Studio dentistico Dr Frank van Uffelen Srl


Healthy teeth, beautiful gums!

Our teeth play an important role in our bodies; they perform functions such as processing food, aiding phonetics, and also contribute to facial aesthetics-just think of a beautiful smile. Daily maintenance and regular professional checkups are essential to preserve healthy teeth and gums.
Gums are the frame of our teeth and part of our aesthetics. Healthy gum is pink in color, tightens well around the neck of the teeth and fills the interdental spaces. Healthy gums are part of a well-groomed smile that conveys a feeling of health.
At first glance, it is not immediately obvious whether the gums are healthy or in a state of inflammation. That is why at least once a year they are checked and given a grade. This grade gives an overall indication of the current state of the gums.
To see whether your gums are healthy or inflamed, the depth of the space between the teeth and gums is measured. This measurement is done with a special instrument: the periodontal probe. The evaluation will detect how deep this space is, the presence of bleeding and tartar. The deeper this space turns out to be, the more severe the consequences of inflammation and bone loss.

Your gums get a grade!

To determine where and how much inflammation is present, your mouth is divided into sextants (i.e., six parts). Each sextant is given a grade, the so-called DPSI Index (Dutch Periodontal Screening Index).


The gums are healthy and there is no bleeding. Everything is fine.


Gums are slightly inflamed and bleeding after measurement. This condition is called gingivitis.


In addition to gingivitis, tartar is also present.


Inflammation of the gingiva has advanced and reached the level of the underlying bone. We talk about initial periodontitis.


We speak of moderate periodontitis when alveolar bone loss has also caused partial exposure of the root.


We speak of advanced periodontitis if it spreads toward the apex of the tooth. Marked bone loss is present. This may cause tooth mobility.

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What is the state of your gums ?

How to interpret these grades?

To maintain a healthy mouth, it is recommended to brush twice a day with fluoride-containing toothpaste to be combined at least once with cleaning the interdental spaces. This will rigorously remove plaque, which contains harmful bacteria. Good oral hygiene and timely care prevent much suffering.
The DPSI index shows us what therapeutic steps are to be taken. In case of a 1 and 2 index, the emphasis is on improving oral hygiene. You will be guided with individualized instructions. Your hygienist will professionally remove plaque and any tartar present.
In contrast, when an index 3 (-/+) or 4 is detected, it is important that his dentist and/or hygienist obtain a complete picture of the extent of inflammation present. A complete examination, periodontal status, will be performed.
To get a complete picture of the situation, radiographs are needed to accurately assess the level of the alveolar bone. After the complete examination, the various possible therapeutic treatments will be discussed. Accurate treatment of advanced periodontitis (index 4) requires a lot of commitment, time and multiple sessions. After that, it will be necessary to be followed by a professional to maintain the achieved result over time!

As per protocol, DPSI screening is performed once a year.

This text is taken from the translation of the official document from the Dutch Association of Periodontology (NVvP).
For more information you can consult the following link, developed by the University of Bern (CH), in which you will find more information on periodontal disease: www.periodontal-health.com