Stage one is going to be when you are diagnosed with gingivitis. 2. Symptoms of this final stage include red, swollen gums that ooze pus, painful chewing, extreme cold sensitivity, severe bad breath, and loosened teeth. Gingivitis is the mildest form of periodontal disease. Now you need to know which of the four stages you could be dealing with. Advanced symptoms. Periodontal disease, also known as gum disease, is a set of inflammatory conditions affecting the tissues surrounding the teeth. Based on our interactions with our patients, we’ve come up with the 7 stages of gum disease diagnosis. Bleeding when measuring (probing) may be present. Periodontal disease is more common is small-breed dogs, but larger and younger dogs can also be affected. The final stage of gum disease is characterized by extensive bone loss and loose teeth. Advanced periodontal procedures and stringent plaque prevention may result in saving a tooth. Gingival pockets are formed below the gumline. In the initial stage of periodontitis plaque bacteria continue to penetrate deeper between the teeth and gums. Untreated gingivitis can advance into early periodontal disease rapidly as the bacteria from the biofilm makes its way down the tooth structure and into the gum lines. Early horizontal bone loss around the teeth can be seen on the x-rays below. Gingivitis will move from this stage into your actual periodontal structures. Gums that have become red and swollen are more likely to have gum disease. The body will attempt to recover but under the terms of chronic inflammation, healing becomes extremely difficult. At Stage 4 Periodontal Disease, the gums will be severely irritated, swollen, and bleed very easily when brushing teeth. Stage 4: Progressive Periodontitis . Typical gum pocket depths would be 4-5mm. If you feel pain when you bite and chew or have noticeably loose teeth, that's a sure sign of serious gum issues. Stage 4: Known as advanced periodontitis, involves over 50 percent connective tissue attachment loss, receding gums, and exposed roots of the teeth Gum disease is about five times more prevalent in dogs than humans thanks to the chemical make up of a dog’s mouth and saliva. First signs of tooth mobility appear due to bone loss. The enzymes break down the plaque and tartar and so do not require the same amount of brushing in comparison to humans. Advanced Periodontitis. Even if you're able to withstand the pain of dealing with periodontal disease, you're going to put your body at risk for illness. You're now heading into territory where you might not be able to turn back from. 4. If daily brushing and flossing do not remove the plaque, it produces toxins (poisons) that can irritate the gum tissue, causing gingivitis. Stage 4: Extreme, Chronic Periodontal Disease. This is at a point where further destruction and loss of bone can be prevented. Up to 90% oral bone loss can occur with Stage 4 gum disease. When you notice that your gums are seriously inflamed, you might feel mild pain whenever you take care of them. Being in any of the periodontal disease stages means that you could be suffering from an irreversible stage of dental decay. Bad breath may also occur. If left untreated, stage four periodontal disease leads to spacing or gaps between the teeth, gum recession, patients needing dentures, and other overall health problems that can be serious. Extraction is the recommended treatment of choice.The pet in photo above runs the risk of toxin absorption into the blood stream. The space between the gum and tooth (sulcus) gets deeper, forming a periodontal pocket. Periodontal disease is the main cause of tooth loss after the age of 30 and it is believed that around 80% of the population above the age of 30 may experience the disease some time in their life. 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