Educational diagram of the 5 stages of periodontal disease from gingivitis to advanced periodontitis in Chula Vista.

Understanding the progression of gum disease is vital because, in its early steps, the symptoms are often so subtle they go unnoticed. By the time pain or looseness occurs, you’ve likely reached the later, more dangerous phases. At Chula Vista Periodontics, we want to help you identify these changes early to save your natural smile.

Stage 0: Healthy Gums (The Baseline)

Healthy gums are firm, pink, and fit snugly around the teeth. There is no bleeding during brushing or flossing, and the bone levels supporting the teeth are fully intact. Maintaining this stage requires regular and a dedicated home care routine. If you are currently here, our goal at Chula Vista Periodontics is to keep you here.

Stage 1: Gingivitis (The Reversible Stage)

Gingivitis is the only stage of periodontal disease that is fully reversible. It is caused by plaque buildup that irritates the gum tissue, leading to redness, swelling, and occasional bleeding. Because the bone hasn’t been attacked yet, a professional treatment can typically clear the infection and return your gums to a healthy state.

Stage 2: Early Periodontitis

In this second stage, the infection has moved below the gum line and started to damage the supporting bone. “Pockets” begin to form between the tooth and the gum, trapping bacteria where your toothbrush can’t reach. At this point, you need a to decontaminate these areas. Early intervention here prevents the “silent” bone loss from accelerating.

Stage 3: Moderate Periodontitis

By the third stage, bone loss has become significant. You may notice your gums starting to pull away, leading to visible . Teeth might start to feel slightly loose or sensitive. To treat moderate periodontitis without invasive cutting, we highly recommend . This technology targets the bacteria and can actually help stimulate the regeneration of lost bone.

Stage 4: Advanced Periodontitis

This is the most severe stage. The infection has destroyed a majority of the bone and fibers holding your teeth in place. Teeth may shift, feel very loose, or become painful when chewing. In many cases, are necessary to stop the infection from spreading. However, even at this stage, we can restore your smile and function using or .

Don’t Wait for Stage 5—Book Your Exam Today

The further gum disease progresses, the more complex (and expensive) the treatment becomes. Whether you are seeing the first signs of gingivitis or are worried about advanced bone loss, Dr. Susan Nguyen is here to provide a path back to health.

or call our Chula Vista office at (619) 425-9770 to secure your appointment.