Periodontal Disease (Gum Disease)

Protecting the Foundation of Your Smile

Periodontal disease—commonly known as gum disease—is a bacterial infection that affects the gums and the supporting structures of the teeth. One of the earliest signs is bleeding while brushing or flossing, which should never be ignored. The infection typically begins below the gumline, where bacteria can build up and compromise the attachment between the tooth and its surrounding tissues.
While bleeding gums are often the first warning sign, other symptoms to watch for include:
  • Red, swollen, or tender gums
  • Receding gumlines
  • Persistent bad breath or a metallic taste
  • Pus between gums and teeth
  • Loose or shifting teeth
  • Deep pockets forming along the gumline
These symptoms can progress silently, which is why routine dental checkups every six months are essential to detect and treat gum disease early.

Risk Factors

Several factors may increase your risk of developing periodontal disease, including:
  • Tobacco use (smoking or chewing)
  • Medical conditions like diabetes, lupus, or cancer
  • Hormonal changes during pregnancy or menopause
  • Certain medications, including treatments for high blood pressure, depression, pain, and allergies
  • Worn dental work, such as old fillings or poorly fitting bridges
Sharing your full medical and medication history with your dental care team helps ensure that risks are identified and addressed properly.

Preventing Gum Disease

You can significantly lower your risk of periodontal disease with a few simple habits:
  • Brush twice daily with a fluoride toothpaste
  • Floss every day to remove plaque between teeth
  • Use an antiseptic or antimicrobial mouthwash
  • Limit sugary foods and beverages
  • Drink plenty of water to encourage healthy saliva flow
  • Maintain regular dental checkups and cleanings

Frequently Asked Questions (FAQ)

What causes periodontal disease?

It’s caused by the buildup of plaque bacteria below the gumline. Over time, this leads to inflammation, infection, and damage to the tissues and bone supporting the teeth. 

Can gum disease be reversed?

Gingivitis—the earliest stage—can often be reversed with improved hygiene and professional cleanings. More advanced stages require deeper treatment like scaling and root planing.

Is gum disease painful?

Not always. Many people don’t experience pain in the early stages, which is why regular dental visits are so important for early detection.

How is periodontal disease treated?

Treatment may include deep cleanings (scaling and root planing), antibiotic therapy, and, in severe cases, surgical intervention. Maintenance and follow-up care are essential to manage the condition.

How often should I have my gums checked?

Every six months during your dental exam. If you’re at higher risk, your dentist may recommend more frequent periodontal evaluations and cleanings.

New Jersey

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