Periodontics

The Three Stages of Gum Disease

Gingivitis

Gingivitis is the earliest and most common stage of gum disease. Fortunately, it’s entirely reversible with proper oral care and professional treatment. Typical signs include red, swollen gums that bleed easily, a receding gum line, and persistent bad breath. Maintaining good oral hygiene at home and receiving routine professional cleanings can effectively treat gingivitis and prevent plaque and tartar buildup.

Periodontitis

The second stage, periodontitis, involves damage to the soft tissues and roots of the teeth. Gums become more swollen and tender, spaces may form between teeth, and infection can set in. Treatment includes professional cleanings, scaling to remove tartar and bacteria from tooth surfaces and below the gum line, and root planing to clean and smooth the roots. Additional therapies, such as antimicrobial rinses and localized antibiotics like Arestin, target harmful bacteria. We may schedule maintenance cleanings up to four times a year to help prevent the disease from returning.

Advanced Periodontitis

At this most severe stage, there is significant loss of soft tissue and bone that support the teeth. Advanced periodontitis is managed with all the earlier methods, along with laser-assisted gum therapy—which uses precision lasers to eliminate up to 99% of bacteria lurking in periodontal pockets. Tooth loss can occur at this point, and some patients may require tooth extraction or more extensive restorative procedures to recover oral health.

Learn More About Our Periodontal Services

Gum disease is progressive but treatable, especially when caught early. Practicing good oral hygiene and scheduling regular dental cleanings and periodontal evaluations are your best defenses. If you notice red, swollen, or bleeding gums, don’t wait to seek help. Our team is equipped to treat gum disease at every stage. Contact us today to schedule a consultation. We look forward to helping you achieve and maintain your healthiest smile.