Causes And Risk Factors Of Periodontitis

Development Of Gingivitis

Gingivitis, an inflammation of the gums, generally precedes periodontitis. Not all gum inflammation is a precursor to periodontitis or gum disease, but periodontitis always involves gum inflammation. The development of gingivitis occurs when bacteria in plaque accumulate, creating inflammation in the gums and causing them to bleed easily during the brushing of the teeth. At this stage, the teeth are planted quite firmly within their sockets even though the gums are irritated. However, when left untreated, gingivitis or this inflammation may advance to periodontitis. In this condition, the inner layer of bone and gum separate and pull further from the teeth, creating pockets. In these small spaces between gums and teeth, debris collects and can grow infected. The body then fights the bacteria, the immune system striking out as the plaque is spreading and growing beneath the gum line. Poisons or toxins produced by the plaque's bacteria as well as the body's enzymes begin to break down connective tissue and bone holding the teeth in place.

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