Periodontal (gum) disease is an infection of the tissues surrounding and supporting the teeth. It is a major cause of tooth loss in adults. Because periodontal (gum) disease is usually painless, however, you may not know you have it.
Periodontal (gum) disease is caused by plaque, a sticky film of bacteria that constantly forms on the teeth. These bacteria create toxins that can damage the gums.
In the early stage of periodontal (gum) disease, called gingivitis, the gums can become red, swollen and bleed easily. At this stage, the disease is still reversible and can usually be eliminated by daily brushing and flossing.
In the more advanced stages of periodontal (gum) disease, called periodontitis, the gums and bone that support the teeth can become seriously damaged. The teeth can become loose, fall out or have to be removed by a dentist.
What are the signs of periodontal (gum) disease?
If you notice any of the following signs of periodontal (gum) disease, see your dentist immediately:
- gums that bleed when you brush your teeth
- red, swollen or tender gums
- gums that have pulled away from the teeth
- bad breath that doesn't go away
- pus between your teeth and gums
- loose teeth
- a change in the way your teeth fit together when you bite
- a change in the fit of partial dentures

Normal, Healthy Gums
Healthy gums and bone anchor teeth firmly in place.

Advanced Periodontitis
The gums recede farther, destroying more bone and periodontal ligament. Teeth, even healthy teeth, may become loose and need to be extracted.

Periodontitis
Unremoved, plaque hardens into calculus (tartar). As plaque and calculus continue to build up, the gums begin to recede (pull away) from the teeth, and pockets form between the teeth and gums.


