The Stages of Gum Disease

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By Gold Coast Family Dental of Port Washington | November 19, 2024

Taking care of your gums is one of the best ways to protect your smile. But sometimes, we treat our gums like an afterthought regarding dental care. It might surprise you to learn just how common gum disease is—and how damaging it can be for your oral health.

Surprising Fact #1:

About half of all adults have suffered or are suffering from some form of gum disease, and about half of all children do, too. As we age, the percentages jump—in fact, some studies estimate that eventually, 70% of older adults will be affected by gum disease.

Surprising Fact #2:

The major cause of tooth loss in adults isn’t tooth decay, accidents, or aging—it’s gum disease.

Surprising Fact #3:

Gum disease is progressive. Gingivitis that begins with a bit of redness or some minor bleeding when you brush might seem like a temporary annoyance. But when ignored, this early form of gum disease can lead to periodontitis, a serious gum condition that causes receding gums, loose teeth, bone and tissue damage, infections, and tooth loss.

Gingivitis

Gum disease begins quietly and invisibly, and it usually starts with plaque. Plaque along the gum line irritates our gum tissue. The body’s immune system responds and triggers inflammation. Gum tissue becomes swollen and red. The gums might feel tender or bleed easily when you brush or floss.

If you’ve experienced any of these symptoms, call our Port Washington, New York office. The dentist might recommend better brushing and flossing habits, a professional cleaning, and/or an anti-plaque treatment. With proper care, gingivitis is reversible at this stage.

But left untreated, gingivitis can progress over time until it becomes periodontitis. Periodontitis affects not only gum tissue but also the bone and connective tissue surrounding teeth, supporting them and holding them firmly in place.

Mild Periodontitis

As plaque and tartar irritate gum tissue above and below the gum line, inflammation increases, and the gums pull away from the teeth. This is a problem because the gums normally surround the tooth roots snugly, protecting them from plaque, bacteria, and other toxins.

When gum tissue pulls away, pockets are created between the gums and teeth. These pockets become home to more bacteria, causing more irritation, inflammation, and infection. During this phase, the connective and bone tissue around the tooth’s roots might start to break down.

Moderate Periodontitis

As the disease progresses, pockets become deeper. The structures that hold the teeth in place continue to break down, and the teeth start to loosen. As the gums recede, tooth roots become more vulnerable to decay.

Advanced Periodontitis

When periodontitis has reached the advanced stage, tissue and bone are significantly lost around the teeth. Teeth become looser, and foul breath, pus, and pain when biting or chewing are common. Without prompt treatment, there’s a high risk of tooth loss.

Unlike gingivitis, periodontitis isn’t reversible and requires professional care. Advanced treatments can do a lot to restore gum health:

  • Topical, time-release, or oral medications treat infection.
  • Scaling and root planing are non-surgical deep cleaning procedures that remove plaque and tartar above and below the gum line and smooth tooth roots to remove bacteria and help the gum tissue reattach to the teeth.
  • Flap surgery treats more advanced gum infection, reducing pocket depth and re-securing the gums snugly around the teeth.
  • Bone grafts, gum grafts, and other regenerative procedures are available that help restore and repair tissue damaged by gum disease.

That’s good news, and there’s even better news: Because gum disease is typically triggered by plaque, it’s very preventable.

  • Brush carefully at least twice each day for at least two minutes. Don’t forget to brush along the gum line!
  • Use floss at least once daily or as directed by your doctor. If you have trouble flossing, ask us for the flossing tools and techniques that will work best for you.
  • See your dentist regularly to catch and treat early gum disease while reversible.

While gum health is essential for dental health, healthy gums might mean more than just healthy teeth. Scientists are studying the potential links between gum disease and its effects on conditions such as heart disease, diabetes, and arthritis. Gum health should never be an afterthought. To start your journey toward a better smile, you can easily book an appointment online or by phone.

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Dentist in white coat examining patient's teeth in modern dental office setting.