Testing for aggressive periodontitis involves observing the patient's dental and medical history, conducting a physical exam of the teeth and gums, and performing a series of diagnostic tests.
Medical and Dental History:
A thorough medical and dental history can provide important information about a patient's risk of developing aggressive periodontitis. The patient's medical history should be examined for any underlying conditions that could increase the risk of developing periodontitis, such as diabetes, HIV, or other immune system disorders. The patient's dental history should include any previous dental procedures, such as scaling or root planing, and any other periodontal treatments.
Physical Exam:
During a physical exam, the dentist or other healthcare provider will examine the teeth and gums for signs of periodontal disease. This includes checking for inflamed gums, pockets between the teeth and gums, and any signs of infection.
Diagnostic Tests:
A series of diagnostic tests may be used to diagnose aggressive periodontitis. These include X-rays to check for bone loss, periodontal pocket depth measurements, and plaque tests. A blood test may also be taken to check for specific bacteria that are associated with periodontitis.
In addition to these tests, the dentist may also take a sample of the patient's gingival tissue to check for signs of inflammation. This can help identify any periodontal disease that may not be visible during the physical exam.
Once all of the tests have been completed, the dentist will review the results and make a diagnosis. Treatment for aggressive periodontitis typically involves a combination of scaling and root planing, antibiotics, and possibly surgery. If the patient has an underlying condition that increases their risk of developing periodontitis, that condition will also need to be addressed.