Periodontal Disease is a quiet disease that begins with little or no symptoms.  It starts as Gingivitis.  Gingivitis left untreated can lead to Periodontal Disease.  Bacteria left on tooth surfaces causes an infection below the gums, which causes a “pocket” between the tooth and the gums.  Left untreated, this pocket becomes deeper and eventually leads to bone loss.  Periodontitis may result in loose, shifting teeth and tooth loss.  Recent evidence also suggests that periodontitis may be associated with other medical conditions such as cardiovascular disease and diabetes.  Some signs of Periodontitis are red, puffy, swollen, sore or pus-filled gums, receding gums, loose teeth, and changes in the way your teeth fit together, suggesting shifting of the teeth.