PERIODONTAL MEASURING: HAVE YOU BEEN PROBED?
"Three two three. Three two four". Have you heard these numbers being called out during your last dental cleaning visit? Do you know what they mean? If not, you should! (Hint: we are not learning to waltz!) These numbers represent a periodontal charting/probing that should be done at least once a year by your dental hygienist or dentist. Why? Taking and recording these measurements is the only way to ensure that a person is free of gum disease or receiving the appropriate care for their gum problems.
What is a periodontal charting?
It is a graphical description of the health of a person’s mouth. It gives information about how many teeth are present, how many teeth have plaque, the depth of the bone holding in the teeth, any areas that bleed when probed (measured), loose teeth, and gum level (recession) on and around the teeth. All of this information gives the dentist/dental hygienist an idea of a person’s periodontal health.
How are the gum measurements taken?
A calibrated periodontal probe is inserted between the tooth and the gum. Color coded probes are marked in millimeter (mm) increments and read at the top of the gum. Periodontal probes have a blunt or ball-tipped end to avoid damaging the gums. The probe is “walked” around the gum to get six measurements per tooth.
What do the numbers mean?
Healthy gums will have measurements of 3mm or less. Gums are pink with no bleeding. A person with gingivitis will have measurements of 4mm and under with red, tender, puffy gums that are likely to bleed when measured. Early gum disease is defined as measurements of 4-5mm with red inflamed gums and bone loss. Persons with advanced gum disease will have measurements of 5+ mm with major bone loss, possible gum infections, increased tooth movement and gums that bleed easily.
Warning Signs of Gum Disease:
● Gums that bleed easily
● Red, swollen, tender gums
● Gums that have pulled away from the teeth
● Pus between teeth and gums when gums are pressed
● Persistent bad breath or bad taste in mouth
● Permanent teeth are loose or have changed position
● Changes in your bite
If you notice any of these symptoms, see your dentist right away. Gum disease will not go away on its own. Only your dentist can help you decide how to treat your gum problems effectively. We look forward to seeing you!
Questions & Answers Q&A
A. Chewing ice repeatedly over time weakens the teeth- creating small microfractures in the teeth. As one continues to chew ice- these teeth are more likely to fracture either a small part or even half the tooth- requiring repair or full coverage. If the fracture continues to the nerve of the tooth- a root canal treatment may be required before coverage. Finally, if a fracture occurs from the crown of the tooth down to the tooth root- the tooth would likely need to be pulled & replaced. There are a few options for replacement such as implants, bridges & removable appliances.