How can a patient have recession and a disease score of 1, which would mean they are healthy?
Periodontitis is the loss of attachment caused by inflammation typically due to bacteria. While facial recession includes loss of attachment, it may or may not have been due to inflammation from bacteria (most facial recession is caused by toothbrush trauma) and therefore is not described by the disease score. However, recession at interproximal sites, which should be consistent with radiographic bone loss, would be reflected by the disease score.
