que une la encía al diente, se debilita y migra en profundidad, de modo que su produce una mayor profundidad de este pliegue. El pliegue inflamado y más profundo se denomina Bolsa Periodontal.
 

The probe will measure the depth of the periodontal pocket, determining the severity of the inflammation and the existing bone loss by means of its millimetric engraving, as bone loss must have already occurred before the gum and tooth union can migrate downwards.
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The dentist, in addition to confirming the presence of pockets, should analyse whether there is tooth mobility, gum recession with exposure of the root of the tooth, presence of furcation lesions, etc.

To obtain a good diagnosis it is important to have adequate radiographic information. For this purpose we use periapical radiographs and orthopantomographies, which can be carried out in our facilities.

With this information he will configure the periodontal chart and establish a diagnosis of the situation which he will communicate to the patient as well as the treatment plan to correct the situation.

trata4Periodontogram showing the patient's gum data
 

KEEP IN MIND

  • Gums Musn't Bleed
  • There should be no periodontal pockets.
  • Tooth mobility is an advanced symptom.