What are the stages of periodontitis?

Author: Ms. Ashlee Volkman II  |  Last update: Saturday, November 20, 2021

Periodontal disease is broken up into four separate stages: gingivitis, slight periodontal disease, moderate periodontal disease, and advanced periodontal disease.

What are the four stages of periodontal disease?

Know The 4 Stages of Gum Disease
  • 1: Gingivitis. The first stage of gum disease is Gingivitis or gums inflammation, without loss of bone. ...
  • Stage 2: Initial Periodontitis. ...
  • Stage 3: Mild Periodontitis. ...
  • Stage 4: Progressive Periodontitis.

Is Stage 3 periodontal reversible?

The third stage, moderate periodontal disease, is also irreversible and must be treated with deep cleaning procedures known as scaling and root planing. At this stage, bacteria has started attacking the bone and could even get into the immune system and bloodstream.

How fast does periodontal disease progress?

Slight Periodontal Disease

During the early gingivitis stages, gum inflammation can occur in as little as five days. Within two to three weeks, the signs of generalized gingivitis become more noticeable. If you still leave this untreated, it would progress to slight periodontal disease.

What is Stage 3 periodontal?

Stage 3: Moderate Periodontitis — inflammation of the gingiva (gums) and the surrounding tissues that results in moderate bone loss. Stage 4: Advanced Periodontitis — inflammation of the gingiva (gums) and the surrounding tissues that results in severe bone loss.

What are the Stages of Gum Disease? | Western Dental

What does Stage 4 gum disease look like?

In stage four the periodontal disease has taken a firm hold. Your gums will be visibly receding, exposing tender tooth enamel which can be easily damaged and then start to decay. The hidden damage to your jawbone will start to become noticeable as your teeth start to loosen, becoming wobbly or even moving position.

Can you stop Stage 2 periodontal disease?

Good overall oral hygiene and regular checkups can treat and reverse gingivitis. Slight periodontal disease is the second stage of periodontal disease. It is not reversible, but it is manageable. Once a patient reaches stage two, the infection has spread to the bone and begins its bone-destroying process.

What is aggressive periodontitis?

Aggressive periodontitis is a destructive disease characterized by the following: the involvement of multiple teeth with a distinctive pattern of periodontal tissue loss; a high rate of disease progression; an early age of onset; and the absence of systemic diseases.

Is periodontitis serious?

Periodontitis is a severe gum infection that can lead to tooth loss and other serious health complications. Periodontitis (per-e-o-don-TIE-tis), also called gum disease, is a serious gum infection that damages the soft tissue and, without treatment, can destroy the bone that supports your teeth.

Can severe periodontitis be cured?

Periodontitis can only be treated but cannot be cured. Gingivitis, on the other hand, can be prevented by maintaining proper oral hygiene practices and visiting the dentist for checkups and exams.

Is Stage 4 periodontal disease reversible?

Periodontal disease occurs in four separate stages, and only the first stage is reversible—the rest will require advanced dental treatments.

What is advanced periodontitis?

Periodontitis refers to advanced periodontal disease. With periodontitis, the gum tissue pulls away from the teeth, creating pockets where additional bacteria can build up and cause an infection. Treatment of advanced periodontal disease is a multi-step process.

When is it too late for gingivitis?

Gum disease is preventable, especially when it is diagnosed in its earliest stages. Even for those people with advanced gum disease, it is never too late to seek diagnosis and restorative treatment.

What happens if you have advanced periodontitis?

Advanced Periodontal Disease: The final stage of periodontal disease is when the infection contains disease-causing bacteria. This causes red, swollen gums that contain pus, loose teeth, painful chewing and biting, severe bad breath, and bone loss.

Can I save my teeth with periodontal disease?

Saving teeth from periodontal disease is possible if you detect the signs and symptoms early or regularly visit your dentist for cleanings and exams. Let the condition progress unhindered, and tooth loss should be considered as an eventuality.

Can moderate periodontitis be reversed?

Periodontitis can't be reversed, only slowed down, while gingivitis can be reversed. This is why it's important to catch it in its early stages and prevent it from moving on to periodontitis.

Can periodontitis make you tired?

The gums are rich in blood vessels, and when gum disease is present, the blood vessels become a simple way to transport infections in different parts of the body. The longer that you have gum disease, the more likely it is that the infection can start to affect other organs and cause you to feel worn out and tired.

How long does periodontitis take to heal?

The length of time it will take your gums to heal depends on the severity of your gum disease. It can take anywhere from 2 – 4 weeks, while deeper pockets can take months to completely heal. Because your mouth will be tender and inflamed, a soft food diet is advised for the first few days.

What percentage of adults have periodontal disease?

47.2% of adults aged 30 years and older have some form of periodontal disease. Periodontal disease increases with age, 70.1% of adults 65 years and older have periodontal disease.

How can you tell the difference between chronic and aggressive periodontitis?

1. In chronic periodontitis, there is no well-defined pattern of bone loss. In generalized aggressive periodontitis, most permanent teeth are affected. In localized aggressive periodontitis, there is no agreement on the number of teeth included, but in one case series, about three to six teeth were included.

How is the severity of periodontal disease determined?

Severity is based on the amount of clinical attachment loss (CAL) and is designated as slight (1-2 mm CAL), moderate (3-4 mm CAL) or severe (> 5 mm CAL). Refractory periodontitis refers to continued attachment loss in spite of adequate treatment and proper oral hygiene.

How do you know if you have aggressive periodontitis?

Lack of visible signs of clinical inflammation despite the presence of deep periodontal pockets and severe attachment loss in an otherwise healthy young individual is the classic sign of aggressive periodontitis presenting at this stage (Figures 1(a)–1(c)).

What does Stage 2 gum disease look like?

Stage 2: Early Periodontitis

Patients with early periodontal disease typically have a gingival pocket depth of between 4-5 millimeters. If you have early periodontal disease, your gums will bleed more readily during flossing and professional cleanings, and your gum tissue will start to recede, creating an aged look.

What does Stage 1 gum disease look like?

In its early stages, inflammation around the gums is observable, with gum tissues appearing red and swollen. Gums that are easily irritated or that bleed during tooth brushing indicate the presence of Gingivitis. Removal of the plaque buildup is necessary to prevent the development of gum disease.

What does periodontal pain feel like?

They cause a dull, gnawing, localized pain but are not painful to percussion. The discomfort ranges from low intensity aches to severe acute pain. Periodontal abscesses may be tender to lateral periodontal pressure and the pain in the tooth adjacent to the injury usually worsens with chewing.

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