What findings might suggest a more severe form of periodontal disease?

• A. Absence of bleeding on probing
• B. Increased probing depths and attachment loss
• C. Healthy gingiva
• D. Minimal plaque accumulation

Answer: (B)

In the context of periodontal disease, increased probing depths and attachment loss are significant findings that indicate a more severe form of the condition. Probing depth measurements assess the depth of the gingival sulcus or pocket surrounding a tooth, and an increase in these measurements typically signals the presence of periodontal tissue destruction and inflammation. On the other hand, attachment loss reflects the amount of periodontal support that has been destroyed, indicating how much the periodontal structure has been compromised.

When probing depths increase, it often means there is a loss of supporting structures, including connective tissue attachment and bone. This correlates with more advanced forms of periodontal disease, such as periodontitis, rather than gingivitis, which usually presents with shallower probing depths and generally healthier periodontal attachment. Therefore, the presence of increased probing depths accompanied by attachment loss is a clear indicator of a more severe and advanced periodontal disease process, helping clinicians to assess the severity of the condition and to plan appropriate treatment strategies.