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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 had a cap come loose. I called and got a nearly immediate call back, before office hours. Dr. Krause arranged to meet me with 90 minutes, made the repair and had me on my way. Frankly, amazing service in this day and age."

Courtney C.

"I fully endorse, Dr. Kurt M. Krause and his dedicated team.

I first went to Dr. Krause a few years ago to have one of my front top teeth repaired after I chipped it. This tooth and the one next to it had a few procedures done in the past by other dentists. While Dr. Krause examined my situation he noticed that I also needed work done on the tooth next to the chip. I knew he was correct and listened to all of the options he provided. Dr. Krause didn’t push me or force me to take any option which I appreciated. I am not comfortable with having to go through these types of procedures but Dr. Krause gained my confidence in the way he communicated with me so I moved forward with him. Well I have to say I am so glad I took his advice and I now feel and look better than I ever did before meeting Dr. Krause.

In the past I avoided the dentist unless I had major problem. My experience with other places is they are ruff and don’t take the time to build a relationship with you. When I go to Dr. Krause I genuinely feel he cares about me. I also feel he is a perfectionist and he cares more about my teeth then I do. When doing work on my teeth Dr. Krause does a great job and is gentle. Dr. Krause also takes the time to talk with me about my life and has even offered me his opinion on my allergy problems. His advice helped me greatly."

Sean R.

"I have been under Dr. Krause's care for 5 years. He is always professional, kind , and caring. He runs an organized practice and he and his team are always prepared and punctual when it comes to my appointments.

Dr. Krause always attempts to go "above and beyond" with his services, and his follow up is excellent.

I will remain a loyal customer of Dr. Krause as long as I live in the area. I would HIGHLY recommend him as a dentist!"

Anna H.

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