Hello, this is Shiba Koen/Mita SACHI Dental Clinic.

Have you noticed any of the following symptoms recently when looking in the mirror or brushing your teeth?

  • “My gums feel somewhat swollen…”
  • “When I brush my teeth, there is a slight amount of blood.”

It is easy to think, “I’m fine because there is no pain,” but these may actually be important warning signs of gingivitis or periodontal disease. In this article, we will provide an easy-to-understand explanation of these two conditions, which may seem similar but are actually quite different.

What is the difference between gingivitis and periodontal disease?

While both are caused by bacteria (plaque), the main differences lie in the “degree of progression” and “tissue damage.”

Characteristics

Gingivitis (Early symptoms)

Periodontal Disease (Advanced state)

Main Symptoms

Swelling, bleeding, redness

Strong bad breath, loose teeth, receding gums

Bone Condition

Not dissolved

Starting to dissolve

Possibility of Healing

Can return to normal with proper care

Will not return to normal naturally

Pain

Almost none

Almost none (difficult to notice until the final stages)

Gingivitis: The “Gateway” to Periodontal Disease

This occurs due to plaque (masses of bacteria) adhering to the boundary between the teeth and gums.

Key Point: Since the bone has not yet dissolved, it is possible to restore health through proper brushing and professional cleaning.

Periodontal Disease: A State Where the Supporting Foundation of the Teeth is Destroyed

This is a state where gingivitis has worsened and the bone supporting the teeth (alveolar bone) has begun to dissolve.

Key Point: Unfortunately, bone that has once dissolved will not return to its original state naturally. If left untreated, it can eventually cause teeth to fall out.

Periodontal Disease is a “Silent Disease”

The frightening thing about periodontal disease is that it progresses with almost no pain.

There are many cases where the condition progresses to a moderate or severe stage while being left untreated because the patient thinks, “It bleeds a little, but it doesn’t hurt, so it’s fine.”

Viewing “slight bleeding” as an “SOS from your mouth” and seeking a consultation early is the secret to preserving as many of your own teeth as possible for the future.

Periodontal Treatment Process at Our Clinic

At our clinic, we propose treatment plans tailored to each patient’s oral condition.

  1. Precision Examination: Understanding the current state of your mouth through periodontal pocket measurement and X-rays.
  2. Scaling: Thorough removal of tartar using specialized instruments.
  3. Brushing Instruction: Improving the quality of daily self-care.
  4. Advanced Cleaning (SRP): Removal of buildup accumulated in deep areas.
  5. Maintenance: Regular checkups to maintain the improved condition.

Habits to Protect Your Precious Teeth Starting Today!

  • Brushing with the “boundary” in mind: Aim the bristles at the space between the teeth and gums.
  • Combined use of floss and interdental brushes: Brushing alone only removes about 60% of buildup.
  • Regular checkups every 3 to 4 months: Removing “biofilm” through professional care.

The Philosophy of SACHI Dental Clinic

At our clinic, we strive to provide careful periodontal treatment with consideration for pain to reduce the burden on our patients.

No matter how trivial it may seem—such as “Are my gums red?” or “I’ve been worried about bad breath lately”—please do not hesitate to contact us. With early detection and treatment, the treatment period is shorter, and you can protect your precious teeth.

Oral health is the first step toward overall health. Please feel free to consult with us!