Can I have gum disease and not know it?

You can have gum disease without any clear symptoms. That's why regular dental checkups and periodontal exams are very important.

There are several warning signs that can signal a problem. If you notice any of the following symptoms, schedule an appointment with your dentist:

• gums that bleed when you brush or floss
• red, swollen or tender gums
• gums that have pulled away from your teeth
• bad breath that doesn't go away
• pus between the teeth and gums
• loose or separating teeth
• a change in the way your teeth fit together when you bite
• a change in the fit of partial dentures

Periodontal treatment methods depend upon the type and severity of the disease. If the disease is caught very early--when it is gingivitis--and no damage has been done to the supporting structures under the teeth, you simply need a professional cleaning and be given instructions on improving your daily oral hygiene.

Many people who have gum disease don't know it because it is not painful until later stages. There are telltale early warning signs of gum disease. These include gums that are inflamed, i.e., swollen, red in color, bleed too easily when they are brushed or when eating. It's very important to see a dentist regularly twice each year, or more if you have diabetes. Your dentist will check for signs and symptoms of gum disease, and should tell you what your "pocket depth" is in millimeters. Healthy gums have pockets that are less than 3 millimeters, whereas unhealthy gums have pocket depths of 4 or more millimeters. See the link below to take the risk assessment test for gum disease.