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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 have known Dr. Robert Java for approximately six years. He is a very professional dentist who really cares about his patients. He has restored my faith in dentistry. I have been to several other dentists in the past that I believe cost me my real teeth. I now have to wear upper and lower dentures. After an examination by Dr. Java, he said there was still suffcient bone structure to go with implants to help secure the lower denutre. It was the best thing I have ever done.

On July 12, 2007, I received implants that attach to the dentures. They didn't hurt at all. The implants made it possible for me to eliminate the need to ever use any denture adhesive again. I was so excited. I have eaten corn on the cob and bitten into apples without any slippage at all, something I haven't been able to do since 1991. I do not even know the implants are there. What a wonderful gift! The implants are also easy to take care of! I thank God for Dr. Java and the new lease on life he has given me.

If I had known of him years ago, I know I would probably still have my real teeth. However, he has made a bad situation so much better. I would recommend Dr. Java for implants and regular dental work. He is a honest, has excellent integrity, and sincerely cares about his patients.

Dr. Java's staff are also excellent and caring. They make you feel like family. They are the best! I believe they would not be there if they were not the best, because Dr. Java demands the best for his patients.

Sincerely, Ms. Grace Jack

I have nothing but good comments about services I receive every six months that I go in for a check-up and cleaning. My dental needs are always taken care of with excellence. Thank you Dr. Java and your team for excellent customer service and outstanding services.

Patricia

I "met" the whole team mainly because I always stop and speak to all of you that I see. Having been a long time patient of the office, going back to Dr. Patch, I have known most of you long enough to see you grow from young adults to mothers. I feel very comfortable when I am in your care --almost as if I am a part of your little "family"--because you are warm, friendly, and laugh at my corny humor. I always speak highly of you all when someone asks me about recommending a Dentist. You are all a great group of professionals.

James

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