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PERIODONTAL DISEASE Periodontal disease, which includes gingivitis and periodontitis, is an inflammation and/or infection of the gums and bone around a dog’s or cat’s teeth. It is caused by bacteria that accumulate in the mouth, forming soft plaque that later hardens into tartar. When compared to gingivitis, periodontitis indicates bone loss. Most periodontal infections begin simply enough. Plaque; which is composed of bacteria, salivary proteins, and food debris, builds up in the space between teeth and gums, causing irritation, redness and swelling. Eventually, pockets form and deepen, allowing bacteria to damage the tissues that hold teeth in place. At this stage, bacteria from the oral infection have a clear path to the animal’s bloodstream and vital organs. The organs with the highest blood flow are most susceptible to infection: lungs, heart, kidneys, liver and even the brain. Damage to these organs caused by infection can shorten the lives of dogs and cats. If your pet displays any of these symptoms, serious periodontal disease may be present: 1. Bad breath - one of the first signs of dental disease. 2. A yellowish-brown crust of tartar on the teeth near the gum line. 3. Red and swollen gums. 4. Pain or bleeding when eating, or when the mouth or gums are touched. 5. Decreased appetite or difficulty eating. 6. Loose or missing teeth. THE 4 GRADES OF PERIODONTAL DISEASE GRADE 1 GINGIVITIS Plaque and tarter build-up can lead to an infection causing inflammation of the gums around the dog’s teeth. Gum tissue around the teeth can become inflamed and swollen. GRADE 2 MILD PERIODONTITIS Inflammation progresses to an infection that starts to destroy gum and bone tissue around the teeth. This can lead to discomfort for the dog, and bad breath may be noticeable. GRADE 3 MODERATE PERIODONTITIS The continuing infection destroys more tissue around the teeth, often causing bleeding of gums and loosening of teeth. The discomfort and pain can affect eating habits and behavior. GRADE 4 SEVERE PERIODONTITIS Extensive infection is tearing down even more of the attachment tissues (gum and bone). Teeth are at risk of being lost.