Dental Disease – Stages

I. Gingivitis

• gingival inflammation
• variable plaque accumulation
• no bad breath
• no deterioration of supportive structures
• plaque control will reduce pathology

II. Early Periodontitis

• tooth attachment deteriorated by 25%
• mild bad breath
• reddened gums

III. Moderate Periodontitis

• tooth attachment deteriorated by 25-50%
• moderate to deep pockets in gingival tissue
• bone loss 10-30%
• severe bad breath
• gums are severely reddened
• may need antibiotics

IV. Severe Periodontitis

• antibiotics needed
• extensive gingival recession
• tooth mobility
• severe bad breath