Gum disease is also referred to as periodontal disease and encompasses the various stages of the disease, including gingivitis and periodontitis. Periodontal literally translates to “around the tooth”. Interestingly, as the disease progresses it manages to burrow itself more completely around the affected tooth or teeth.

The beginning stage of gum disease is gingivitis, which occurs when plaque buildup begins to inflame the gums causing them to redden, swell and easily bleed. Typically there is little to no discomfort during this stage. Because of this, gingivitis is generally detected during a regular dentist visit. If diagnosed and treated, gingivitis is completely reversible.

Gingivitis usually precedes periodontitis. However, it is important to know that not all gingivitis progresses to periodontitis.

In the early stage of gingivitis, bacteria in plaque build up, causing the gums to become inflamed (red and swollen) and often easily bleed during tooth brushing. Although the gums may be irritated, the teeth are still firmly planted in their sockets. No irreversible bone or other tissue damage has occurred at this stage.

When gingivitis is left untreated, it can advance to periodontitis. In a person with periodontitis, the inner layer of the gum and bone pull away from the teeth and form pockets. These small spaces between teeth and gums collect debris and can become infected. The body’s immune system fights the bacteria as the plaque spreads and grows below the gum line.

If gingivitis is not treated, it can lead to periodontitis, which occurs when plaque spreads below the gum line. The bacteria associated with plaque produces toxins, which trigger further inflammation. Over time, this heightened inflammatory response will ultimately deteriorate the bones and tissue that support the affected teeth, eventually leading to tooth loss. Once periodontitis sets in, treatment is crucial to manage the inflammation and minimize damage

The most important steps you can take to maintain healthy gums and teeth are to care for your teeth and have regular dental checkups. Brush your teeth at least twice a day to remove plaque, and floss once a day. An antimicrobial mouth rinse can also be used in combination with brushing and flossing to reduce the bacteria in your mouth. If you already have gum disease, brushing and flossing are even more important.