The first visit is an opportunity for you to learn about us, and for us to become familiar with your needs and desires. You will give us information about your periodontal, dental, and medical history. A thorough examination is taken of your mouth. X-rays and/or photographs are taken of the areas of concern. We will discuss the findings, the causes that can hopefully be reduced (prevention), the treatment options, and the costs. Your questions will be addressed. If your needs are limited to specific treatments unrelated to gum disease, those procedures are thoroughly discussed and appointed as you wish. A complete report will be sent to your dentist.

Common conditions and treatments are listed below. For more information click on the treatment.

Each patient is so different that diagnosis and treatment planning is personalized.

As indicated more advanced assessments are employed including:

• Bacterial analysis including phase microscope, DNA analysis, culture and sensitivity
• Genetic and systemic risk factor analysis
• Local risk factor analysis (eg. smoking)
• Nutritional analysis
• Cosmetic evaluation
• Tomography/CT Scan before implants (computer generated cross sectional x-rays)

The examination is generally not a time when procedures are performed (except in children), but it is instead a time to gather information and decide what to do.