X-ray images are often required to evaluate bone loss as shown below.  The red arrows show where the bone has been destroyed by the gum disease.

This is an example of the report from the lab along with recommendations for treatment.  The report from Micro-ID is ready in two to three weeks.

Mapping of the pockets is called periodontal charting.  This shows us where  gum disease is located in the mouth.  Pockets  measuring deeper than 3 mm. are a problem.

The treatment recommended by the laboratory may require return visits to our office for enhanced cleanings, short-term use of antibiotics, a change in your home care regimen, or some combination of the above. 


Periodontal disease is an infection of the tissues and bone that support the teeth.  It is                       caused by harmful bacteria that live and multiply below the gums.  These harmful                                         bacteria may be passed from parents to children and between couples.

The video below demonstrates the collection of a plaque sample to determine which bacteria are causing the gum disease.   It shows what  types of bacteria are causing the gum disease and how best to control the problem bacteria. 

This video ​is  an actual example of the bacteria that cause gum disease.

     Bacteria cause the gums to become red and inflamed leading to pocketing and recession.


​​​The Healthy Mouth

 Richard A. Miller DDS, FAGD