Periodontal Disease

Periodontal means “around the tooth.” Periodontal disease affects the gums and bone that support your teeth. It starts when plaque (a sticky film of bacteria, food debris, and saliva) is not fully removed. Over time, plaque hardens into calculus (tartar), which irritates the gums and can lead to inflammation, infection, and bone loss.

Gum disease often doesn’t hurt at first, which is why many people don’t realize they have it—early detection is key.

Why Gum Health Matters

Stages of Gum Disease

Gingivitis (Early Stage)

  • Signs: Red, swollen gums that bleed when you brush or floss, and bad breath.
  • Cause: Plaque at the gumline.
  • Good news: Gingivitis is reversible with professional cleaning and great home care.

 

Periodontitis (Advanced Stage)

  • Signs: Gums pull away from teeth (recession), deep pockets around teeth, loose or shifting teeth, persistent bad breath, and sometimes pus.
  • Cause: Long-standing plaque and tartar with bacterial infection that damages the supporting bone.
  • Treatment goal: Stop progression, reduce pocket depths, and protect remaining bone.

Common Signs & Symptoms

Who’s at Higher Risk?

How We Diagnose Gum Disease

How We Treat Gum Disease

Treatment is customized, but often includes:

  • Professional cleaning for gingivitis
  • Scaling and root planing (deep cleaning) to remove tartar below the gumline and smooth root surfaces
  • Local medications or rinses (when appropriate)
  • Bite/occlusion adjustments and home-care coaching

In advanced cases, we may discuss surgical options or refer collaboratively to ensure the best outcome.

Periodontal Maintenance = Long-Term Health

After active therapy, most patients need periodontal maintenance every 3–4 months to control bacteria and keep pockets stable. This schedule is different from a standard “6-month cleaning” and is critical to protecting your results.

What You Can Do at Home