Dr. Loewen takes your medical and dental history and performs a dental exam to make an evaluation of your mouth's health.  The most essential part of this is pocket charting, which measures the health status around each tooth in your mouth.  The ultimate goal of early detection is to determine if you have gum disease and, if so, to develop a treatment program specially suited to your needs.

Your Dental History

Usually during your first dental visit, you will be asked about dental problems you have had, if you have ever been treated for gum disease, and what your current symptoms are.  You may also be asked about your eating habits, and your flossing and brushing routine.  Dr. Loewen will also take a medical history because some conditions can effect dental treatment.  He may ask you about current medical problems, past surgeries, allergies and medications you are currently taking.

Your Dental Exam

An examination determines whether you have gum disease or teeth problems and might need professional treatment.  Dr. Loewen examines your teeth and gums to see how healthy your mouth is, and measure your gingival pockets.  You may be asked to open and close your mouth to evaluate your bite (occlusion).  Your exam will also include a head and neck evaluation.  X-rays may be taken during this exam to determine bone loss and chart your progress.

Pocket Charting

One way to diagnose gum disease is by pocket charting.  Several measurements will be taken for each tooth and the deeper the pocket, the more care it needs.  Dr. Loewen may keep a record of these areas.  Below is an example of a completed chart.

Setting Up a Treatment Plan

After your evaluation, a consultation appointment will be scheduled and Dr. Loewen will discuss the overall health of your teeth and gums with you and recommended treatment for any work that needs to be done.