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The General Progression of Gum Disease


Posted on 3/15/2025 by Amir Hosseini, DDS
Close-up of a man pointing to his bleeding gums, a common symptom of periodontal disease, stressing the need for treatment.Gum disease, also known as periodontal disease, is a common yet serious condition that can affect people of all ages. It starts with inflammation of the gums, called gingivitis, and can progress to more severe stages if left untreated.

If you're concerned about your gum health, it's important to understand the general progression of the disease. This knowledge will empower you to take proactive steps to maintain healthy gums and prevent the condition from advancing.

The Stages of Gum Disease


Stage 1: Gingivitis

This is the earliest and most common stage of gum disease. It is characterized by inflammation and redness of the gums. Gingivitis is usually caused by poor oral hygiene, which allows plaque and bacteria to build up on the teeth and gums. While gingivitis is reversible with proper care, it can lead to more severe stages if left untreated.

Stage 2: Early Periodontitis

At this stage, the inflammation has spread to the tissues and bones that support the teeth. The gums may start to pull away from the teeth, forming pockets where bacteria can collect. This can cause the gums to become more inflamed and infected, and the teeth may start to loosen.

Stage 3: Moderate Periodontitis

As the disease progresses, the pockets between the gums and teeth deepen, and more bone is lost. The teeth may become more loose and difficult to chew with. At this stage, it may be necessary to seek professional treatment to save the teeth.

Stage 4: Advanced Periodontitis

This is the most severe stage of gum disease. The teeth are very loose and may even fall out. The bone loss is extensive, and the gums may recede significantly. At this stage, it may be necessary to have teeth extracted and consider restorative dentistry options to replace missing teeth and restore functionality.

Preventing Gum Disease Progression


The good news is that gum disease is largely preventable. By practicing good oral hygiene, you can significantly reduce your risk of developing this condition. Here are some key tips:

•  Brush your teeth twice a day for two minutes each time. Use a soft-bristled toothbrush and fluoride toothpaste.
•  Floss daily. Flossing helps to remove plaque and bacteria from between your teeth, where your toothbrush can't reach.
•  See your dentist regularly for checkups and cleanings. Your dentist can monitor your gum health and provide professional cleaning to remove plaque and tartar buildup.
•  Quit smoking. Smoking is a major risk factor for gum disease. Quitting smoking is one of the best things you can do for your oral and overall health.

Early Detection is Key


The earlier gum disease is detected, the easier it is to treat and prevent further progression. By being aware of the symptoms and practicing good oral hygiene, you can take control of your gum health and maintain a healthy, beautiful smile for years to come.

If you have any concerns about your gum health, don't hesitate to schedule an appointment with your dentist. They can assess your individual risk factors and recommend the best course of action for maintaining healthy gums and preventing gum disease.


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San Antonio, TX 78258-4235

(210) 614-4700

San Antonio:
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Ste 162
San Antonio, TX 78253

(210) 614-4700

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Pleasanton, TX 78064

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Aesthetic Periodontal & Implant Specialists, 1130 E Sonterra Blvd, Suite 120, San Antonio, TX 78258; (210) 614-4700; aestheticperiodontist.com; 4/21/2025; Related Terms: Dental Implants San Antonio TX;