Comprehensive Periodontal Evaluation
At the time of all new patient initial examinations as well as periodic periodontal examinations, we collect thorough medical and dental histories, obtain relevant imaging, complete an extraoral and intraoral cancer screening, evaluate the temporomandibular joint (TMJ), and perform a comprehensive periodontal evaluation. On the basis of the information collected, a diagnosis can then be made and treatment (if needed) may be recommended.
If periodontal disease or instability are identified or the reason for an evaluation is to restore missing dentition, the goal of surgical as well as non-surgical therapy is to eliminate disease and restore the periodontium to a state of health. This includes focusing on comfort, function, and esthetics that can be maintained adequately by both the patient and dental professional.
Why Periodontal Health Matters
Periodontal health plays a vital role in your overall well-being. Your gums, bone structure, and supporting tissues do far more than keep your teeth in place; they affect your entire body. When chronic inflammation from gum disease is left untreated, it can lead to other chronic inflammatory conditions, including cardiovascular disease, diabetes, and respiratory diseases.
A comprehensive periodontal evaluation (CPE) helps identify conditions early; gum disease often develops silently, with symptoms such as bleeding gums, bad breath, or tooth mobility appearing only after significant damage has occurred. Your periodontal health also affects your ability to undergo restorative dentistry and dental implants, which depend on stable bone and healthy gums. Taking proactive steps through routine periodontal care helps protect your teeth, prevent tooth loss, and support your overall health.
What We Measure During Your Periodontal Exam
During a comprehensive periodontal evaluation, your dental professional completes a detailed, step-by-step assessment of your gums, teeth, and supporting structures. This includes a thorough review of your medical and dental history, as certain risk factors—such as diabetes, smoking, inflammation, or other chronic inflammatory conditions—may make you more prone to periodontal disease.
Using dental X-rays and, when necessary, advanced technology like 3D imaging, we evaluate your bone structure, look for signs of bone loss, and assess areas that cannot be seen during a visual exam alone. Your periodontist or dental hygienist will measure pocket depths around each tooth, check for bleeding gums, identify gum recession, assess tooth mobility, and evaluate how your teeth fit together.
Who Benefits from a Comprehensive Periodontal Evaluation
A comprehensive periodontal evaluation CPE is beneficial for all adults and should be completed on an annual basis, as the AAP recommends. However, certain patients have a significantly higher risk of developing periodontal disease and oral health issues. You may especially benefit from a comprehensive periodontal evaluation if you have:
- Diabetes or other chronic inflammatory conditions
- Risk factors such as smoking, dry mouth, or hormonal changes
- Signs of gum recession, tooth sensitivity, or tooth mobility
- Bad breath that does not improve with routine brushing
- A family history of periodontitis
- Health problems linked to inflammation, such as heart disease
- Previous restorative dentistry or dental work you want to preserve
- Gaps in dental care or haven’t had a periodontal evaluation recently
What Makes Our Periodontal Evaluations Different?
Our approach to periodontal care focuses on comprehensive care, early detection, and individualized treatment. We use advanced technology, including high-resolution digital X-rays and 3D imaging when appropriate, to accurately assess your bone structure, supporting tissues, and overall oral health. This ensures we can identify conditions earlier and provide precise recommendations based on your needs.
Our dental team takes the time to thoroughly review your medical and dental history, as systemic health issues often play a crucial role in periodontal disease. We also emphasize patient education and comfort. Your general dentist, dental hygienist, and periodontist work together to ensure you understand your evaluation, the meaning of your measurements, and the best ways to keep your gums healthy at home.
Start Your Path to a Healthier Smile
Taking charge of your periodontal health is one of the most important steps you can take for your teeth, your overall health, and your quality of life. Whether you’re experiencing symptoms of gum disease or want to stay ahead of potential problems, a comprehensive periodontal evaluation offers a clear understanding of your gum and bone health, your risk factors, and the best ways to protect your healthy smile. Schedule your periodontal evaluation today and take a proactive step toward long-lasting oral health and overall well-being.