Gum Disease

During each regular checkup, your dentist will check for signs of periodontal disease by measuring the space between your teeth and gums.

What causes gum disease?

Gum disease is caused by a buildup of plaque (a sticky form of bacteria that forms on the teeth). If the plaque is not removed by flossing, brushing, and regular dental checkups, it will continue to build up and create toxins that can damage the gums. Periodontal disease forms just below the gum line and creates small pockets that separate the gums from the teeth. Periodontal disease has two stages: gingivitis and periodontitis.

• Gingivitis: This is the early stage of gum disease, when the gums become red and swollen, and bleed easily. At this stage, the disease is treatable and can usually be eliminated by daily brushing and flossing.
• Periodontitis: If left untreated, gingivitis will advance into periodontitis, and the gums and bone that support the teeth will become seriously and irreversibly damaged. Gums infected with periodontitis can cause teeth to become loose, fall out, or be removed by a dentist.

Risk factors

Certain factors can increase a patient’s risk of developing periodontal disease, including:

• Smoking or using chewing tobacco
• Diabetes
• Certain types of medication such as steroids, anti-epilepsy drugs, cancer therapy drugs, calcium channel blockers, and oral contraceptives
• Bridges that no longer fit properly
• Crooked teeth
• Old fillings
• Pregnancy

Warning signs

While it is possible to have periodontal disease and not know it, some symptoms can include:

• Gums that bleed easily
• Red, swollen, tender gums
• Gums that have pulled away from the teeth
• Persistent bad breath or bad taste
• Pus between your teeth and gums
• Permanent teeth that are loose or separating
• Any change in the way your teeth fit together when you bite
• Any change in the fit of partial dentures

Treating gum disease

Treatments for gum disease can vary depending on the severity of each individual case. Typical treatments include:

• Non-surgical treatments such as at-home periodontal trays, and scaling and root planing (deep cleaning)
• Periodontal surgery and laser gum surgery
• Dental implants

Our periodontal treatments page explains each option in more detail.

Preventing gum disease

Regular dental checkups and periodontal examinations are important for maintaining your health and the health of your smile. You don’t have to lose teeth to periodontal disease, and by practicing good oral hygiene at home, you can significantly reduce your chances of ever getting gum disease. Remember to brush regularly, clean between your teeth, eat a balanced diet, and schedule regular dental visits to help keep your smile healthy. Our preventive care tips are a good place to start.

Gum disease and your overall health

Healthy gums matter beyond your mouth. Research has linked gum disease with other health conditions, including diabetes and heart disease, and people with diabetes are more likely to develop gum disease. Treating gum disease and keeping your gums healthy is part of caring for your whole body. Tell us about any changes to your health or medications, because they can affect your gums.

When to see us

Call us if your gums bleed when you brush or floss, look red or swollen, or have started pulling away from your teeth, or if a tooth feels loose. Gum disease is easiest to treat in its early stages, often with a professional cleaning and better daily habits. Our gum care page brings together everything we do to keep gums healthy, and our financial information page explains insurance and payment. Request an appointment for a gum evaluation.