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omitting when dentist checking gums

by Prof. Ernest Carter Published 1 year ago Updated 1 year ago
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Your gums may still be bleeding and appear injured and irritated if you simply floss right before your dental checkup. Gums that are in good health appear tight and pink. Just brushing your teeth twice a day without flossing can remove the plaque on the surface of your teeth and above your gum line.

Full Answer

Why do dentists care about gum check numbers?

Why Dentists Care About Gum Check Numbers Gum probing for periodontal pockets is an important part of preventative care. Diseased gums tend to swell, bleed, and recede, forming gum pockets or periodontal pockets. Unchecked, these gum pockets can deepen with time, allowing plaque and bacteria to collect.

How do dentists check for gum pockets?

During an exam, your dentist or hygienist will check for gum pockets by gently inserting the narrow end of a small tool called a periodontal probe into the space between your tooth and gum. While the probe may look sharp, it’s only a tiny ruler with a dull end. The gum probing process works like this: Insert the periodontal probe into the pocket

How can I tell if my gums are healthy?

Healthy gums are usually firm and pink, don’t bleed easily during brushing and flossing, and fit snugly around teeth. To check whether your gums are a snug fit, your dentist or dental hygienist performs a gum check to probe the spaces between your gums and teeth.

What happens during a complete dental checkup?

Complete dental checkups always include evaluating your gum health. Healthy gums are usually firm and pink, don’t bleed easily during brushing and flossing, and fit snugly around teeth. To check whether your gums are a snug fit, your dentist or dental hygienist performs a gum check to probe the spaces between your gums and teeth.

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What does it mean when the dentist measure your gums?

What Do The Numbers Mean? During the measuring process, you'll hear us say numbers ranging from 1 to 7, and sometimes more. These numbers reflect how deep your gum pockets are in millimeters. Anything between 1 and 3 is a good indicator that your gums are healthy.

Do dentists notice gum disease?

If you smoke or have a family history of gum disease you are at higher risk and if you don't have a good oral health routine then you are more likely to suffer from gum problems. The second stage is the clinical examination, where your dentist will look for gum disease symptoms, such as: Inflamed, swollen or red gums.

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.

What are they looking for when doing a periodontal exam to see if the gums are healthy?

During a periodontal exam, we assess the amount of plaque and tartar on the surfaces of your teeth. Your teeth are checked for mobility, and we can assess your jaw for any bone loss by looking at your digital x-ray images. Your gums are also examined for inflammation, bleeding and recession.

What are the 5 stages of periodontal disease?

5 Stages of Gum Disease: Spotting the Signs to Get Treatment in...First Signs. In the very early stages of gum disease, your teeth will seem basically healthy. ... Gingivitis. ... Early Periodontitis. ... Moderate Periodontitis. ... Advanced Periodontitis.

What are the 4 stages of periodontal disease?

Know The 4 Stages of Gum Disease1: Gingivitis. The first stage of gum disease is Gingivitis or gums inflammation, without loss of bone. ... Stage 2: Initial Periodontitis. ... Stage 3: Mild Periodontitis. ... Stage 4: Progressive Periodontitis.

Why are dentists pushing deep cleaning?

If you have been diagnosed with periodontal disease, and suffer from bone loss, inflammation, and/or tartar has accumulated beneath the gumline, then the hygienist will need to clean 'deeper' below the gumline, and this is often known as a dental deep cleaning.

Can my teeth be saved if I have periodontal disease?

Saving teeth from periodontal disease is possible if you detect the signs and symptoms early or regularly visit your dentist for cleanings and exams. Let the condition progress unhindered, and tooth loss should be considered as an eventuality.

Is deep cleaning of gums necessary?

You might need a deep cleaning if gum disease causes your gums to pull away from your teeth, creating a space greater than 5 millimeters (mm) deep. If gum disease worsens, the space between your gums and teeth can continue to widen. This can weaken the bones that support your teeth, causing loose teeth or tooth loss.

What does 0 mean at the dentist?

Have you ever wondered what the numbers we call during your appointment mean? This is us scoring your gums between 0 and 4. Zero is the best you can get, meaning your gums are perfect! While 4 can indicate gum disease.

Is measuring gums necessary?

This small part of your dental appointment helps us identify potential gum or periodontal disease. By monitoring your gum measurements, we can determine your overall gum health.

What gum disease looks like?

Bright red, swollen gums that bleed very easily, even during brushing or flossing. Bad taste or persistent mouth odor. White spots or plaques on the gums. Gums that look like they're pulling away from the teeth.

How to tell if your gums are healthy?

To do this, dentists assess the dental sulcus. The dental sulcus is a small groove where the gums meet the teeth. This small space provides an easy way to measure the health of the gums.

What is the term for the deep tissue in the gums that keeps teeth anchored in place?

Periodontal disease refers to an infection or inflammation of the periodontium, the deeper tissue within the gums that keeps teeth protected and anchored in place. Periodontal disease is similar to gingivitis, but the problems are deeper and more severe. You may notice that your gums are much darker in color, swollen, and much more sensitive.

What does it mean when your gums pull away from your teeth?

When the gingiva become inflamed or infected, this condition is called gingivitis. When this happens, the gums begin to pull away from the teeth. They will also appear darker in color and look puffier than normal. The most common sign of gingivitis is bleeding gums when you floss.

What does it mean when your gums are dark?

You may notice that your gums are much darker in color, swollen, and much more sensitive. When periodontal disease is present, the gums have pulled away from the teeth significantly, exposing a bit of the dentin underneath. Periodontal disease is reversible with the right treatment, like scaling and root planing (SRP).

How to measure sulcus?

To measure the sulcus, dentists use a small probe with mm measurements. The dentist uses the probe to measure the sulcus throughout the mouth. In some areas, the sulcus might be within the normal range, and the gums may be healthy.

Why are gums important?

Your gums help to protect your teeth roots and keep your teeth secure and stable.

What does a dentist check for when they inspect your gums?

When your dentist inspects your gums and reads out numbers, they’re checking for gum disease. A good understanding of gum disease will help to explain this process.

What is periodontal charting?

Periodontal charting is the practice of using a periodontal probe to measure the distance between your gums and where they attach to your teeth. This area or space is often called a “pocket,” and the size of these pockets is an indicator of how healthy or unhealthy your gums and bone support are. These measurements are one of the many ways that we evaluate the health of your gums and screen you for gum disease.

How do you know if you have periodontal disease?

Periodontal disease can have many signs and symptoms. These include: 1 Bleeding while brushing, flossing, or when eating certain foods 2 Red, swollen or painful gums 3 Bad breath 4 Gums that are pulling away from the teeth 5 Loose teeth

What is the advanced stage of periodontal disease?

7mm and above with bleeding is generally the advanced stage of periodontal disease. Surgery to repair bone loss and frequent periodontal maintenance will be required.

Why do dentists check your gums?

The main reason dentists probe your gums is to check for gum disease, also known as periodontal disease.Science supports the fact that gum disease affects other parts of your health. Research has suggested that there is a link between gum disease and many other conditions such as heart disease, diabetes, osteoporosis, respiratory issues, and many more.

What does it mean when your gums are tight?

The numbers that you hear are the depths of the pockets around your teeth in millimeters. Smaller, tighter pockets usually mean healthier gums.

What is a 1-3mm bleeding?

1-3mm with bleeding is an early sign of gingivitis. Better at-home care will probably get you back on track!

Who checks gum health?

We often check your gum health as a team, with a dentist or hygienist probing your gums and another team member recording the results in a periodontal chart like the one below:

How can gum disease be reversed?

Having symptoms of gum disease can be worrisome, but the Dental Health Society says that when gum disease is caught early, it can often be reversed by improving dental hygiene habits, and by a thorough professional cleaning from a dentist at least twice a year. Routine brushing and flossing at home can remove some plaque, and professional cleaning from a dentist can usually take care of the rest. A dentist can also treat more serious forms of gum disease that have progressed beyond the early stages.

How do you know if you have gum disease?

If a person’s gums become red or puffy/swollen, or blood starts appearing when brushing or flossing teeth, this may be an early sign of gum disease. It is not natural to see bleeding gums when brushing or flossing. As plaque and tartar stay on teeth, gums can become swollen, red, and inflamed, causing them to bleed easily. Swollen gums that last longer than 1-2 days may be a sign of gum disease. If gums are swollen for more than 2 weeks, a visit to the dentist is a good idea.

What age do you have gum disease?

Nearly half of adults age 30 and over have gum disease, according to the Centers for Disease Control and Prevention (CDC). Problems with gums may include seeing blood when brushing or flossing teeth. Puffy or dark red gums may also signal the beginnings of gum disease in adults. Gum disease starts with a buildup of plaque and tartar on the teeth. If left untreated, gum disease can lead to infection and bone loss below the gum line—and even tooth loss.

What does it mean when your gums are pulling away?

An Abscess on the Gum. An abscess is a pocket of pus in the tissues of the gum. It looks like a small red ball pushing out of the swollen gum. An abscess can cause the gums to pull away from the teeth.

Why does my breath get bad?

Bad Breath. Bad breath can also be an indicator of early stage gum disease. Usually caused by plaque buildup on the tongue, bad breath may be a sign that plaque and bacteria aren’t being properly removed.

What is the best way to treat gum disease?

A dentist visit is the best way to address concerns about gum disease. The good news with gum disease is that it can often be treated successfully. The first step usually involves a special cleaning called “scaling and root planing.”

Why do my teeth feel different?

A person’s “bite” may also feel different because the teeth do not fit together as they once did.

How do you know if you have periodontal disease?

Periodontal disease can have many signs and symptoms. These include: 1 Bleeding while brushing, flossing, or when eating certain foods 2 Red, swollen or painful gums 3 Bad breath 4 Gums that are pulling away from the teeth 5 Loose teeth

Why do we probe our gums?

As we mentioned above, the main reason we probe your gums is to check for gum disease, also known as periodontal disease.Science supports the fact that gum disease affects other parts of your health. Research has suggested that there is a link between gum disease and many other conditions such as heart disease, diabetes, osteoporosis, respiratory issues, and many more.

What is the purpose of periodontal charting?

Periodontal charting is the practice of using a periodontal probe to measure the distance between your gums and where they attach to your teeth. This area or space is often called a “pocket,” and the size of these pockets is an indicator of how healthy or unhealthy your gums and bone support are.

What is Howard Family Dental?

At Howard Family Dental, we follow the recommendations of the AAP American Academy of Periodontology. The AAP recommends an annual periodontal evaluation to assess your gum health and identify gum disease. Maybe you have been screened but weren’t made aware. At our practices, we want to partner with you regarding your dental health. Clearly communicating what we are measuring and what we discover is the best way to do that. We call the numbers aloud so you hear your measurements and fully understand your gum health.

What does it mean when your gums are 0-3mm?

The numbers that you hear are the depths of the pockets around your teeth in millimeters. Smaller, tighter pockets usually mean healthier gums. 0-3mm without bleeding means you are in great shape. Be proud! 1-3mm with bleeding is an early sign of gingivitis.

What does 5-7mm mean?

This can require additional treatment and more frequent visits. 5-7mm with bleeding means tissue damage and probably bone loss. More hygiene visits and special treatment will probably be necessary in addition to better at-home care. 7mm and above with bleeding is generally the advanced stage of periodontal disease.

What is a 1-3mm bleeding?

1-3mm with bleeding is an early sign of gingivitis. Better at-home care will probably get you back on track!

What does a 4mm mean?

But a dentist will let you know if that is the case. I tell people that having a few 4s may not be a problem, depending on the situation. A 4 mm measurement could mean a few things. If it has been awhile since you have had a cleaning, a 4 can mean there is some inflammation of the gums making the measurement larger.

What does a dental exam show?

What this exam does, is measure the health of the gums and bone around each tooth. Each tooth has 6 areas that are measured, that is why there are so many numbers. Each number is actually a millimeter measurement, read off of the instrument that we are using. Numbers 1-3 generally are normal and healthy. Sometimes if the gum has pulled down away from the tooth a lower number may not be accurate to show how much bone loss is happening. But a dentist will let you know if that is the case.

Does smoking make your gums bleed?

Another thing that we look to see is if the gums bleed as we do the measurement. In general, no bleed ing means the gums are healthy. Smoking can sometimes mask the bleeding and that will make the gums appear healthier than they really are.

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What is Stonehaven Dental?

The AAP recommends an annual periodontal evaluation to assess your gum health and identify gum disease. Maybe you have been screened but weren’t made aware. At our practices, we want to partner with you regarding your dental health. Clearly communicating what we are measuring and what we discover is the best way to do that. We call the numbers aloud so you hear your measurements and fully understand your gum health.

What is periodontal charting?

Periodontal charting is the practice of using a periodontal probe to measure the distance between your gums and where they attach to your teeth. This area or space is often called a “pocket,” and the size of these pockets is an indicator of how healthy or unhealthy your gums and bone support are. These measurements are one of the many ways that we evaluate the health of your gums and screen you for gum disease.

How do you know if you have periodontal disease?

Periodontal disease can have many signs and symptoms. These include: 1 Bleeding while brushing, flossing, or when eating certain foods 2 Red, swollen or painful gums 3 Bad breath 4 Gums that are pulling away from the teeth 5 Loose teeth

Why do we probe our gums?

As we mentioned above, the main reason we probe your gums is to check for gum disease, also known as periodontal disease.Science supports the fact that gum disease affects other parts of your health. Research has suggested that there is a link between gum disease and many other conditions such as heart disease, diabetes, osteoporosis, respiratory issues, and many more.

What does 5-7mm mean?

This can require additional treatment and more frequent visits. 5-7mm with bleeding means tissue damage and probably bone loss. More hygiene visits and special treatment will probably be necessary in addition to better at-home care. 7mm and above with bleeding is generally the advanced stage of periodontal disease.

What does it mean when your gums are tight?

The numbers that you hear are the depths of the pockets around your teeth in millimeters. Smaller, tighter pockets usually mean healthier gums.

What is a 1-3mm bleeding?

1-3mm with bleeding is an early sign of gingivitis. Better at-home care will probably get you back on track!

What Do The Numbers Mean?

During the measuring process, you’ll hear us say numbers ranging from 1 to 7, and sometimes more. These numbers reflect how deep your gum pockets are in millimeters. Anything between 1 and 3 is a good indicator that your gums are healthy.

Other Signs of Gum Disease

Gum disease is a serious problem that can lead to tooth loss and has been linked to several whole-body concerns including heart disease and stroke. Besides having periodontal charting complete, you should look for other signs of gum disease like bleeding gums, chronic bad breath, or receding or tender gums.

What is the best way to relax during a dental procedure?

A lesser-known form of deep relaxation is hypnosis dentistry. Hypnosis can get rid of your anxiety and perhaps the need for anesthesia.

What is the best scent to use at the dentist?

Studies show that orange and lavender fragrances can calm anxiety and stress at the dentist. Instead of the sound of drills and the metallic smell of tools, you could hear a breeze blowing over a field of fragrant lavender. Total relaxation.

How many people are dental phobic?

Nearly 1 in 25 of us is dental-phobic. But have you heard about the latest ways to calm those fears? One of these methods could give you just the dose of courage you need.

When to take sedatives before dentist appointment?

For something stronger, dentists might prescribe a sedative medicine that you take the night before your appointment, then again an hour or so beforehand.

Can you hold a button to stop a dentist?

Some dentists let you hold a button that can stop whatever machine the dentist is using. "Psychologically there may be some advantage to giving a patient a button that they can press," Range says. "It's playing off the same concept as telling the patient to raise a hand if they want the dentist to stop.".

Do dentists hold the button?

Some dentists say their patients love to hold the button but that few of them press it.

Can you drive home after a dental procedure?

Total relaxation. Many dentists offer nitrous oxide, or "laughing gas." You inhale the gas through your nose during the entire procedure. You're back to normal shortly afterward and can drive yourself home.

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