Periodontal Disease: Understanding and Diagnosing

November 20, 2013

Periodontal disease, commonly known as gum disease, is the number one cause of adult tooth loss in the United States. The American Academy of Periodontology has estimated that “approximately three out of four Americans suffer from some form of gum disease.” (Source) With the advances in dentistry over the past 40 years, we are better able to fight periodontal disease. Today we are going to share with you exactly what periodontal disease is and discuss the best methods for diagnosing periodontal disease.



What is periodontal disease?

According to the ADA “Periodontal diseases are disorders of the gums, or gingivia and other tissues around the teeth.” (Source) Periodontal diseases range in severity from mild to severe. When not properly treated, periodontal disease results in tooth loss. During early periodontal disease, also called gingivitis, bacteria and plaque build up in the gum tissue that surrounds and secures your teeth. As this build-up occurs, your gum tissue becomes infected. As the periodontal disease continues, the periodontal ligaments attaching your gums to your teeth begin to break down. Bone loss also begins to occur as the infection spreads.


Visual Exams

A visual exam is the first place to start when diagnosing any level of periodontal disease. Symptoms of periodontal disease include puffy red gums, bleeding when flossing or brushing, and bad breath. Your gums may appear rounded or blunted instead of pointy between your teeth. In more severe cases you may be able to see the pockets formed by the detached gums and bone loss. Loose teeth will occur in cases where periodontal disease has been allowed to run rampant without being treated.


X-Rays

In mild cases of periodontal disease, where the bacteria and plaque has built up below the gumline, x-rays can be used to see this build-up. In more severe cases of periodontal disease, x-rays are used to measure the level of bone loss. X-rays are a useful tool in helping diagnose periodontal disease, but they are just a part of the diagnosis.


Periocharting

A periochart is the measurement of the depth of the periodontal pockets. These pockets are the spaces between your teeth and your gums. It is normal to have small pockets, but larger pockets are an indicator of periodontal disease. By doing a periochart the clinicians at our Evanston dental office are able to more accurately determine the health of your gum tissues. The measurements used in periocharting are taken in millimeters using a probe with a rounded tip.


The probe is placed at the base of the pocket between your tooth and your gum to determine the depth of the pocket. In general, a depth of 1mm – 3mm is a healthy pocket, a 4mm pocket may mean you have an infection, and a 5mm pocket or above usually means you should seek treatment for periodontal disease. Simply stated: the deeper the pocket, the greater your risk for tooth loss.

 

Periodontal disease is a serious condition affecting 75% of Americans today. Unfortunately, it is not a disease that can be completely cured, as the loss of your gum tissue and bone is hard to replace. In our next blog post we will address some of the treatment options available to help you combat periodontal disease. In the meantime, keeping up a good oral hygiene routine will keep your mouth and gums healthy and happy. Visit our past posts on toothbrushesflossing, and toothpaste to maximize your routine and get the most for your oral care.

June 24, 2025
Pregnancy is a time of excitement, anticipation, and transformation. As your body adapts to nurture new life, your needs evolve—including your dental care. At Stephens Dentistry, we’re passionate about supporting expectant mothers through every stage of this journey. Understanding the connection between oral health and pregnancy is not just important for your smile, but for the wellbeing of both you and your baby.  How Pregnancy Impacts Oral Health Pregnancy brings about a surge in hormones, especially estrogen and progesterone, which can have a profound effect on your gums and teeth. Many women notice changes in their oral health during pregnancy, including increased sensitivity, swelling, or bleeding gums. These shifts aren't just uncomfortable—they can also signal conditions that need attention to safeguard your overall health. Pregnancy Gingivitis: What You Need to Know One of the most common dental issues during pregnancy is pregnancy gingivitis. According to the Centers for Disease Control and Prevention , up to 60–75% of pregnant women develop gingivitis, which is characterized by red, swollen, and bleeding gums. This occurs because hormonal changes heighten the body’s response to the bacteria in dental plaque. If left untreated, gingivitis can progress to periodontitis—a more serious gum infection that can cause tooth loss and has been linked to health risks beyond the mouth. Oral Health and Birth Outcomes The importance of oral health during pregnancy goes beyond comfort and aesthetics. Research has shown a significant link between maternal gum disease and adverse pregnancy outcomes, such as preterm birth and low birth weight. A systematic review published in the Journal of Dental Research found that women with periodontal disease may be more likely to deliver prematurely or have babies with low birth weights. Although more research is ongoing, the potential connection means that taking care of your gums and teeth is an essential part of prenatal health. Why Dental Care Shouldn’t Wait Some expectant mothers worry about dental treatments during pregnancy. The good news is that routine dental care—including cleanings and necessary treatments—are not only safe but recommended during pregnancy. The American College of Obstetricians and Gynecologists confirms that preventive dental work is important and can be performed safely, especially in the second trimester. Delaying care can allow small problems to become bigger ones, and untreated infections can pose a risk to both you and your baby. If you are planning to become pregnant, scheduling a dental checkup beforehand is an excellent way to get ahead of any issues. Practical Tips for Expectant Mothers Maintaining oral health during pregnancy doesn’t have to be complicated. Here are some tips to keep your smile healthy throughout your pregnancy: Brush and Floss Regularly: Aim to brush twice a day with fluoride toothpaste and floss daily. This helps remove plaque and reduce your risk of gingivitis. Eat a Balanced Diet: Focus on nutritious foods rich in calcium, vitamin D, and protein, which support both your oral and overall health. Manage Morning Sickness: If you experience vomiting, rinse your mouth with water or a fluoride mouthwash rather than brushing immediately afterward, as stomach acid can soften tooth enamel. Stay Hydrated: Drinking plenty of water helps wash away food particles and bacteria, and can also help combat dry mouth, which is common in pregnancy. Schedule Regular Dental Visits: Let your dental team know you are pregnant so they can tailor your care. At Stephens Dentistry, we take extra precautions to ensure your comfort and safety during each visit. Learn more about our preventive dental services . Recognizing When to Call Your Dentist While mild gum sensitivity is common, it’s important to reach out to your dentist if you notice persistent bleeding, swelling, or pain. These symptoms could indicate an infection that needs prompt attention. If you develop a dental emergency during pregnancy, don’t hesitate to contact your dentist—timely care is always the best choice for both you and your baby. Supporting Your Health at Stephens Dentistry At Stephens Dentistry, we’re committed to providing compassionate, personalized dental care for every stage of life—including pregnancy. Our team stays up-to-date on the latest guidelines and safety protocols to ensure you receive the best care possible. For more information on how we support our patients during pregnancy, visit our dental care for families page. Pregnancy is a beautiful journey, and your smile should be a part of it. Prioritizing your oral health is a gift to yourself and your growing family. If you have questions or want to schedule your next dental visit, contact our office —we’re here to help you every step of the way.
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