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There's always a space (pocket) between the gum and the tooth. When your gums are healthy, these pockets are shallow. If you have gum disease, the pockets become deeper as harmful bacteria destroy gum tissue. A pocket of 4 or more millimeters is often a sign of disease. Ask the dental profession what depth your pockets are and, if the answer is 4mm or deeper, ask how these can be reduced without surgery. • Bleeding: This is another indicator of inflammation and infection. Healthy gums don't bleed – even when they're probed. Therefore while probing the pockets around your teeth, the dental professional will also look for any areas where bleeding occurs and how many points of bleeding there are. Ask what he or she finds in your gums and, if there is bleeding, what you can do to eliminate it. • Medical history: You'll also be asked about your medical history to determine if you have any conditions or other risk factors that could contribute to gum disease. Sometimes X-rays are required to see whether there is any change to the level of the bone around the teeth.
