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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
"A very pleasant environment with friendly staff I was there for a new crown. Dr. Kumar did a great job. The color was perfect and the texture on the surface felt very natural."
"I recently had the pleasure of visiting Branchburg Smiles for a crown re-cement, and I must say, the experience was nothing short of amazing! From the moment I walked into the office, I was greeted by a warm and friendly staff who made me feel right at home. The efficient walk-in appointment process was impressive; I barely had to wait! Dr. Kumar is incredibly skilled and took the time to explain the procedure, which put my mind at ease. They ensured that my comfort was a top priority during the entire process, and I truly appreciated their gentle and professional approach. The results were fantastic—my crown feels perfect and looks natural. I can't thank the team enough for their outstanding service and care. If you're looking for a dentist who combines expertise with a compassionate approach, I highly recommend visiting Dr. Nishi Kumar and their wonderful team!"
"We’ve been in New Jersey for a long time and have taken our child to several dentists for regular visits, but our experience with Dr. Nishi Kumar and her team has been outstanding. From the very first appointment, she connected with my child in such a warm and caring way that put him at ease immediately. We originally saw Dr. Kumar for a second opinion on a deep cavity. Other dentists had recommended sedation and a hospital procedure, but Dr. Kumar took a different, much more thoughtful approach. Using her advanced 360-degree X-ray machine, she quickly and painlessly evaluated my child’s entire dental structure. Thanks to this technology and her expertise, she was able to decide on the spot to clean and fill the cavity—saving him from a more invasive and stressful hospital visit. Her professionalism, compassion, and state-of-the-art equipment make dental visits quick, comfortable, and stress-free. I highly recommend Dr. Nishi Kumar for anyone looking for a comple ..."
"Great experience! The dental cleaning was quick, gentle, and thorough. The staff was very professional and friendly. I would def go back"