Salcetti & Associates

Your general dentist or referring specialist may have detected periodontal disease during a routine checkup or may be concerned about one specific area. To learn the extent of the disease or area of concern, a more in-depth exam will be needed. This exam will be done by Dr. Jeanne M. Salcetti, a periodontal specialist, to gather information about your medical and dental history as well as your existing dental condition. Once your periodontal evaluation is complete, the information will be used to plan the best treatment for you.

Medical History
You may be asked questions about your general health. This can help in diagnosis and treatment planning. For instance, if you have diabetes or are pregnant, you may be more prone to gum disease. Personal habits such as smoking can promote periodontal disease. You may also be asked what medications you are taking. This is because certain medications, such as some used for high blood pressure, can affect your gum health. As well, some antibiotics used to treat gum infections could make other medications less effective.

Dental History
We need to know about your previous dental health and treatment. You may be asked questions about when your periodontal disease was first diagnosed and whether it's been treated. You may also be asked about how well you've been caring for your teeth. The planning and outcome of your periodontal treatment also depend on other factors. These include your motivation, feelings about dental treatment and commitment to home care.

The Dental Exam
We will first complete a check for oral cancer. Then your gums and teeth are examined to learn the extent of your periodontal problem or need for implants. The gums are checked for bleeding, swelling, firmness, recession and abnormal contours. The teeth are checked for movement and sensitivity. Your bite and other factors that can affect your periodontal problem may also be assessed. Full mouth x-rays less than a year old can help the doctor detect breakdown of bone surrounding your teeth. Periodontal probing is done to determine the extent of your problem and to plan your treatment. It involves measuring the depth of the spaces (pockets) around each tooth.

Oral Hygiene Instructions
At this visit, we may provide a customized plan for keeping your mouth healthy on a daily basis. This includes brushing and flossing and may also involve other types of aids and agents as well as assisting you for any possible dry mouth problems.

Your Treatment Plan
After your exam, your periodontist will discuss your options with you. Treatment options include home care, non-surgical therapy, surgery to improve your periodontal condition or implants to restore your smile and bite. You may also be referred for specialized x-rays to determine the amount of bone available for implant placement. After discussing your treatment options, you and your doctor can decide on a plan that is best for you. Our patient coordinators will find an appointment that is convenient for your schedule as well as work with your insurance to maximize your benefits and help you with any payment options. You will receive a written treatment plan when you leave so that if you have any questions, you may refer to it. If you require surgical treatment and desire sedation at the time of treatment, we have a nurse anesthetist available for your comfort.