Dr. Terry Papneja and Associates

Stages of Periodontal Disease

Healthy

• Gums have healthy pink colour
• Gum line hugs teeth tightly
• No Bleeding

Gingivitis

• Gums bleed easily when you brush or when probed genly during examination
• Gums are inflamed and sensitive to touch
• Possible bad breath and bad taste
• Gums between teeth may look bluish red in colour

Early Periodontitis

• Gums may begin to pull away from the teeth
• Bleeding, puffiness and inflammaton more pronounced
• Bad breath and bad taste
• Slight loss of bone, horizontally on X-Ray
• Pockets of 3-4mm between teeth and gums in one or more areas of the mouth

Moderate Periodontitis

• Gum boils or abscesses may develop
• Teeth look longer as gums begin to recede
• Bad breath, bad taste
• Both horizontal and angular bone loss on X-Ray
• Pockets between teeth and gum range from 4-6mm deep

Advanced Periodontitis

• Teeth may become mobile or loose
• Bad breath, bad taste are constant
• Roots may be exposed and are sensitive to hot and cold
• Severe horizontal and angular bone loss on X-Ray
• Pockets between teeth and gum now in excess of 6mm deep