MEDICAL HISTORY
Dr. Hameroff will ask questions about getting a medical consult regarding your general medical health to help in diagnosis and treatment planning. For example, a medical condition such as diabetes,  or heart disease may make you more prone to gum disease. Personal habits such as smoking can promote periodontal disease, and certain medications cause gum inflammation and eventually bone loss.

DENTAL HISTORY
This part of your evaluation focuses on your previous dental health and treatment. Dr. Hameroff will want to know when your periodontal disease was first diagnosed, how it s been treated, and how you have been caring for your teeth. Your motivation, feelings about dental treatment and commitment to home care also affect the planning of your periodontal therapy and its likely outcome.

THE DENTAL EXAMINATION
Dr. Hameroff will examine your teeth and gums in detail to evaluate the extent of periodontal disease. Your gums are examined for bleeding, swelling, firmness, and abnormal contours. Your teeth are checked for movement and sensitivity. Other factors, such as your bite, that could contribute to the condition are also assessed. Full mouth x-rays (radiographs) are usually required to detect a breakdown of bone surrounding your teeth.

Periodontal Probing
Periodontal probing below the gumline involves measuring and recording the depth of the pockets around each tooth, which you can't see or feel. Probing is the key technique Dr. Hameroff uses to find out how serious your disease is and to plan your treatment.

Your Treatment Plan
After your exam, Dr. Hameroff will discuss the extent of your disease. Treatment options will be reviewed and discussed. This may include non-surgical treatment, while some causes may require periodontal surgery. Some patients need to have one or more teeth removed as part of the overall plan. Dr. Hameroff will discuss the recommended options with you and your general dentist. He will also compare the potential benefits with the risks and complications to arrive at a plan that is best for you.