Condition
Gum disease
Written by the Verra clinical team · Medical review pending · Last updated Oct 4, 2026
Quick answer
Gum disease is infection and inflammation of the tissues around the teeth, from gingivitis to periodontitis. Bleeding gums are often the first sign. Professional cleanings, good home care and antimicrobial rinses such as chlorhexidine help control it.
Key takeaways
- Gingivitis is reversible with good care.
- Untreated periodontitis can lead to tooth loss.
- Antimicrobial rinses support, but do not replace, dental cleanings.
Overview
Plaque bacteria irritate the gums; over time, bone that holds teeth can be lost.
Symptoms
Bleeding, red or swollen gums, bad breath, receding gums and loose teeth.
Causes
Plaque buildup, smoking, diabetes, hormonal changes, dry mouth and genetics.
How it is diagnosed
A dental exam measuring gum pockets, often with X-rays.
When to see a doctor in person
See a dentist in person for loose teeth, pus, facial swelling or fever.
Treatment options at Verra
A licensed provider decides whether a treatment is appropriate after your visit.
Questions
What is gum disease, and how is gingivitis different from periodontitis?
Gum disease is inflammation and infection of the tissues around your teeth. Gingivitis affects the gums without loss of tooth support. Periodontitis involves damage to the tissues and bone that hold teeth in place. A dental exam is needed to tell which stage you have and what care you need.
Does bleeding when brushing mean I have gum disease?
Bleeding when you brush or floss can be an early sign of gum disease, but it is not the only possible cause. Brushing too hard, some medicines, and other health problems can also cause bleeding. Repeated bleeding needs a dental exam, even if your gums do not hurt.
Who is more likely to develop gum disease?
Anyone can develop gum disease, but smoking, diabetes, and plaque buildup raise the risk. Family history, dry mouth, some medicines, and hormone changes can also play a role. A dentist should review your health history and examine your gums rather than judge your risk from symptoms alone.
How is gum disease treated beyond brushing and flossing?
Gum disease treatment depends on its stage. Professional cleaning and daily home care may be enough for gingivitis. Periodontitis may need deep cleaning, follow-up care, or surgery. Results vary. A rinse can be part of treatment, but it cannot remove tartar or replace care from a dental professional.
How does chlorhexidine rinse fit into gum disease treatment?
Chlorhexidine is a prescription antimicrobial rinse that may be used alongside dental cleaning and home care for gum disease. It helps reduce certain bacteria and gum inflammation. Results vary. It does not remove tartar or repair lost bone. A licensed dentist in your state decides whether it is appropriate.
How should I use a prescribed rinse for gum disease?
Use a prescribed gum disease rinse exactly as the label and your dentist direct. Measure the dose, rinse for the stated time, and spit it out. Do not swallow it. The dose, timing around brushing, and treatment length depend on the product, so do not guess or share it.
What side effects can chlorhexidine cause during gum disease treatment?
Chlorhexidine rinse can cause staining of teeth or the tongue, changes in taste, mouth irritation, and more tartar buildup. Serious allergic reactions are rare but possible. Stop using it and seek emergency help for trouble breathing or swelling of the lips, tongue, or throat. Tell your dentist about other reactions.
What daily home care is recommended for gum disease?
For gum disease, brush twice daily with fluoride toothpaste and clean between your teeth every day. Use a soft-bristle brush and gentle pressure. Keep scheduled dental cleanings, and use prescription rinses only as directed. Home care may help control inflammation, but it cannot remove tartar. Results vary.
How soon can gum disease improve, and can I stop treatment when bleeding stops?
The time it takes for gum disease to improve depends on its stage, your health, and the care you receive. Results vary. Less bleeding does not prove that deeper disease is controlled. Follow your dentist’s plan, and do not stop or extend a prescribed rinse without checking first.
When does gum disease need in-person or urgent care instead of an online visit?
Gum disease needs an in-person dental exam to assess gum pockets, tartar, and possible bone loss. Seek urgent dental care for pus, fever with dental symptoms, facial swelling, or worsening pain. Trouble breathing or swallowing is an emergency. Online care cannot provide cleanings, X-rays, drainage, or other dental procedures.
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This page is general information, not medical advice. Results vary. Compounded medications are not FDA-approved. Our editorial policy
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