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Periodontal Disease: The Sequence of Destruction
Healthy . Gingivitis
Healthy gums are pink and firm. They don't bleed during brushing and flossing.

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Gums are inflamed, appearing red and puffy around the teeth. They may bleed during brushing or flossing.

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Early Moderate
The inflammation has spread to the structures supporting the teeth. The gums begin to separate from the teeth, forming pockets.

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Supporting fibers and bone continue to be destroyed. The gums may recede. Teeth may be sensitive to hot and cold. Some teeth may be slightly loose.

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Advanced
Significant amounts of supporting fibers and bone have been destroyed. Teeth may become extremely loose. Gums may bleed spontaneously. Pus may ooze from under the gum line.

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Illustrations created by Simple Steps designer Lynda Buchhalter

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