Gingivitis is the first stage of gum disease where the gums become red, swollen, and bleed. At this stage, the disease is treatable and can be eliminated completely by daily brushing (twice a day) and flossing (once a day at night before brushing). Periodontal disease is what occurs if gingivitis is left untreated. Periodontal disease is one of the top reasons for tooth loss in adults, and because it is virtually pain free, many patients do not know they have the disease. During each periodic check up, we will check for signs of periodontal disease by measuring the pace between your teeth and gums.