Toothbrush search

The stages of inflammatory periodontal diseases

21 June 2017

Contrary to the popular belief, the teeth aren’t the only part of our oral cavity in need of particular care. The gums are equally important – leaving their diseases untreated leads to development of periodontal diseaes. Unfortunately, because of how easy it is to get used to the first stages of these diseases, many people end up ignoring them. This might lead to some disastrous results though, such as permanent teeth loss.

The stages of periodontal diseases’ development

Keep in mind that periodontium inflammation is a long-lasting process – your teeth won’t start moving immediately. However, the sooner the disease gets diagnosed, the bigger the chances of a full recovery.

First stage: gum inflammation

It’s an inflammation caused by the bacteria remaining in dental plaque we didn’t remove and tartar. The cause of inflammated gums might also be some systemic diseases (diabetes, anemia), smoking tobacco or hormonal fluctuations. In the first stages of the disease, the bacteria secrete toxins which have a negative effect on our gums, causing them to turn red, ache, swell and bleed. It is a reversible process though. It can be pushed back by maintaining good oral hygiene – brushing our teeth twice a day, cleaning the interdental surfaces and using an antiseptic mouthwash. Removing tartar by the dentist might also be required.

Second stage: moderate periodontium inflammation

This stage leads to irreversible changes of periodontium, which are the damages to alveolar bone and periodontal fibers. These two elements are responsible for keeping the tooth in its alveolus. At the stage of moderate periodontium inflammation the gums are receeding, exposing tooth necks and creating periodontal pockets, which accumulate food remains, dental plaque and tartar within themselves. This process allows the bacteria to multiply faster. In order to prevent further damages, good oral hygiene is extremely important, along with asking your dentist for advice.

Third stage: advanced periodontium inflammation

The alveolar bone and periodontal fibers are destroyed. This causes the teeth to move. At this point, the aggressive dental treatment is necessary, but it might not always work at this point. This can only lead to tooth extraction.

Symptoms of periodontal diseases

Periodontal diseases occur mainly amongst adults, but sometimes we can stumble upon children suffering from them as well. Their symptoms include:

– gum reddening, swelling and pain,
– bleeding gums, first caused only by brushing, in the later stages the gums will bleed even during consumption of soft foods,
– receeding gums and exposal of tooth necks,
– periodontal pockets’ creation,
– purulent exudate,
– unpleasant taste in our mouth, bad breath,
– in the advanced stage of the disease – moving teeth.

Treating periodontal diseases

In the first stage of the disease, removing dental plaque at the dentist’s office and brushing our teeth every day along with flossing them might be enough. If it’s necessary, the dentist might perform the root polishing procedure. It helps even ot the irregularities of the root, which minimizes the danger of dental plaque forming in this spot.
Some cases might call for the pharmacological treatment.

Periodontal diseases might have some unpleasant (especially for our wallet) consequences. They aren’t hard to diagnose, as in case of noticing the first symptoms, all we need to do is improve our oral hygiene and ask our dentist for advice. This will help us enjoy having a beautiful smile for longer.


  1. Healthy gums – they surround the teeth closely, they are hard and don’t hurt. Remember that healthy gums never bleed!
  2. Inflammated gums – the first stage of periodontal disease. The inflammation of gums appears, which might lead to reddening, swelling and pain. The gums might start to bleed when we’re brushing our teeth.
  3. Periodontium inflammation – the second stage of periodontal disease. The gums are receeding gradually, creating periodontal pockets and exposing tooth necks. This leads to serious damages to the bone and fibers which support the teeth.
  4. Advanced periodontium inflammation – the third stage of periodontal disease. The bone and fibers which support the tooth are both destroyed completely. The teeth start to move and, with time, might require extraction.