Gingivitis Versus Periodontitis: What's The Difference

Your gums are just as critical to care for as your teeth! Gum disease can manifest in different forms, and your dentist and dental hygienist may refer to it using various terms, such as gingivitis and periodontitis. Both relate to gum disease, however, gingivitis typically emerges first as an initial stage and then progresses into a more advanced gum disease known as periodontitis. Read on to learn more about the gingivitis vs periodontitis difference and view oral hygiene tips from Crest to maintain your gum health.

Gingivitis is a form of gum inflammation and gum disease that can be treated. However, gingivitis can become more severe and advance into periodontitis. Both gingivitis and periodontitis can be managed with good oral care and regular visits to your dental professionals for dental cleanings. However, unlike gingivitis, periodontitis can only be managed, not reversed.

• Gingivitis: can fluctuate, manifesting as gum inflammation or gum bleeding.

• Periodontitis: a more advanced gum disease and inflammation, which can lead to tooth loss over time and can only be managed, but not reversed.

Periodontitis occurs when the periodontium—the structure of hard and soft tissues that surround teeth—becomes inflamed. The tissues that help protect the root of a tooth may begin to recede, which can lead to tooth loosening. If gums recede too much, it can cause further inflammation in the gums and create spaces for infections to form. Periodontitis is a more severe and concerning condition compared to gingivitis and demands immediate treatment by a dentist or dental hygienist. A dentist or dental hygienist will typically require X-rays and photos of your teeth and gum lines to diagnose periodontitis, assess its severity, and determine the appropriate periodontitis treatment. Your dental professional will advise you on oral hygiene tips and proper brushing techniques to prevent gingivitis and periodontitis.

Initially, both gingivitis and periodontitis may go unrecognized, and their symptoms can vary depending on the severity of the condition. If you notice inflamed, reddish gums or experience tooth sensitivity, ensure you consult your dental professional. Here are some signs and symptoms of gingivitis and periodontitis:

Gingivitis Symptoms

• Swollen, inflamed gums

• Reddish gums (versus pinkish)

• Gum bleeding

• Sensitive teeth

• Bad breath

Periodontitis Symptoms

• Gum bleeding

• Sensitive teeth

• Receding gums

• Loose teeth

• Pain with chewing

• Bad breath

A dentist or dental hygienist can diagnose gingivitis and periodontitis and advise you on the best course of treatment. However, for both conditions, there is a strong focus on reducing gum inflammation and ensuring proper oral care. Treatment tips to help manage the signs and symptoms of gingivitis and periodontitis:

• Routine professional dental cleanings will keep plaque off your teeth and gums and allow your dentist and dental hygienist to monitor your gum health.

• Deep teeth cleaning is often recommended if you exhibit signs and symptoms of gingivitis or periodontitis, to reduce swollen gums and clean below the gumline.

• Certain antibacterial mouthwashes may be recommended depending on your specific condition.

• Use an electric toothbrush and brush and floss daily.

• Your dental professional will share other recommendations for plaque and tartar removal and maintaining healthy gums. Periodontitis is a more severe condition, and your dental professional may recommend surgery, antibiotics, and other treatments to help your condition.

Healthy gums are essential for strong teeth and overall mouth health. If you develop gum disease (gingivitis or periodontitis), the first step is to see a dental professional who can assess the level of periodontal disease and recommend treatments like scaling and root planing. In addition, you can support your gums at home with the right products:

• Crest Gum Detoxify is a stannous fluoride toothpaste whose activated foam helps neutralize harmful plaque bacteria—even in hard-to-reach areas—when used as part of your daily routine. It is clinically proven to promote healthier gums.

• Crest Pro-Health Complete Clean Mouthwash is clinically proven to provide 24-hour protection against plaque and gingivitis when used twice daily.

• Oral-B iO electric toothbrushes help protect against tooth and gum problems. For existing gum issues, they have been shown to be more effective than a manual toothbrush and certain sonic toothbrushes. When paired with the brush tracking app, the Oral-B iO can help you manage even advanced gum concerns more effectively.

• Oral-B iO Gentle Care replacement brush head features more than 4,000 thin, high-density bristles that adapt to tooth contours for a gentle yet effective clean. Used with the iO toothbrush, it delivers superior cleaning along the gumline compared with a regular manual brush.

• Oral-B Glide Pro-Health Deep Clean Floss uses microtextured fiber to remove plaque and help prevent gingivitis as part of a comprehensive dental care plan.