
Meet Our Periodontist: Dr. Yoolim Kim

What Causes Gum Disease?
Periodontal disease, also known as gum disease, is an infection that affects the gums surrounding the teeth. It is a leading cause of tooth loss in adults, often going unnoticed due to its lack of pain. During routine checkups, dentists will assess for signs of gum disease by measuring the space between the teeth and gums.
Gum disease is triggered by the accumulation of plaque, a sticky bacteria that adheres to the teeth. Without proper removal through flossing, brushing, and dental visits, plaque can release toxins that harm the gums. This leads to the formation of small pockets below the gum line, separating the gums from the teeth. Gum disease progresses through two stages: gingivitis and periodontitis.
- Gingivitis — In the early stage of gum disease, the gums become red, swollen, and bleed easily. Daily brushing and flossing can usually eliminate this treatable disease.
- Periodontitis — If gingivitis is left untreated, it can progress into periodontitis, causing serious and irreversible damage to the gums and bone supporting the teeth. Infected gums can lead to loose teeth, tooth loss, or removal by a dentist.
Certain factors can increase a patient's risk of periodontal disease, such as:
- Smoking or chewing tobacco
- Diabetes
- Medications like steroids, anti-epilepsy drugs, cancer therapy drugs, calcium channel blockers, and oral contraceptives
- Ill-fitting bridges
- Crooked teeth
- Old fillings
- Pregnancy
Periodontal disease can sometimes go unnoticed, but common symptoms may include:
- Gums that bleed easily
- Red, swollen, tender gums
- Gums that have pulled away from the teeth
- Persistent bad breath or bad taste
- Pus between your teeth and gums
- Permanent teeth that are loose or separating
- Any change in the way your teeth fit together when you bite
- Any change in the fit of partial dentures
Treating Gum Disease
- Non-invasive options like using at-home periodontal trays and undergoing scaling and root planing for deep cleaning
- Advanced treatments like periodontal surgery and laser gum surgery
- Restorative procedures such as dental implants

