Triggers of periodontitis

As for caries, bacterial plaque and dental calculus are responsible for periodontitis. If plaque and calculus remain for a long time in the mouth, gums inflame. Inflammations remain often unnoticed and the bacteria can spread further into the gingival pocket (space between tooth and gum). The gingival pocket is protected from cleaning with a toothbrush. The metabolic products of the bacteria attack the surrounding tissues and lead to an inflammation of the periodontal apparatus and bone resorption. As a result, the tooth becomes looser in the bone. If periodontitis persists for a long time and is chronic, the responsible bacteria enter the bloodstream and are responsible for an increased risk of heart disease. Gum bleeding is often the first sign of such a disease.