Shanghai dental finds gingivitis can be diagnosed by past history, clinical appearance, biopsy (histology, direct immunofluorescence), indirect immunofluorescence, culture or smear and ancillary. Gingivitis is a clinical diagnosis. This means that the physician or dentist can arrive at the diagnosis by listening to the person's medical and dental history and performing a good oral exam. Blood work, X-rays, and tissue samples may be checked for cases not responding to initial therapy. The person should, however, be evaluated for underlying disease.
Gingivitis is easily tested by the appearance of the gums. The appearance of the inflammation will help your dentist distinguish a bacterial infection from other diseases. Dentists usually test gingivitis based on a check-up of your teeth, gums, mouth and tongue. Your dentist will seek for plaque and tartar buildup on your teeth and examine your gums for redness, swollen and bleeding.
A gingivitis person will typically have red, puffy gums that bleed very easily. A bad mouth odor or taste may appear. There could be white spots or plaques on the gums. The person may develop receding gums or areas where the root of the tooth becomes covered by the reducing, unhealthy gums. Deep pockets may develop around the teeth that confine food, plaque, and remains. If gingivitis develops to periodontal disease, the person may miss gum tissue or bone around the teeth and the teeth may become slack or fall out. These changes can develop very slowly, or may progress rapidly in certain teeth or the entire mouth.
The following methods and symptoms are very useful in diagnosing gum disease:
Firstly, a dentist or hygienist will use a periodontal probe to measure the depths of the pockets around all of the teeth in the mouth generally once per calendar year. Wholesome gums will have pockets one to three mm deep. Besides, the deeper the pockets are, the more terrible the disease.
Secondly, dental bitewing X-rays will help display the level of the hidden bone and if any bone has been lost to periodontal disease.
Thirdly, teeth that have become sensitive around the gum line may show spots of receding gums.
Lastly, one of the complications of gingivitis is trench mouth, which depicts the development of epidemic ulcers on the gums. A sponge may be used to take a sample of discharge from the ulcers, which can then be observed to identify the causative bacteria under a microscope. Then a proper antibiotic can be picked for treating the condition.
Shanghai dental also notice that it is likely to have gingivitis but not notice any signs or symptoms, so regular visits to the doctor are vital in testing the disease and taking measures in curing and treating gum disease. If it's not clear what causes gingivitis, your dentist might suggest you to get a medical assessment to check for possible health status.
