The Stages of Periodontal Disease
Signs and Symptoms
Healthy
Gums have healthy pink color
Gum line hugs teeth tightly
No bleeding
Gingivitis
Gums bleed easily when you brush or when probed gently during examination
Gums are inflamed and sensitive to touch
Possible bad breath and bad taste
Gums between teeth may look bluish-red in color
Early Periodontitis
Gums may begin to pull away from the teeth
Bleeding, puffiness and inflammation more pronounced
Bad breath and bad taste
Slight loss of bone, horizontally on X-ray
Pockets of 3-4mm between teeth and gums in one or more areas of the mouth
Moderate Periodontitis
Gum boils or abscesses may develop
Teeth look longer as gums begin to recede
Front teeth may begin to drift, showing spaces
Bad breath, bad taste
Both horizontal and angular bone loss on X-ray
Pockets between teeth and gum range from 4-6mm deep
Advanced Periodontitis
Teeth may become mobile or loose
Bad breath, bad taste are constant
Roots may be exposed and are sensitive to hot and cold
Severe horizontal and angular bone loss on X-ray
Pockets between teeth and gum now in excess
of 6mm deep
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