Periodontal Treatment and Examinations

Periodontitis is a serious gum infection that damages the soft tissue and destroys the bone that supports your teeth. It’s typically caused by poor oral hygiene that allows bacteria in plaque to remain on the teeth and infect the gums. Periodontitis can lead to tooth loss if left untreated.

Periodontal Examinations

A basic periodontal examination is an assessment that is quick to carry out and gives Dr. Jorge Rojas a clear indication of your periodontal health status and will determine the most suitable treatment options for your preventative care visits. It will usually involve a radiographic analysis, periodontal probing, and provide a basic evaluation of the amount of attached gingiva.

Early Warning Signs of Gum Disease?

Although this list is not exhaustive, some of the early signs of periodontal disease include:

  • Gums that bleed easily when brushed or flossed.
  • Puffy or swollen gums.
  • Bad breath.
  • Tender gums.
  • Bright red or purplish gums.
  • Pus between your gums and teeth.
  • Loosening Teeth.

What are the 4 Stages of Periodontal Disease?

In Americans aged 30 and over, periodontal disease impacts around 50% of people. It can result in a range of health concerns, with tooth loss being one of the most common. Due to the impact gum disease can have, it should be treated as a serious condition. There are four core stages of the disease, and only one of these is reversible.

Stage 1 – Gingivitis

Gingivitis is the only stage of periodontal disease that is reversible. This is because, at this stage, it has not yet started an attack on the bone. It is caused by a buildup of plaque from around the teeth. There are only a number of signs of gum disease present, many of which are painless. Bad breath, redness, and swelling of the gums are some of the early indicators to watch out for. Reversal of gingivitis can be accomplished by improving oral hygiene practices (flossing and brushing), professional dental cleanings, and routine check-ups.

Stage 2 – Slight Periodontal Disease

The second stage of periodontal disease is not reversible, but it is manageable. At this stage, the infection has reached the bone, and the bone-destroying process has already started. Bacteria, if left, will become more aggressive, and oral hygiene measures alone will not suffice. The redness and swelling will increase, bad breath is almost a certainty, blood when brushing or flossing is also a high probability.

Stage 3 – Moderate Periodontal Disease

As with the second stage of gum disease, this cannot be reversed. The symptoms are the same as with stage 2; however, the pocket depths between the teeth and gum tissue are greater, at anything between 6-7mm.

For both stage 2 and stage 3 gum disease, scaling and root planing are the most effective forms of treatment. Also known as SRP (scaling and root planing), this is essentially a deep cleaning process that aims to remove deeply rooted bacteria from the gums. If not treated correctly, bone and tooth loss are a near-certainty, as is the shifting of teeth, increased bleeding, and a higher sensitivity of the gums.

Stage 4 – Advanced Periodontal Disease

As the final stage of gum disease, this occurs with deep infection and the advanced development of disease-causing bacteria in the mouth. In addition to the high risk of bone loss, your gums could be regularly oozing pus, your teeth will become loose, your gums will also be red and swollen, and you may find the simple act of chewing to be painful. 

At this stage, periodontal laser treatment or periodontal surgery are the only two viable treatment options. If not treated correctly, tooth loss, gum recession, gaps between the teeth, other health issues, and a need for dentures are all likely side-effects.

Rapid treatment is paramount for the later stages of periodontal disease. If you would like to discuss a worsening problem with your gums or get an initial diagnosis to see what stage your gums are at, please contact a member of our team to book an appointment with Dr. Rojas.


Truly knowledgeable and highly skilled professionals, deeply committed to doing an excellent job. And this applies to the whole team from the receptionist to the head dentist.

Elias Z.
The service was great and the fact that the fillings and the crown replacement was virtually pain free, is why I would recommend. The doctor took his time and did it the right way!

Eric R.
I had the best experience ever!!! Especially at a Dentist office! Everyone was so professional and friendly. It was pleasant and smooth with so much communication from all the staff and Dentist. Thank you so much!!

Jeannie M.


Monday 8:00am – 5:00pm*
Tuesday 9:00am – 6:00pm
Wednesday 8:00am – 5:00pm
Thursday 8:00am – 5:00pm
Friday 8:00am – 4:00pm
Saturday Closed
Sunday Closed

*Every other week, by appointment. Call for more information.