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 hated my smile. I was very self conscious, but Dr. Episcopio changed that for me. I get compliments all the time and I love my new smile. Thank you Dr. Episcopio and his amazing office team!

Alison Groia

Teeth...the focus of my smile - they were my embarrassment, my hindrance. I'd cover my mouth when I'd laugh or smile.
Teeth...NOW - my teeth are my asset! Dr. Episcopio have me back my smile, my love of laughter! Dr. Episcopio gave me the teeth that I am proud of showing, a new me! I am forever grateful to him and his staff, and as I say that I'm smiling wide!!

Alison Wright

Dr. Episcopio has been my dentist for some time now. He had spoken to me about veneers in the past but I always put it off. Finally 6 months before I turned 50 I made the decision to go ahead with it. Wow! I wish I would have made that decision a long time ago. I had learned to smile with my mouth closed or just not at all. My front teeth definitely made me look older than I wanted to admit. I have had many compliments on my appearance since then.
When a child has a secret, they have that little smile. Right now, I have that smile, because I have a secret that I would like to share. Make an appointment with Dr. Lenny. He's the best around. I can tell you that from the bottom of my heart to the smile on my face. His staff is also the best you will find. Caring, compassionate and willing to work with you to make it happen. So visit their office and remember.........SMILE!

Carolyn Sicheri

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