Periodontitis

Periodontitis is the advanced stage of gum disease. Unlike early gum inflammation, which affects mainly the gum surface, periodontitis involves infection that reaches the tissues and bone that support the teeth. Over time, pockets can form between teeth and gums, gums can pull back, and teeth can become loose. It often develops gradually and may cause little pain until it is advanced, which is why bleeding gums and persistent bad breath deserve attention.

What Periodontitis involves

A dentist will measure gum pockets, check for bone loss with X-rays, and assess which teeth are affected. Treatment focuses on removing plaque and calculus from below the gum line, controlling infection, and monitoring the teeth over time. In advanced cases, a dentist may discuss surgical options or referral to a gum specialist, depending on the extent of damage.

Signs of Periodontitis

• Gums that pull back from teeth, or pockets between teeth and gums
• Teeth that feel loose or shift position
• Persistent bad breath or a bad taste
• Gums that bleed often, are swollen, or are painful

What to do right away for Periodontitis

• Brush twice a day and clean between teeth every day, gently around sore areas
• Avoid smoking and tobacco products, which worsen advanced gum disease
• Keep all scheduled dental and cleaning visits
• Call for help promptly if a tooth feels loose, swelling develops, or pain increases

How a dentist may help with Periodontitis

• Measure gum pockets and take X-rays to check bone support
• Remove plaque and calculus from below the gum line
• Discuss medication, follow-up, and specialist referral when needed
• Monitor affected teeth over time

When to seek urgent care for Periodontitis

Seek urgent care if swelling spreads, pain is severe, a tooth becomes very loose, or you have a fever with gum swelling.

General information on this page is not medical advice. A dentist who examines you can give advice for your situation.

Related emergency dental help

• Gum Disease
• Gum Recession
• Missing Tooth

Emergency Dental Services — back to the full list. Contact Emergency Dentist for general enquiries, or call for urgent help.

Frequently asked questions about Periodontitis

How is periodontitis different from early gum disease?

Early gum disease affects mainly the gum surface. Periodontitis is advanced disease that affects the tissues and bone supporting the teeth.

Can loose teeth from periodontitis be saved?

It depends on how much support remains. A dentist can measure pockets, check bone, and explain the outlook for each tooth.

Does periodontitis affect overall health?

Gum infection is a health concern in its own right, and a dentist can explain why treating it matters and what follow-up is needed.