Gum Disease (Gingivitis & Periodontitis): Symptoms Leading to Tooth Loss

Want to know what’s really going on with your oral health? Periodontal (gum) disease is an infection of your gum tissues, which hold your teeth securely in place.

We understand here at the Gentle Dental that some patients may have developed poor oral habits like not flossing or perhaps smoking or eating the wrong foods.

Gum disease is very common and completed reversible.  Periodontitis is a severe gum infection.

tooth about to fall out

The problem

Gum disease causes the gums to shrink (receding gums). This, in turn, allows bacteria to attach to the bone holding the tooth in place.

Less gum, less bone are the most common problems when wanting to have dental implants. Implants fitted into a mouth that has gum disease could ultimately fall out.

The symptoms of gum disease can contribute to tooth loss and other negative general health consequences.

As implant dentists and periodontists, we aim to quickly restore your gums to health and replace any teeth lost to the disease.

It is essential to have healthy gums before an implant can be placed and often before any cosmetic dental procedure.

For immediate help, call 020 8224 7562.

How to tell if you have gum disease?

Are your gums swollen, sore or infected? If you press with your fingertips do they hurt. Are your gums showing patches of white as opposed to a healthy red?

The early warning signs of periodontal disease

  • Bright red gums, Halitosis (bad breath)
  • Gums that are painful to the touch
  • Halitosis (bad breath), Soft or puffy gums
dental implant team

Unsure if you have gum disease? Take the quiz


Do you smoke?

Do your gums bleed?

Do you notice bad breath or a bad taste in your mouth a lot?

Has your bite changed or teeth moved?

Do you floss every day?

Do you brush your teeth twice daily?

Do you spit blood when you brush your teeth?

Are you gums red, sore or swollen?

Have you noticed any of the below?

Do you visit the dentist regularly?

Do You Have Gum Disease?
Answered Mostly Yes

Judging by your answers, it appears very likely that you are experiencing some level of gum disease. It will be important to stop this from progressing even further as if left untreated, gum disease can advance into periodontal disease, which can cause tooth loss.

We would advise making an appointment with us so that we can evaluate the state of your oral condition and strategise the best next steps to reverse the effects and alleviate your symptoms. Get it checked out – book an appointment.

Answered Mostly No

From your answers, we can see that it is unlikely that you are not currently exhibiting any signs of advanced gum disease. However, if you feel like something is not quite right with your smile, it could be that you are experiencing gingivitis, which is the early stage of gum disease.

Treating you at this stage will be much easier and better for your oral health, rather than letting the disease progress to more serious forms of periodontal disease. Get it checked out – book an appointment.

Quick contact

Gum disease stages

There are four different stages of periodontal disease:

Gingivitis: The earliest stage

Of all the stages, gingivitis will be the easiest to treat as it’s still non-destructive.

This is because in the beginning it only affects the gingival, which is the part of the gums which surround the base of the lower and upper teeth.

Therefore, gingivitis results in the inflammation of the gingival, which causes swollen and sore symptoms.

It also makes the gums prone to bleeding.

dental implant procedure
the consequences of missing teeth

Slight periodontal disease

During the initial gingivitis stages, gum inflammation often occurs within five days making gum disease fast-acting.

Soon, within just a few weeks, generalised gingivitis becomes more noticeable.

During this stage, your gums begin to pull away and recede away from your teeth.

This often causes a lot of worry for patients left with tiny pockets, sometimes referred to as black triangles (spaces) that form between the teeth and affected gums.

More harmful bacteria invade these areas, making them more prone to bleeding.

Moderate periodontal disease

During the third stage, patients can expect further bleeding and gum recession.

As more and more gum tissue begins to die, teeth lose their essential support and can begin to move.

Sometimes the infection can result in whole-body inflammatory responses. More.

expert implant dentist team

Advanced periodontal disease

Ultimately, this is the worst of all the gum disease stages. This is because it causes the most destruction to your gums and bones.

The tissues that hold and connect teeth begin to deteriorate, and patients are likely to experience severe pain and bad breath.

It is at this point that you are likely to lose your teeth.

We advise that you do not let your gum disease progress. Otherwise, you will be at high risk of losing your natural teeth. So, if you’ve noticed any swelling, it’s time to visit the dentist. We also advise using special toothpaste and mouthwashes to help stop early gum disease in its tracks.

Can gum disease be cured?

There are various treatment methods, and which will be used will depend on the extent of the problem. The main goal of treating periodontitis will be to control the infection.

Using periodontic treatments to diffuse the problem, our gum disease treatments are designed to promote the reattachment of healthy gums to teeth, reduce swelling and depth of pockets, which reduces the risk of infection and stops the disease from further progressing.

Any treatment we complete will require further and additional maintenance at home.

Patients may be required to change certain behaviours, like smoking, to improve treatment results.

Unfortunately, once the disease progresses and has reached peridontitis level, it will not be cured, just treated. Once gums have receded, they do not and cannot grow back. See help.

Ask the dentist about laser periodontal therapy.

Edward CrameEdward Crame
13:43 04 Dec 21
Very happy with all aspects of the work they have done. Very clean, professional and well run business.
Lynn HuddartLynn Huddart
12:43 24 Nov 21
Dr Ali Rifai was professional and I am very pleased with the outcome of my Invisalign's. I have been with this practice for many years and would highly recommend. The staff are very friendly and nothing is an issue.
Jonathan PlumbJonathan Plumb
11:52 24 Nov 21
Can't thank this practice enough for all their help. I don't post reviews very often, so when I do, it's because an impression has been left! Dr Ali saw me at short notice to help fix a broken tooth. The nurse (I think her name was Danni) was so helpful and kind, as were the rest of the team. Thank you for being there for me in my hour of need (the same day i asked for an appointment!)

Get an interest-free loan in under 5 minutes

It only takes 2 minutes to apply and you’ll get an answer immediately – applying for a loan has never been easier.

0% finance is available for many treatments up to £30,000. Credit decisions will be subject to individual circumstances. You must be over 18 and earn an income to apply.

Single Implants

Often used in simple cases where one tooth has been lost by accident or trauma. More.

Multiple Implants

Used in cases of multiple tooth loss in different locations in the mouth, where teeth are not missing in a row. More.


Perfect for full mouth reconstructions, where patients have experienced tooth loss on the upper and lower jaws. More.


When securing implants to the jawbone is not possible, zygomatic implants are used to attach to the bone in the cheekbone. More.
Available to Chat whatsappimage