Because periodontitis may occur without visible symptoms, it is important for your dental professional to examine regularly for increased gum pocket depths, one of the earliest signs of the disease. Periodontal disease can, however, progress slowly without any visible signs or symptoms. Moderate periodontitis may cause loosening of teeth, and an intensification and increased incidence of early periodontal symptoms. Advanced periodontitis is associated with gum recession, root decay, pus between teeth and gums, and loosening or loss of teeth. Proper brushing and flossing, and use of an antibacterial rinse, help to inhibit the penetration of bacteria below the gumline, which is the primary cause of periodontitis.
Dental caries is the disease process of tooth decay.
Immediate treatment in the form of restoration is essential. Fissure caries occur because plaque becomes trapped in the bottom of fissure grooves where enamel is very thin and easily penetrated. This is the most common form of caries in children. Proximal caries occur when plaque is allowed to accumulate between teeth. These areas are difficult to reach with a toothbrush, and caries often occur here in people who do not floss.