This stage may still be painless. Plaque will continue to form in the pocket between tooth and gum and as the disease progresses, the gum may shrink away from the tooth exposing part of the root. The tooth will gradually become loose. Treatment for this stage of the disease will depend on how far the inflammation has progressed. Loose teeth may need to be extracted or may fall out on their own.
Treatment can prevent the progress of the disease but it depends upon early diagnosis.
The person needs to see a dentist as soon as possible. Hard deposits cannot be removed by brushing, only by special scaling instruments. Dental hygienists are trained to provide this treatment and give practical advice. Regular and effective tooth-brushing is the most effective method of controlling the disease and damage caused by plaque. It suggests that people who are dependent on others for their oral hygiene, are disadvantaged by poor standards of daily oral hygiene.