Gums get red and puffy and may bleed during brushing and flossing. The bone and fibers are 'unaffected' with treatment the condition can be reversed. At this stage, plaque spread to the roots and infection occurs, damaging the supporting bone and fibers. Gums may separate from the tooth and start to recede. A pocket forms below the gumline and traps plaque and food.
Proper treatment can stop further damage.
In the later stages of periodontitis, infection further destroy the supporting bone and fibers. The gums recede even more. The tooth may shift or loosen, and the bite may change. If treatment can't save the tooth a dentist may remove it to prevent further damage. Treatments Plaque Removal Brushing, flossing and professional cleaning can help to remove the plaque that eventually causes gum disease.