Diagnosis

Periodontal disease is diagnosed by your dentist or dental hygienist during a periodontal examination. This type of exam should always be part of your regular dental check-up.

A periodontal probe (small dental instrument) is gently used to measure the sulcus (pocket or space) between the tooth and the gums. You may have heard your dentist calling off numbers (2, 3, 4, 3, 5 etc.) during your exam. These numbers relate to the depth of the pocket space. The depth of a healthy sulcus measures three millimeters or less and does not bleed. The periodontal probe helps indicate if pockets are deeper than three millimeters. As periodontal disease progresses, the pockets get deeper due to advancing bone loss.

Drs. Versman, Heller, Beckman, Thousand or one of our hygienists will use pocket depths, amount of bleeding, inflammation, tooth mobility, etc., to make a diagnosis that will fall into a category below:

Gingivitis

Gingivitis is the first stage of periodontal disease. Plaque and its toxin by-products irritate the gums, making them tender, inflamed, and likely to bleed.

Periodontitis

Plaque hardens into calculus (tartar). As calculus and plaque continue to build up, the gums begin to pull away from the teeth and a deeper space develops between the gum and the root of the tooth. These deeper pockets become filled with bacteria and pus. The gums become very irritated, inflamed, and bleed easily. Slight to moderate bone loss may be present.

Advanced Periodontitis

The teeth lose more support as the gums, bone, and periodontal ligament continue to be destroyed. Unless treated, the affected teeth will become very loose and eventually lost. Generalized moderate to severe bone loss may be present. It is critical to treat gum disease at its earliest diagnosis. As the condition progresses, treatment becomes more complex and difficult. Please call our office if you have any questions concerning the diagnosis or treatment of gum disease.

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  • Silke SancaktarSilke Sancaktar

    I needed an implant on one of my rear molars, and Dr. Thousand and his team did the implant work at the Aurora office. I had to do the procedure with minimal sedation due to the fact that I had to drive myself back to work after the procedure. Despite this, there was minimal pain and discomfort, and everyone did an incredible job. He's very good about telling you what he's doing and is very detail-oriented. He is never dismissive and always takes time to answer questions.

    After everything healed up I went to my regular dentist to have the crown installed. After the crown placement I had a terrible headache and toothache for a week before my regular dentist would see me again to adjust the crown. However, even after she made some adjustments I was still in pain the next day.

    I didn’t know what else to do so I reached back out to Dr. Thousand for help even though he wasn’t responsible for the crown. Knowing that I was in acute pain they were able to get me in the same day at the Littleton office. Turns out there were some major defects on the crown that my dentist had overlooked that contributed to the acute pain, and would have likely resulted in infection down the road. Dr. Thousand spent almost an hour working with me and modifying the crown for temporary use so that I could have it placed back over the implant while a new crown is made.

    He didn’t need to do this since this wasn’t a mistake attributable to his office, but he and his team went above and beyond, and didn’t even charge me for the work. I had been in so much pain I could barely focus, and so this help meant so much to me because I could now function again. This was at the end of their day so I’m sure it meant a later day for everyone, but I can’t thank you all enough for giving me that relief. We’ll certainly be coming here for future dental issues, and referring Dr. Thousand and his team to friends.

  • Nina JasonNina Jason

    We have been going to Periodontal Associates for 27+ years. We see Dr. Heller and he is great. I have had bone replacement surgery and continue to see the practice for check ups every six months. Great caring group of staff, and hygienists as well. Wouldn't go anywhere else.

  • Daniel J KlaimanDaniel J Klaiman

    Dr. Eric Beckman and the entire staff of Periodontal Associates provide excellent and compassionate care for all of your Periodontal and Implant needs. I highly recommend them.

  • Floyd VissatFloyd Vissat

    Had 2 molars extracted within 2 years. No discomfort during and after the procedure. Healing went well.
    Friendly staff

  • Zachary SpeerZachary Speer

    I had a great experience for my periodontal surgery and recovery wasn’t as bad as I thought. The team at periodontal associates were very caring and answered any questions during my recovery process.

  • Bridget B.Bridget B.

    Wow, from the moment I walked in I felt welcome. Super nice people and caring. I am a chicken and do not like dentist anything. Doctor Heller explained...

  • Melissa H.Melissa H.

    Let's be honest here - there is nothing fun about having gum surgery. However, the staff and Dr. Heller were as good as it gets with regard to my treatment....

  • Sara KluhsmanSara Kluhsman

    Dr. Thousand is pure genius! He fixed a failing implant & placed a new 1 as well. I will never go anywhere else. That man preforms miracles!

  • Karen Pelling LevineKaren Pelling Levine

    Dr. Doug Heller is one of three of the doctors that make up the driving force in my efforts to save my teeth and my overall health. What started out as one broken tooth led to the possibility of my losing all of my teeth to gum disease. Panicked, I reached for a second opinion and found Dr. Heller, along with my regular Dentist & Orthodontist. I am now the proud owner of only 5 implants, as opposed to full upper and lower implants OR full dentures. Though dental procedures are hardly fun, Dr. Heller and his staff have made it a smooth process, from financial to face-changing....I couldn't be happier. 😁 You be the judge. My profile pic, there on the left, is a fine example of their handiwork.
    Double Bonus: Doorbell just rang. Beautiful plant has just arrived to cheer me in my recovery....Thank you, Dr. Heller and your wonderful Staff!

  • Jerome GilmerJerome Gilmer

    I was sent to Dr. Beckman on a referral from my dentist because of a slightly loose tooth. Dr. Beckman evaluated the situation and recommended a gum graft and bite adjustment. It is now six weeks since the procedure, and while the recovery was not painless, it was pretty much exactly as he said it would be. Upon evaluation earlier this week it was clear that the procedure was successful.

    Dr. Beckman and the staff were very nice, supportive and professional and I would highly recommend this practice to anyone needing this kind of help.

  • Tori Horton HamillTori Horton Hamill

    Dr Beckman performed a gum graft. I was nervous, but he explained everything clearly and thoroughly. The staff were very accommodating when I had to reschedule and they keep the schedule flowing on time so I was not sitting and waiting beyond the appointment time. The only downside was having to ask multiple times about the cost and what my calculated out of pocket would be. Would definitely recommend.

  • Ashley AndersonAshley Anderson

    5 stars! Dr. Beckman and the entire office staff provide superior customer service and care. I recently had a gum graft performed and from the very first meeting I felt at ease. Dr. Beckman took his time explaining the procedure and patiently answered any questions I had. On the day of the procedure they go the extra mile to make sure you are comfortable- they use top of the line medical treatment for an effective procedure and speedy recovery. The team was very supportive and available through the entire process and even calls to check on you post procedure. I highly recommend Dr. Beckman and his team!

  • Doris BinderDoris Binder

    I needed to get some implants and Dr. Heller was recommended. Thankfully, he was absolutely wonderful. I wasn't sure what to expect, but he explained everything that needed be done and the procedure began. Now it's not an over night process, but the weeks after each step was a piece of cake. I am so happy with my implants. I had to have a tooth pulled a few weeks ago, and I don't know how he does it, but I had zero pain, no complications and I needed no pain Meds. The staff is so friendly and I highly recommend them.

  • Kenneth McCallKenneth McCall
  • Jan BernsteinJan Bernstein

    Dr. Beckman and the staff couldn't have been nicer or more professional. I highly recommend the practice to anyone in need of a periodontist.

  • Chelsy LaForceChelsy LaForce

    Dr. Heller and the rest of the team is absolutely amazing. They are super helpful through the entire process and I knew I was in great hands. Thank you so much!

  • Terry Lavitt SeiverTerry Lavitt Seiver
  • Aprille Tripler MooreAprille Tripler Moore

    Dr. Beckman and the entire staff at Periodontal Associates are amazing! Dr. Beckman performed a gum graft procedure on me and to my surprise and relief I felt no pain. Not during the procedure or post op. The entire experience from consult through my last follow up appointment was topnotch.

  • Terry SandahlTerry Sandahl

    I have been a patient of first Dr. Versman and then Dr. Heller for over 20 years. This is an amazing periodontal group! I feel so comfortable having them take care of my needs~and there have been many! Dr. Heller is so easy going and I never feel like whatever he does will fail. They have a great support staff too! All their assistants are competent and friendly, and my hygienist Michelle is the best! Love these guys and wouldn't think of going anywhere else!

  • Holly DeLuise BodineHolly DeLuise Bodine

    I have some complicated dental issues but Dr. Heller and his team have handled them very well, and as painlessly as is possible. Dr. Heller explains things very thoroughly!

We Are Colorado’s Premier Provider of Dental Implants & Periodontics

 

Hours

Mon - Fri: 7:00 am – 4:00 pm
Sat, Sun: Closed

Address

26 W Dry Creek Circle
#300

Littleton, CO 80120

Hours

Mon - Fri: 8:00 am – 4:00 pm
Sat, Sun: Closed