Gum disease is inflammation caused by bacteria at and below the gum line. Caught early it is often reversible; left alone it damages the bone that holds teeth in place.
Bleeding usually indicates inflammation from plaque at the gum line. At the early stage it is very often reversible, which is exactly why it is worth raising rather than ignoring.
Cleaning inflamed gums can be tender. Freezing can be used where needed. Tell the clinician if anything is sore and they will adjust.
Early inflammation frequently resolves with proper cleaning and better daily hygiene. Once bone has been lost it does not grow back, so the goal shifts to stopping further loss.
More often than someone with healthy gums, at least initially. The interval is set by how your gums respond.
The most common reason adults lose teeth.
Dr. George Dumitru is at 2061 Lawrence Avenue West in York, Toronto.