The Stages of Progression of Periodontal Disease

The Stages of Progression of Periodontal Disease
  1. Gingivitis
  2. Early Periodontitis
  3. Moderate Periodontitis
  4. Advanced Periodontitis

Periodontal disease is a severe case of gum disease that causes the deterioration of gums, teeth, and jawbone if left untreated. Periodontal disease occurs when plaque and tartar accumulate on the gum line, straining the gums, and therefore leading to inflammation. There are several stages of the progression of the disease.

Gingivitis


This is the mildest form of periodontal disease. Gingivitis is caused by a build-up of bacteria and plaque along the gum line and teeth, causing inflammation. The gums become sensitive, swollen, red, and easily bleed during brushing and flossing. Gingivitis is easily reversible with proper oral hygiene and when treatment is sought early.

Early Periodontitis


Gingivitis progresses to early periodontitis when untreated. The infection spreads to the gums, causing them to detach from the teeth and causing gum recession. This subsequently leads to the formation of periodontal pockets between the teeth and the gums. These pockets become hoarding points for bacteria and plaque. The bacteria and the body’s efforts to fight the infection lead to bone deterioration. Bad breath and receding gums are some of the symptoms of early periodontitis. With proper treatment, this stage is reversible.

Moderate Periodontitis


Moderate periodontitis is the third stage of periodontal disease. In this stage, the infection spreads further, and the periodontal pockets deepen. The bone damage is also more extensive. Patients experience more pain and sensitivity. The treatment for moderate periodontitis is a little more aggressive, involving scaling, root planing, and even surgery.

Advanced Periodontitis


This is the last and the most severe case of periodontal disease. The bone tissue damage is even more extended, and the teeth become loose enough that it is necessitated to remove them. Additionally, pus and abscesses form on and below the gum line. This stage can be treated by getting a bone graft and soft tissue graft to treat the damaged tissue. Patients can also seek implant surgery to replace the lost teeth.

Meet Our Doctors

Dr. Melody Schiffer

Dr. Melody Schiffer was born and raised in Westchester, NY, and graduated from the University of Michigan in Ann Arbor before continuing her education at the University of Medicine and Dentistry of New Jersey. She completed her periodontics and implant dentistry residency at New York University College of Dentistry and is a diplomate of the American Board of Periodontology. Dr. Schiffer is an active member of several dental associations and frequently lectures nationwide. She lives in Suwanee with her husband and two daughters and enjoys community services, traveling, exercising, following Michigan football, and spending time with her family.

Dr. Melody Schiffer

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Dr. Nisha Kancherla

Dr. Nisha Kancherla was born and raised in Glen Dale, WV. She earned her dental degree from the University of Pennsylvania School of Dental Medicine and completed her residency in periodontics at the University of Illinois Chicago College of Dentistry. Dr. Kancherla also earned a master’s degree in oral science for her research in genetics and stem cell research, which she published in Molecular Cancer Research. She is a Diplomate of the American Board of Periodontology and has been in practice for eight years.

Dr. Nisha Kancherla

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