It’s best to visit your dentist to find out your risk of gum disease and get an assessment of your current oral health. Gum disease (periodontal disease) is mostly caused by plaque and bacteria buildup that is not treated in its early stage. Tobacco use, teeth grinding, some medications, and genetics also can impact the presence of gum disease. Gingivitis is the beginning stage of gum disease, and, if detected, is treatable. But, left untreated, gingivitis may turn into gum disease. Advanced gum disease will lead to tooth and bone loss, and is a permanent condition. Brushing your teeth regularly and visiting the dentist every six months will help prevent gingivitis and more severe cases of periodontal disease. Common signs of gum disease include: Red, irritated, bleeding, or swollen gums Chronic bad breath Loose teeth, or loss of teeth Extreme tooth sensitivity Receding gum line Abscessed teeth