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What Are the Signs of Periodontal Disease?

Jul 15, 2021
Are you suffering from mouth pains, and you don’t know the reason behind it?

It’s likely because of gum disease. It’s more common than you think since 7 out of 10 Canadians develop it at some point in their lives. Periodontal disease treatment is easy, as long as you detect it early.

What’s the best way to do it? It’s through knowing the signs of periodontal disease. Read on and learn everything about gum problems:

What is Periodontal Disease?

Periodontal’s literal meaning is “around the tooth.” As such, periodontal diseases are infections and inflammations surrounding your teeth. This includes your ligaments, gums, and bones.

These diseases have varying severity levels. Periodontitis starts as inflammation, but as time passes without treatment, it gets worse. Here are the stages of this disease:

1. Inflammation (Gingivitis)

Gingivitis is the inflammation of the gums. If you’re suffering from this condition, your gums will bleed whenever you brush or floss. In some cases, your teeth may lose their bright white- color.

Bacteria are always inside your mouth. They’re harmless unless certain conditions allow them to multiply drastically. It happens when you don’t do basic dental hygiene or go for a regular dentist visit.

2. Early Periodontal Disease

During its early stages, your gums will pull away from your teeth. Small pockets will form between your teeth and gums. These pockets serve as breeding grounds for harmful bacteria. As your immune system responds, it tries to stave off the infection. As with gingivitis, brushing and flossing will result in bleeding. You’ll also experience some bone loss during this period.

3. Moderate Periodontal Disease

After its initial stages, you'll now experience pain and bleeding around your teeth. Your gums will further recede. It causes your teeth to become loose since they won’t have enough bone support. The infection will cause your body to become inflamed. The inflammation goes beyond your mouth area at this point.

4. Advanced Periodontal Disease

Once you reach this phase, your teeth start falling off. The connective tissue holding them deteriorates. At the same time, the infection destroys your gums, bones, and other supportive tissues. Advanced periodontitis means experiencing severe pains while chewing. You may also get bad breath, and your mouth will always taste foul. Losing a few teeth is certain at this stage.

What Causes Periodontal Disease?

Developing periodontal disease starts with plaque. It’s a sticky film that houses millions of bacteria. If you don't do anything about it, the plaque around your teeth will accumulate. When you don’t remove the plaque regularly, it hardens to tartar. It forms near your gums, at the base of your teeth. Like wisdom tooth removal, getting rid of tartar is only possible through professional means. The plaque will trigger an immune response. It destroys your gum tissue and develops more complications.

Risk Factors Affecting Periodontal Disease

Situations that lead to drastic hormonal changes put you at risk for periodontitis. The gum tissue becomes more sensitive during these situations. For example, entering puberty, menopause, menstrual cycles, or pregnancies raises your risk of inflammation. Some diseases also increase your chances of getting gingivitis. This includes diabetes, HIV, and cancer.


If you have a medical condition, you might take some medications. However, some side effects may increase your chances of getting gum diseases. When your medicine decreases your saliva flow, it will make you vulnerable to periodontal disease. Some examples include Dilantin and some brands of anti-angina medicine. These often cause your gum tissue to grow abnormally. Your age and family history also contribute to your gingivitis risks. If your parents have these diseases, you’re at risk. It comes from the bacteria type you get early on in life.


People with poor diet and lifestyle choices are at risk of gingivitis. If your daily menu lacks vitamin C, you’ll develop gum disorders. Regular smokers will experience gingivitis more.

Signs of Periodontal Disease

Now you know the stages of periodontal disease, it’s time to learn the symptoms. Knowing what to look out for allows you to know when it’s time to get treatment. Go to a licensed dentist when you’re experiencing these:

Red, Swollen Gums

These are some of the most common first signs of gum problems. In most cases, they start as inflammation along your gum line. They feel tender when touched. The swelling can get worse in time, causing your gums to bleed whenever you floss or brush.

Bad Breath

Your mouth’s environment provides a nice, warm, and moist home for millions of microbes. These creatures eat your plaque for sustenance and reproduction. The more you have, the faster they multiply. When they eat, bacteria will release toxins that irritate your gums. It causes you to have a foul mouth odor. It’s also a symptom of serious gum disorders since your breath won’t smell bad with gingivitis.

Receding Gums

If your teeth have a longer appearance than before, they may stop growing. This will make your gums start receding. As bones break, the gums make separate from the tooth, making a pocket.

Sensitive Teeth

Sipping a cold drink is nice during hot weather, but wincing at the pain can kill the mood. Sensitive teeth are a definitive symptom of gum diseases. They occur at the same time as receding gums. When your gums shrink, it exposes the more sensitive part of your tooth, the dentin. It causes you to experience pain when drinking hot or cold water. You’ll also feel the pain when you leave your mouth open for long.

Wiggling or Shifting Teeth

Ask yourself whether your smile is consistent with your earlier pictures. If you notice something different, it might be a sign of gum disease. It attacks the bones holding your teeth together, loosening them. When your condition becomes too severe, the way you bite changes. Gum infections change how your teeth fit together. This often results in bite problems as time passes.

How Do Dentists Diagnose Periodontitis?

During a routine dental checkup, your dentist will see periodontitis symptoms. They can track your status to ensure it won’t get worse. It’s one of the many benefits of visiting a dentist regularly. If they suspect gum disease, they will use a probe. It’s a tiny ruler that will measure any gum pockets. It’s painless, allowing them to know whether it’s time to go to a periodontist.

How to Treat Periodontitis

When treating periodontitis, ask your dentist for more tips. You must also change your lifestyle alongside taking proper medications and treatments. You aim to remove both plaque and bacteria residing on your gums and teeth.

Here are some treatment options:

1. Good Oral Hygiene Practices

Once diagnosed, dentists will instruct you on how to decrease bacteria in your mouth. It involves methods that keep your teeth and gums clean. They’ll teach the proper toothbrush and flossing methods.


They will recommend oral hygiene products to complement your situation. In most cases, all you need is to brush your teeth twice each day. Use fluoride toothpaste to ensure you’re clean. If you have the budget, buy an electric toothbrush since it’s more effective. Floss every day to get rid of plaque. Never smoke or chew tobacco since it accelerates plaque growth.

2. Professional Cleaning

During this procedure, dentists will use tools and chemicals to remove plaque and tartar from teeth. They do it until the roots for a deeper level of cleaning. After that, they polish them before doing fluoride-based treatments.


For periodontal pockets, opt for deeper cleaning. Scaling and root planing helps remove tartar and rough spots on the tooth root. Expect bacterial levels to decrease a lot after these treatments.

3. Antibiotics

Sometimes, your dentist will prescribe antibiotics to help with hard-to-remove gum infections. It’s usually after professional cleaning failed to get rid of them. Depending on your preference, your antibiotic could be a tablet, capsule, gel, or mouthwash.

4. Follow-up Appointments

While treating gingivitis, your dentist will request follow-up sessions within the next few weeks. After that, your appointments will happen every three to six months. They will look into your progress.


If you still have periodontal pockets, they’ll likely prescribe other treatment procedures. In severe cases, surgery is the only option.

5. Surgery

Dentists recommend surgical treatments like flap surgery when the inflammation is in inaccessible mouth areas. These are places where you can’t brush or floss. This procedure cleans the deposits underneath your gums.


Flap surgery will place you in anesthesia. After that, they lift your gums away and clean the roots. They suture your gums back into place to finish the surgery.


When your periodontitis is bad enough, you’ll suffer from bone loss. In this situation, dentists recommend bone grafting procedures alongside flap surgery. It helps regenerate the lost bone mass.

Visit Your Dentist Now!

You must never ignore the early signs of periodontal disease. If you’re experiencing any of them, go to your dentist and ask them for advice.
Do you need help with your gum disease? No matter how minor, contact us today and let us help.

Dr. Ehab Daas

Meet your doctor

Dr. Ehab is a passionate dentist with 15 years of dental experience. He received his D.D.S in 1997, and has practiced dentistry for 6 years since then. Immediately after that, Dr. Da'as moved to Paris to get his Orthodontics and Prosthodontic diploma's in which he specialized in fixed bridges and crowns. He graduated from France with remarkable achievements in 2005, and went on to work for 9 years, focusing on difficult orthodontics cases and satisfying his ortho patients. Dr. Ehab moved to Canada in 2014 to continue his career, where he is proud and extremely honoured to provide his patients with the highest quality service.
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