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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.

Testimonials.

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Testimonials

All service was great! My dental technician did an excellent cleaning and I love their computer program that shows your potential cavities. I was able to see for myself whether I had problems or not.

I felt like they did not over-recommend things and were supportive of preventative methods and giving teeth the chance to bounce back with proper hygeine before jumping to "You need a filling". I had some questions, and they had no problem answering them

Elle B. , Arlington VA

10 Stars if Possible!
After the cleaning Dr. Cotes came in and he was great as well. He gave me a full dental exam and even took time to explain the clicking I get in my jaw. He gave me multiple options for teeth whitening and even told me the prices so there would be no up front surprises depending on which method I went with. He took the time to answer any question a threw at him and without trying to rush me out for the next patient. Not really sure what Megan S. is talking about in her review but I did see her only other review on the site was negative as well...just sayin...

Overall:
I would give Dr. Cotes and his staff 10 stars if it was possible. Everyone knows going to the Dentist is a crappy process. I didn't think it was this possible to have a decent time at the Dentist Office and be taken care of in a timely manor!!!

Dustin S. , Arlington VA

Dr. Cote is just that good. I was referred to Dr. Cote by a friend at work, and I am SO thankful for that reference. The man is a consummate professional, has a friendly staff and has provided me with nothing short of stellar care for the last year. He explained things to me that my lifelong dentist never took the time to do before (like, how I can proactively strengthen the enamel on my teeth). He's got hi-tech gear that indicated areas where future problems might crop up and he's kept an eye on them during every return visit. I have never felt empowered and reassured in a dentist's office, but Dr. Cote is that good.

Dentistry can be a very personal enterprise, and since I had the same dentist since birth, finding a new dentist in DC was a harrowing experience. I actually walked out of three dentists offices (too sketchy for my tastes) before settling going to Dr. Cote. I live in the District, but I'm willing to suffer the indignity of Pentagon City just to have Dr. Cote take care of my teeth.

Evan M. , Washington DC

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Contact Us.We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.
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