Periodontitis, or advanced gum disease, is a severe condition affecting the teeth’s supporting structures, including the gums, bone, and connective tissues. If left untreated, periodontitis can lead to tooth loss and significantly impact oral and overall health. Recognising the signs of periodontitis and seeking professional treatment is crucial for preserving your smile and preventing further complications. In this article, we will explore seven warning signs that indicate you may require professional periodontitis treatment to safeguard your oral health.

Persistent Gum Inflammation:

One of the earliest signs of periodontitis is persistent gum inflammation. If your gums appear red, swollen, and tender, it could indicate gum disease. Healthy gums should be pale pink and firm to the touch. If you notice any changes in your gum appearance or texture, it’s essential to consult a dentist or periodontist promptly.

Bleeding Gums:

Gums that bleed easily, particularly during brushing, flossing, or eating, can be a significant warning sign of periodontitis. Bleeding gums occur due to the accumulation of plaque and bacteria along the gumline, causing irritation and inflammation. Ignoring this symptom can worsen the condition and lead to further gum and bone damage.

Persistent Bad Breath:

Persistent bad breath, also known as halitosis, is a common symptom of periodontitis. The bacteria in the periodontal pockets release foul-smelling gases, resulting in chronic bad breath. Regular oral hygiene practices may not eliminate this odour, highlighting the need for professional evaluation and treatment.

Receding Gums and Tooth Sensitivity:

The gums may recede as periodontitis progresses, exposing more of the tooth’s root surface. Receding gums can increase tooth sensitivity, particularly when consuming hot, cold, or sweet foods and beverages. Addressing this sensitivity with over-the-counter toothpaste may not be sufficient, and seeking professional advice is essential to address the underlying cause.

Loose or Shifting Teeth:

As periodontitis advances, the supporting structures of the teeth, including the bone and connective tissues, weaken. This can lead to teeth becoming loose or shifting position, affecting your bite and overall dental health. If you notice any changes in tooth alignment or stability, immediate periodontal evaluation is necessary.

Pus around the Teeth and Gums:

The presence of pus or a discharge around the teeth and gums is a severe sign of advanced periodontitis. Pus indicates the presence of a bacterial infection in the periodontal pockets, leading to the destruction of gum tissues and bone. If you observe pus or experience pain in the gums, it is crucial to seek professional periodontitis treatment promptly.

Changes in the Fit of Dentures or Dental Appliances:

For individuals who wear dentures or other dental appliances, changes in fit or comfort may signal underlying periodontitis. As gum disease progresses, the shape of the jawbone and gums can change, affecting the fit of dental restorations. If you notice any discomfort or changes in the fit of your dentures, consult your dentist or periodontist for an evaluation.

Frequently Asked Questions (FAQs):

Q: Can I treat periodontitis at home with over-the-counter products?

A: While over-the-counter dental products can help maintain oral hygiene, they are insufficient to treat periodontitis. Professional periodontitis treatment is necessary to address the underlying cause of the disease, which involves removing bacteria and plaque buildup from below the gum line and promoting gum healing.

Q: What are the common treatments for periodontitis?

A: Periodontitis treatment typically involves a combination of non-surgical and surgical interventions. Non-surgical treatments include scaling and root planing, which remove plaque and tartar from the tooth surfaces and roots. Surgical treatments may consist of gum surgery, bone grafting, or gum tissue regeneration, depending on the severity of the disease.

Q: Is periodontitis treatment painful?

A: The discomfort experienced during periodontitis treatment varies depending on the individual’s pain tolerance and the extent of the disease. Local anaesthesia is often used during procedures to minimise pain and discomfort. Your periodontist will work with you to ensure your comfort throughout treatment.

Q: How long does periodontitis treatment take?

A: The duration of periodontitis treatment can vary based on the severity of the disease and the type of treatment required. Non-surgical treatments may be completed in one or two visits, while surgical interventions may require multiple appointments over several months.

Q: Will periodontitis treatment save my natural teeth?

A: In many cases, timely and appropriate periodontitis treatment can save natural teeth and halt the progression of the disease. However, advanced cases of periodontitis with significant bone loss may result in tooth extraction. Your periodontist will prioritise saving your natural teeth whenever possible and discuss all available treatment options.

Q: Can I receive periodontitis treatment if I am pregnant?

Pregnant women with periodontitis should discuss treatment options with their healthcare providers and periodontists. Some non-surgical treatments can be safely performed during pregnancy, while elective procedures may be postponed until after childbirth. Proper oral health care during pregnancy is crucial, as untreated gum disease can affect maternal and foetal health.


Periodontitis is a severe condition that requires timely and professional treatment to preserve your oral health and smile. If you experience any of the seven warning signs mentioned above, it is essential to seek the expertise of a dentist or periodontist as soon as possible. Early detection and intervention can prevent further damage to your gums and teeth and increase the likelihood of successful periodontitis treatment.

Maintaining excellent oral hygiene practices, including regular dental check-ups and professional cleanings, can also play a crucial role in preventing gum disease and identifying any potential issues early on. Remember, oral health is a vital component of your overall well-being, and addressing periodontitis promptly can help you maintain a healthy and confident smile for years to come.