Understanding Gum Disease From Warning Signs to Treatment
                     The Four 
Stages of Gum 
S
G
Disease
Stage 1: Gingivitis
Gingivitis is characterised by inflammation and 
bleeding of gums, especially during brushing. 
It's caused by plaque build-up at the gumline.
Stage 2: Early Periodontitis
Below the Pocket Formation
SInuflarmfamcaetion spreads deeper, with minor Small pockets form between teeth 
bone involvement beginning. and gums, trapping bacteria.
New Symptoms Treatment 
Persistent bad breath, increased bleeding, and RNeeqeuidreesd dental cleaning and possibly 
mild discomfort appear. scaling and root planing.
Stage 3: Moderate Periodontitis
Bone Loss Gum Recession Tooth Mobility
Notable bone deterioration Gums recede, exposing more Teeth may loosen or shift 
occurs with deepening gum tooth structure to damage. position as supporting 
pockets. structures weaken.
Stage 4: Advanced Periodontitis
Severe Damage
Extensive gum and bone destruction 
with deep infection pockets.
Tooth Instability
Teeth become very loose with high risk of 
loss.
Complex 
Treatment
May require gum grafts or surgery to 
preserve remaining teeth.
Preventing and 
Managing Gum 
DiDsaiely aHysgieene
Brush twice daily and floss to remove plaque before it 
hardens.
Regular Check-
Vuipsist your dentist every six months for 
professional cleaning and assessment.
Early 
SIneetek rpvroefenstsiioonnal help at first signs of gum 
problems.
RReeach Us AtJoea chD . UsAr bAuttante, 
JoDeD SD. Arbutante, 
DDS17357 Van Wagoner Rd Suite 1, 
173S5p7r iVnagn L Wakaeg, oMniecrh Rigda nS 4u9ite4 516, 
Spring Lake, Michigan 49456
(616) 842-0090
(616) 842-0090
ArbutanteDental.com
ArbutanteDental.com
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