Nearly all people who do not maintain good daily oral hygiene will develop gingivitis. If left untreated, this bacterial gum infection can progress from gingivitis (“gingival” – gum; “itis” – inflammation) to periodontitis, which results in bone loss around your teeth.

As the bone tissue is lost, the gum tissues detach from the teeth and form little pockets that provide an even better place for bacteria to live — where your brush and floss can’t reach. As periodontal disease advances leading to more bone loss, tooth loss can result.

Part of this has to do with genetics, as periodontal disease tends to run in families. The good news is that periodontal disease can be controlled, even at more advanced stages.

Bleeding gums

Some people think that when their gums bleed, it simply means they’re brushing too hard.

Bleeding gums

Bad breath

It’s very easy for plaque to collect in the spaces between the teeth

Bad breath

Redness or swelling of the gums

Inflammation of the gums is usually the first visible sign of periodontal disease.

Redness or swelling of the gums

Receding gums

It may be that your gum tissue has receded (away from the enamel)

Receding gums

Sensitivity

The exposed roots may become sensitive to hot or cold

Sensitivity

Periodontal abscess

Bacteria can become enclosed in a periodontal pocket and the area will fill with pus

Periodontal abscess

Loose teeth

When periodontal disease results in bone loss, teeth can become loose or migrate

Loose teeth

Preventive Strategies

The best way to prevent periodontal disease is to brush and floss your teeth effectively every day. Regular dental checkups and professional cleanings every 3 or 4 or 6 months are also an important part of maintaining periodontal health; the instruments and techniques used in these cleanings can reach into areas that your toothbrush and floss can’t.

It is also possible to detect early forms of gum disease by evaluating your gingival (gum) tissues, both visually and by examining their attachment levels to the teeth. And the health of your tooth-supporting bone can be assessed by taking dental radiographs (x-rays pictures).