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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 cannot recommend Dr. Sassani and his team enough. I came into his office in literal tears, I had neglected to go to the dentist for a few years and was paying for it with a very bad infection. Dr. Sassani was very empathetic, his first and foremost goal was to relieve me of my immediate pain, and that he did. From there, he developed a simple plan to get my dental health back in order. That was a few months ago, and today I just went in to finish my crown and get the last few cavities taken care of (we had put a temporary on and waited for the new year for my insurance to renew). I finally have a healthy mouth again and a huge burden of stress has been taken off my shoulders because of this

John A. Yelp 2017

DR Andre Sassani is an artist. He works quickly and gently, handling injections, fillings, crowns and you-name-it with ease. As he works, he asks if your'e ok, tells you what he's doing, answers questions, provides guidance. He is respectful of your time. He is polite to his staff.
Office staff is delightful, professional, kind. Hygenist is gentle and full of information.
It's a win all around.

Yelp Review April 2015

Description of Experience: My husband had two wisdom teeth that were causing him significant pain. In addition, he had not been seeing a dentist regularly for an extended period of time due to unfortunate experiences with dentists earlier in his life.
Member Comments: My husband is still raving about Dr. Sassani. He and his staff were very calming, supportive, informative, and not condescending or judgmental about my husband's dental condition. They were extremely flexible with appointment times and did their best to get him in as soon as possible, even calling when other patients cancelled their appointments to see if he wanted those earlier spots.
When he was finally in the chair, they checked on him during his procedures (cleanings and extractions) frequently to make sure he was comfortable and coping well, and everyone was very friendly. Even when they were having issues with some of his deep cleaning, they remained positive and supportive which really helped my husband overcome his fear of the whole experience. I know my husband is challenging on a good day; they made an excellent impression on his first visit with them, and he will be using them regularly from now on and looks forward to his next visit. That's what I call a success story

S. Freeman Angies list, Oct 2015

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