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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

Dr. Peters has been my dentist since I was 15 years old and his father was my orthodontist. Dr. Peters comes from a legacy of the most gifted professionals in his field. He is highly respected. To his credit, my daughter, two sons, mother, sister… My entire family trusts, only, Dr. Peters for all their dental needs. Hands-down, he is the best in his profession.
Although we still live in Fresno, we drive four hours away to see Dr. Peters. My family's teeth are exceptionally beautiful! We wouldn't trust no one else to touch our teeth! Jealous as we may be of those who live in beautiful San Diego, we are willing to share him with you. Enjoy! :)

Cynthia B.

I first went to Dr Peters for a tooth ache. He saw me on a Sunday! His office is open every Saturday and Sunday which is very convenient for me since I work during the week. His staff was very welcoming. It turned out all I needed was a filling which they did for me that day. He is a perfectionist and very gentle. I love my new dentist.

Dana N.

My mom, Maryam Bahriny, has been going to Dr. Peters for the past year or so. She was so impressed with the quality of care and the treatment she received from the dentist and his staff that she recommended them to the rest of the family and friends. We all feel blessed to have found this office. The beauty of this office is that their number one focus is addressing concerns and treating patients with the highest quality yet the least expensive way. We completely trust this office with our dental needs.

Sahar B.

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