
The Stages of Periodontal Disease
Signs and Symptoms
Healthy
- Gums have healthy pink color
- Gum line hugs teeth tightly
- No bleeding
Gingivitis
- Gums bleed easily when you brush or when probed gently during examination
- Gums are inflamed and sensitive to touch
- Possible bad breath and bad taste
- Gums between teeth may look bluish-red in color
Early Periodontitis
- Gums may begin to pull away from the teeth
- Bleeding, puffiness and inflammation are more pronounced
- Bad breath and bad taste
- Slight loss of bone, horizontally on X-ray
- Pockets of 3-4 mm between teeth and gums in one or more areas of the mouth
Moderate Periodontitis
- Gum boils or abscesses may develop
- Teeth look longer as gums begin to recede
- Front teeth may begin to drift, showing spaces
- Bad breath, bad taste
- Both horizontal and angular bone loss on X-ray
- Pockets between teeth and gum range from 4-6 mm deep
Advanced Periodontitis
- Teeth may become mobile or loose
- Bad breath and bad taste are constant
- Roots may be exposed and are sensitive to hot and cold
- Severe horizontal and angular bone loss on X-ray
- Pockets between teeth and gum now in excess of 6 mm deep
Gum Treatment & Prevention
Three Out of Four People Have Warning Signs of Periodontal Disease
- Gums that bled when you brush
- Gums that are red, swollen or tender
- Gums that have pulled away (receded) from teeth
- Pus between teeth & gums when gums are pressed
- Permanent teeth that are loose or separating
- A change in the way your teeth fit when biting
- Changes in the fit of partial dentures
- Persistent bad breath