Figure 1. Bleeding on probing in the diagnosis of periodontal diseases.
Clinical periodontal evaluation involves visual assessment of the gingival tissue and sulcus/pocket probing. The absence of bleeding upon probing is an excellent negative predictor of disease activity (left). The presence of bleeding on probing over-estimates the risk for further tissue breakdown (right) but it is still widely used in clinical practice because a better predictor has not been identified.