The two stages: gingivitis and periodontitis
Gingivitis is inflammation of the gums caused by plaque along the gumline. Gums look red, feel puffy, and bleed when you brush or floss. At this stage there is no permanent damage, and it reverses within a couple of weeks of thorough daily cleaning and a professional cleaning.
Left alone, the infection moves below the gumline and becomes periodontitis. The bone supporting your teeth begins to dissolve, gums recede, and teeth eventually loosen. That bone does not grow back, which is why timing matters so much.
Warning signs to take seriously
- Gums that bleed when brushing or flossing
- Persistent bad breath or a bad taste
- Gums pulling away from teeth, or teeth looking longer
- Tenderness, swelling, or pus at the gumline
- Teeth that feel loose or shift position
How to reverse early gum disease at home
Brush the gumline gently twice a day, floss daily, and consider an electric brush, which most studies show removes more plaque along the gums. Bleeding when you first restart flossing is normal; it fades within one to two weeks as inflammation drops. If it doesn't, the problem is deeper than home care can reach.
When a deep cleaning is the answer
Once tartar forms below the gumline, no toothbrush can remove it. Scaling and root planing, done comfortably with numbing, cleans those root surfaces so the gums can reattach. Your hygienist then keeps you on a maintenance schedule so it never gets ahead of you again.
Why it matters beyond your mouth
Gum disease is linked to higher risks with heart disease, diabetes control, and pregnancy complications. Healthy gums are a health decision, not just a dental one.
