The most common signs are bleeding when you brush or floss, gums that look puffy or pull back from the teeth, lasting bad breath, and teeth that feel a little loose. Many people have no pain at all in the early stages, which is why a periodontal exam matters even when nothing feels wrong.

No. A regular cleaning works on the visible surface of the tooth. A deep cleaning, also called scaling and root planing, removes plaque and tartar from below the gum line where infection lives. It is usually done with numbing, and most patients need it in one or two longer visits depending on how much area is involved.

Early stage gum disease, called gingivitis, can often be reversed with consistent home care and a thorough cleaning. Once the disease has progressed and pulled back bone, the damage is harder to undo, but treatment can stop it from getting worse and stabilize what is left. Earlier is always easier.

The cleaning itself is done under local numbing, so the work is comfortable. Your gums may feel tender for a day or two after, similar to the day after a hard workout. Most patients manage with over the counter pain relief and warm salt water rinses. Laughing gas is available if the visit makes you nervous.

Most patients shift to periodontal maintenance visits every three to four months instead of the standard six. That tighter window keeps bacteria from building up to a damaging level again. Once your gums are stable for a while, Dr. Shah may stretch the interval based on how things hold up.