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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 would like to take this opportunity to let people who are looking for a great and caring dentist to go to Dr. Reed Spears. I've gone to many dentists in my life and have never met one who is gentle and caring as he's been to me. He has a great team with wonderful personalities and are caring also. In my opinion he's the best there is and I wouldn't ever want anyone else but Dr. Reed Spears and his team. I thought a lot of Sandra, Kim and everyone else on his team. I actually look forward to my visits.

Mardi Newton Creedmoor, NC

"They have state of the art equipment and a nice view of the cow pasture. Dr. Bart is great with kids and adults. He is truly a painless dentist!"

Anonymous

Hi,

I am a new patient of Bart Cleary's and his staff.

I had lots of negelected dental work that needed to be taken care of . Many of which had to be cosmetically restored. It has only been about 4 months since we have started the work on my teeth and they look and feel so much better. Bart Cleary and his staff do very good work ! They not only do good work but are painless and very pleasant to work with. I had to have a root canal on one of my front teeth,.... thinking I was going to hurt so much after wards ( You know the horror stories you hear about root canals), After the root canal I went back to work having no pain during or after the procedure.

Good people with great personalities ! They definitely have what it takes to run a great dentist office that makes you feel welcome ! Thanks for all you have done ! Looking foreward to my next visit !

Tina Tarlton Smith, a very satisfied new patient Oxford, NC

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