General Consultations

A periodontal consultation evaluates gum health and supporting structures, diagnosing gum disease, planning treatments, and preventing complications.

Importance of Periodontal Health
Periodontal health is crucial for oral and overall health. Gum disease can cause tooth loss and is linked to diabetes, cardiovascular disease, stroke, Alzheimer’s, pre-term birth, and rheumatoid arthritis.

Initial Consultation and Patient History
The consultation starts with a review of medical and dental history, including conditions, medications, surgeries, oral hygiene habits, and any gum disease or dental implants history.

Clinical Examination
The periodontist assesses the mouth, including:

  1. Visual Examination: Checking gums for inflammation, recession, and plaque buildup.

  2. Probing: Measuring periodontal pockets.

  3. Gum Recession: Identifying exposed roots.

  4. Tooth Mobility: Checking for loose teeth.

  5. Bite Examination: Assessing teeth alignment.

Diagnostic Imaging
X-rays view bone structure, identify bone loss, detect root abnormalities, and plan treatments.

Diagnosis
Conditions diagnosed include:

  • Gingivitis: Mild, reversible gum disease.

  • Periodontitis: Severe gum disease requiring treatment.

  • Aggressive Periodontitis: Rapidly progressing gum disease.

  • Chronic Periodontitis: Slowly progressing gum disease.

Treatment Planning
A personalized plan includes:

  • Non-Surgical Treatments:

    • Scaling and Root Planing: Deep cleaning.

    • Antibiotic Therapy: Controlling infection.

  • Surgical Treatments:

    • Flap Surgery: Removing tartar deposits.

    • Bone Grafts: Rebuilding bone.

    • Soft Tissue Grafts: Covering roots.

    • Guided Tissue Regeneration: Encouraging regrowth.

    • LANAP: Laser-assisted regeneration.

    • Dental Implants: Replacing teeth.

  • Maintenance Therapy:

    • Regular Cleanings: Maintaining gum health.

    • Ongoing Monitoring: Check-ups and adjustments.

Patient Education
Guidance on oral hygiene, lifestyle changes, and diet supports oral health. Addressing concerns and discussing prognosis and outcomes are included.

Follow-Up and Long-Term Care
Regular visits every 2-3 months are crucial for monitoring and adjusting treatment plans, ensuring long-term health.

Conclusion
A periodontal consultation is essential for maintaining oral and overall health, involving evaluation, diagnosis, personalized treatment, and ongoing care.