Gingivitis and periodontitis: how they differ
In short: gingivitis is inflammation of the gum (it bleeds, it’s red) and it’s reversible: it heals with hygiene and a clean. Periodontitis is the advanced stage, when the infection has already destroyed bone, and that damage cannot be recovered. The difference is enormous: gingivitis is the timely warning; periodontitis is the problem already established. That’s why bleeding gums are never ignored.
The difference that changes everything
They are two stages of the same disease, but with a chasm between them:
| Gingivitis | Periodontitis | |
|---|---|---|
| What it affects | Only the gum | Gum and bone |
| Reversible? | Yes | No (lost bone doesn’t come back) |
| Signs | Bleeding, red gum | + recession, loose teeth, bad breath |
| Treatment | Hygiene + clean | Deep cleaning, maintenance, sometimes surgery |
The key word is reversible. With gingivitis you’re still in time to make everything good as new. With periodontitis you can only halt the progression and keep what remains.
How do you recognise gingivitis?
By a sign that almost everyone plays down: gums that bleed when brushing or biting into hard fruit. They also tend to look red and swollen. Since it doesn’t hurt, it’s left to slide… and that’s the mistake. You have a dedicated guide in bleeding gums, what to do.
The good news: by correcting your brushing technique, cleaning well between the teeth and with a professional dental clean, gingivitis heals.
And if it has already become periodontitis?
Then we’re talking about periodontics: deep cleaning treatment below the gum and lifelong maintenance to stop it advancing further. We cover it in what is periodontitis. The sooner it’s caught, the more teeth are saved.
The idea to take home
Don’t wait for a tooth to become loose. Bleeding gums are gingivitis giving warning, and it’s the best moment to act, while everything can still be reversed. Ignoring it for years is what opens the door to periodontitis.
If your gums bleed, come for a check-up: we’ll tell you which stage you’re at and what to do. The first visit is free. Book an appointment as soon as possible.
Frequently asked questions
What is the difference between gingivitis and periodontitis?
Gingivitis is inflammation of the gum (it bleeds, it's red) and it's reversible: with good hygiene and a clean it returns to normal. Periodontitis is the advanced stage, in which the infection has already destroyed bone, and that damage cannot be recovered. One is the warning, the other is the problem already established.
Does gingivitis always end up as periodontitis?
No, not if it's treated in time. Gingivitis is reversible: by correcting your hygiene and with a professional clean it heals. The problem is letting it slide year after year, because then it can indeed progress to periodontitis.
How do I know if I have gingivitis?
The main sign is that your gums bleed when you brush or when eating fruit, and they look red or swollen. It usually doesn't hurt, which is why it gets ignored. That bleeding is precisely the moment to act, while it's still reversible.
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