{"id":2997,"date":"2026-07-03T14:43:34","date_gmt":"2026-07-03T13:43:34","guid":{"rendered":"https:\/\/drveselinovic.com\/en\/?p=2997"},"modified":"2026-07-03T14:43:34","modified_gmt":"2026-07-03T13:43:34","slug":"periodontitis","status":"publish","type":"post","link":"https:\/\/drveselinovic.com\/en\/periodontitis\/","title":{"rendered":"Periodontitis \u2013 Causes, symptoms and treatment"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_83 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/drveselinovic.com\/en\/periodontitis\/#How_does_periodontitis_develop\" >How does periodontitis develop?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/drveselinovic.com\/en\/periodontitis\/#Causes\" >Causes<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/drveselinovic.com\/en\/periodontitis\/#What_is_dental_plaque_and_how_does_it_affect_periodontitis\" >What is dental plaque and how does it affect periodontitis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/drveselinovic.com\/en\/periodontitis\/#Signs_and_symptoms_of_periodontitis\" >Signs and symptoms of periodontitis<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/drveselinovic.com\/en\/periodontitis\/#Treatment_of_periodontitis\" >Treatment of periodontitis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/drveselinovic.com\/en\/periodontitis\/#How_can_periodontitis_be_prevented\" >How can periodontitis be prevented?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/drveselinovic.com\/en\/periodontitis\/#Oral_hygiene_and_periodontitis_prevention\" >Oral hygiene and periodontitis prevention<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/drveselinovic.com\/en\/periodontitis\/#Dr_Veselinovic_Dental_clinic_in_the_fight_against_periodontal_disease\" >Dr. Veselinovi\u0107 Dental clinic in the fight against periodontal disease<\/a><\/li><\/ul><\/nav><\/div>\n<p><strong>Periodontitis<\/strong> (also known as periodontal disease or pyorrhea) is a condition characterized by the gradual recession of the gums and exposure of the tooth roots.<\/p>\n<p>If not stopped, this process will almost certainly lead to tooth loss.<\/p>\n<pre><!--more-->Read more: <a href=\"https:\/\/drveselinovic.com\/2026\/05\/27\/recesija-gingive\/\" target=\"_blank\" rel=\"noopener\"><strong>Gingival recession \u2013 Surgical treatment of excessively receded gums &gt;&gt;<\/strong><\/a><\/pre>\n<h2><span class=\"ez-toc-section\" id=\"How_does_periodontitis_develop\"><\/span>How does periodontitis develop?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><strong>Periodontitis<\/strong> is a degenerative and progressive disease that develops gradually and must be treated in order to protect the tooth-supporting apparatus.<\/p>\n<p>To properly understand this serious condition, it is necessary to clarify some basic terms.<\/p>\n<p>The supporting structure in which teeth are anchored is called the <a href=\"https:\/\/en.wikipedia.org\/wiki\/Periodontium\" target=\"_blank\" rel=\"noopener\"><strong>periodontium<\/strong><\/a>. These dental structures include the root, periodontal fibers (which connect the root to the jawbone), and gingiva (gums).<\/p>\n<blockquote><p><em>As <strong>periodontitis<\/strong> progresses, the periodontium is destroyed, the root becomes exposed, teeth become loose, and eventually fall out.<\/em><\/p><\/blockquote>\n<pre>Read more: <a href=\"https:\/\/drveselinovic.com\/en\/immediate-implant-placement\/\" target=\"_blank\" rel=\"noopener\"><strong>Immediate implant placement \u2013 A guide through the procedure &gt;&gt;<\/strong><\/a><\/pre>\n<h3><span class=\"ez-toc-section\" id=\"Causes\"><\/span>Causes<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Periodontal disease most commonly occurs after the age of 40, and its causes vary:<\/p>\n<ul>\n<li>irregular oral hygiene;<\/li>\n<li>dental plaque and tartar;<\/li>\n<li>genetic predisposition;<\/li>\n<li>chronic diseases (diabetes, cardiovascular, rheumatic, respiratory, and kidney diseases);<\/li>\n<li>hormonal changes;<\/li>\n<li>medications and illegal drugs;<\/li>\n<li>bruxism;<\/li>\n<li>smoking;<\/li>\n<li>older age;<\/li>\n<li>unhealthy diet;<\/li>\n<li>obesity;<\/li>\n<li>stress, etc.<\/li>\n<\/ul>\n<p>On the other hand, <strong>periodontitis<\/strong> can accelerate the progression of existing systemic diseases or increase the risk of stroke or dementia. It may also negatively affect pregnancy and fetal development. Therefore, it is essential to take oral health seriously and properly care for teeth and the oral cavity.<\/p>\n<pre>Read more: <strong>Modern machine endodontics can save your tooth! &gt;&gt;<\/strong><\/pre>\n<h3><span class=\"ez-toc-section\" id=\"What_is_dental_plaque_and_how_does_it_affect_periodontitis\"><\/span>What is dental plaque and how does it affect periodontitis?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Plaque is a sticky film on the teeth formed due to inadequate oral hygiene or incomplete removal of food debris. Bacteria from food that remain on the tooth surface first affect the gingiva, causing inflammation (gingivitis).<\/p>\n<figure id=\"attachment_3000\" aria-describedby=\"caption-attachment-3000\" style=\"width: 1000px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3000 size-full\" src=\"https:\/\/drveselinovic.com\/en\/wp-content\/uploads\/2026\/07\/periodontitis-dr-veselinovic-2.jpg\" alt=\"periodontitis dr veselinovic 2\" width=\"1000\" height=\"667\" srcset=\"https:\/\/drveselinovic.com\/en\/wp-content\/uploads\/2026\/07\/periodontitis-dr-veselinovic-2.jpg 1000w, https:\/\/drveselinovic.com\/en\/wp-content\/uploads\/2026\/07\/periodontitis-dr-veselinovic-2-300x200.jpg 300w, https:\/\/drveselinovic.com\/en\/wp-content\/uploads\/2026\/07\/periodontitis-dr-veselinovic-2-768x512.jpg 768w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><figcaption id=\"caption-attachment-3000\" class=\"wp-caption-text\">Photo: AI<\/figcaption><\/figure>\n<p>If neglected, gingivitis spreads below the gum line and reaches the tooth root. This leads to the formation of a <strong>periodontal pocket<\/strong> \u2013 a space between the root and the gum that no longer tightly adheres to it. The presence of periodontal pockets is the first sign of periodontitis.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Signs_and_symptoms_of_periodontitis\"><\/span>Signs and symptoms of periodontitis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>As mentioned, <strong>periodontitis<\/strong> develops gradually and can lead to serious destruction of the periodontal tissues and eventually tooth loss.<\/p>\n<p>Early signs and symptoms to watch for include:<\/p>\n<ul>\n<li>inflamed and swollen gums;<\/li>\n<li>bleeding during tooth brushing;<\/li>\n<li>occasional or constant tooth and\/or gum pain when chewing or due to hot\/cold stimuli;<\/li>\n<li>receded gums and exposed tooth roots;<\/li>\n<li>changes in tooth position when biting;<\/li>\n<li>pus;<\/li>\n<li>bad breath;<\/li>\n<li>loose teeth.<\/li>\n<\/ul>\n<p><strong>Periodontitis<\/strong> is a silent disease whose early symptoms are mild and often painless, which is why it frequently goes unnoticed for a long time. Patients may even become accustomed to bleeding gums or bad breath and ignore mild discomfort.<\/p>\n<p>However, these signs will not disappear on their own (just as <a href=\"https:\/\/drveselinovic.com\/en\/dental-interventions\/conservative-dentistry\/\" target=\"_blank\" rel=\"noopener\"><strong>dental caries<\/strong><\/a>). Therefore, it is essential to seek <a href=\"https:\/\/drveselinovic.com\/en\/about-us-dr-veselinovic-clinic\/\" target=\"_blank\" rel=\"noopener\"><strong>dental care<\/strong><\/a> as soon as possible.<\/p>\n<pre>Read more: <a href=\"https:\/\/drveselinovic.com\/en\/dental-implant-herceg-novi\/\" target=\"_blank\" rel=\"noopener\"><strong>Dental implants \u2013 Where to find the highest quality implants in Herceg Novi? &gt;&gt;<\/strong><\/a><\/pre>\n<h2><span class=\"ez-toc-section\" id=\"Treatment_of_periodontitis\"><\/span>Treatment of periodontitis<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The progression of <strong>periodontitis<\/strong> can be stopped with effective <a href=\"https:\/\/drveselinovic.com\/en\/dental-interventions\/periodontology\/\" target=\"_blank\" rel=\"noopener\"><strong>periodontal therapy<\/strong><\/a>. Causal or initial periodontal therapy involves thorough removal of hard and soft dental deposits (plaque and tartar) using ultrasound and manual instruments.<\/p>\n<p>Unfortunately, non-surgical therapy cannot regenerate already lost periodontal tissues. However, its success lies in preventing further disease progression, which depends on early diagnosis. The earlier the disease is detected, the more periodontal tissue can be preserved.<\/p>\n<p>In advanced cases of <strong>periodontitis<\/strong>, <a href=\"https:\/\/drveselinovic.com\/en\/our-team\/\" target=\"_blank\" rel=\"noopener\"><strong>oral surgeons<\/strong><\/a> at the <a href=\"https:\/\/drveselinovic.com\/en\/\" target=\"_blank\" rel=\"noopener\"><strong>Dr. Veselinovi\u0107 Dental clinic<\/strong><\/a> can perform gingival recession surgery. The result of this surgical procedure is complete and long-term stable coverage of exposed tooth roots using an autograft.<\/p>\n<p>As a natural stimulation of gingival tissue regeneration, modern periodontal surgical therapy may also include <a href=\"https:\/\/drveselinovic.com\/en\/dental-interventions\/periodontology\/\" target=\"_blank\" rel=\"noopener\"><strong>PRP<\/strong><\/a> (<a href=\"https:\/\/en.wikipedia.org\/wiki\/Platelet-rich_plasma\" target=\"_blank\" rel=\"noopener\"><strong>platelet-rich plasma<\/strong><\/a>).<\/p>\n<blockquote><p><em>It is important to emphasize that any form of periodontal therapy (non-surgical or surgical) is not aimed only at aesthetics, but primarily at restoring function and improving the overall health of the patient.<\/em><\/p><\/blockquote>\n<pre>Read more: <a href=\"https:\/\/drveselinovic.com\/en\/gingival-recession\/\" target=\"_blank\" rel=\"noopener\"><strong>Gingival recession \u2013 Surgical treatment of excessively receded gums &gt;&gt;<\/strong><\/a><\/pre>\n<h2><span class=\"ez-toc-section\" id=\"How_can_periodontitis_be_prevented\"><\/span>How can periodontitis be prevented?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>As with many diseases, prevention is key. With proper long-term oral care, <strong>periodontitis<\/strong> can be prevented and teeth can remain healthy for many years.<\/p>\n<figure id=\"attachment_3002\" aria-describedby=\"caption-attachment-3002\" style=\"width: 1000px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3002 size-full\" src=\"https:\/\/drveselinovic.com\/en\/wp-content\/uploads\/2026\/07\/periodontitis-dr-veselinovic-4.jpg\" alt=\"periodontitis dr veselinovic 4\" width=\"1000\" height=\"667\" srcset=\"https:\/\/drveselinovic.com\/en\/wp-content\/uploads\/2026\/07\/periodontitis-dr-veselinovic-4.jpg 1000w, https:\/\/drveselinovic.com\/en\/wp-content\/uploads\/2026\/07\/periodontitis-dr-veselinovic-4-300x200.jpg 300w, https:\/\/drveselinovic.com\/en\/wp-content\/uploads\/2026\/07\/periodontitis-dr-veselinovic-4-768x512.jpg 768w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><figcaption id=\"caption-attachment-3002\" class=\"wp-caption-text\">Photo: Magnific, Stockking<\/figcaption><\/figure>\n<p>Preventive measures include consistent oral hygiene and regular dental <a href=\"https:\/\/drveselinovic.com\/en\/contact\/\" target=\"_blank\" rel=\"noopener\"><strong>check-ups<\/strong><\/a>.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Oral_hygiene_and_periodontitis_prevention\"><\/span>Oral hygiene and periodontitis prevention<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Proper oral hygiene is learned from an early age and should be practiced regularly (at least twice a day). Gentle brushing techniques are essential, as they not only remove food debris but also massage the gums. Soft-bristled toothbrushes and gentle circular motions are recommended to avoid damaging the gums and enamel.<\/p>\n<figure id=\"attachment_3001\" aria-describedby=\"caption-attachment-3001\" style=\"width: 1000px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3001 size-full\" src=\"https:\/\/drveselinovic.com\/en\/wp-content\/uploads\/2026\/07\/periodontitis-dr-veselinovic-3.jpg\" alt=\"periodontitis dr veselinovic 3\" width=\"1000\" height=\"667\" srcset=\"https:\/\/drveselinovic.com\/en\/wp-content\/uploads\/2026\/07\/periodontitis-dr-veselinovic-3.jpg 1000w, https:\/\/drveselinovic.com\/en\/wp-content\/uploads\/2026\/07\/periodontitis-dr-veselinovic-3-300x200.jpg 300w, https:\/\/drveselinovic.com\/en\/wp-content\/uploads\/2026\/07\/periodontitis-dr-veselinovic-3-768x512.jpg 768w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><figcaption id=\"caption-attachment-3001\" class=\"wp-caption-text\">Photo: Canva<\/figcaption><\/figure>\n<p>An important part of prevention is also the use of dental floss and interdental brushes after each brushing. These tools are widely available and significantly improve the removal of food debris and plaque from all tooth surfaces.<\/p>\n<p>Since plaque and tartar cannot always be completely removed at home, <a href=\"https:\/\/drveselinovic.com\/en\/\" target=\"_blank\" rel=\"noopener\"><strong>professional dental cleaning<\/strong><\/a> is recommended twice a year. During these visits, the <a href=\"https:\/\/drveselinovic.com\/en\/our-team\/dr-ilija-veselinovic\/\" target=\"_blank\" rel=\"noopener\"><strong>dentist<\/strong><\/a> will also assess oral health and provide guidance for improvement if needed.<\/p>\n<pre>Read also: <a href=\"https:\/\/drveselinovic.com\/en\/do-you-know-what-an-apicoectomy\/\" target=\"_blank\" rel=\"noopener\"><strong>Do you know what an apicoectomy is and why it matters? &gt;&gt;<\/strong><\/a><\/pre>\n<h2><span class=\"ez-toc-section\" id=\"Dr_Veselinovic_Dental_clinic_in_the_fight_against_periodontal_disease\"><\/span>Dr. Veselinovi\u0107 Dental clinic in the fight against periodontal disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Like other diseases, <strong>periodontitis<\/strong> requires timely intervention and professional treatment. If left untreated, it will continue to worsen and eventually lead to tooth loss.<\/p>\n<p>Untreated gum disease can also negatively affect overall health, as periodontitis is associated with cardiovascular diseases such as stroke and myocardial infarction.<\/p>\n<p>Delaying treatment only worsens the condition, so we recommend <a href=\"https:\/\/drveselinovic.com\/en\/contact\/\" target=\"_blank\" rel=\"noopener\"><strong>scheduling a dental examination<\/strong><\/a> if you notice any changes in your gums. The specialists at <a href=\"https:\/\/drveselinovic.com\/en\/\" target=\"_blank\" rel=\"noopener\"><strong>Dr. Veselinovi\u0107 Dental clinic<\/strong><\/a> are here to help with any oral health problem.<\/p>\n<pre>Read more: <a href=\"https:\/\/drveselinovic.com\/en\/frenectomy-why-and-how-is-the-tissue-under-the-upper-lip-removed\/\" target=\"_blank\" rel=\"noopener\"><strong>Frenectomy \u2013 Why and how is the tissue under the upper lip removed? &gt;&gt;<\/strong><\/a><\/pre>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Periodontitis (also known as periodontal disease or pyorrhea) is a condition characterized by the gradual recession of the gums and exposure of the tooth roots. If not stopped, this process will almost certainly lead to tooth loss.<\/p>\n","protected":false},"author":1,"featured_media":2999,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[383],"tags":[406,404,384,354,356,357,355,387,365,388,389,396,395,397,390,392,391,394,368,369,367,398,400,401,399,402,403,386,385,405,393],"class_list":["post-2997","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-periodontology","tag-causes-of-periodontitis","tag-early-stage-periodontitis","tag-gum-disease","tag-gum-surgery","tag-gum-surgery-dr-veselinovic","tag-gum-surgery-herceg-novi","tag-gum-surgery-montenegro","tag-periodontal-disease","tag-periodontal-surgery-dr-veselinovic","tag-periodontitis","tag-periodontitis-dr-veselinovic","tag-periodontitis-herceg-novi","tag-periodontitis-montenegro","tag-periodontitis-surgeon","tag-periodontitis-treatment","tag-periodontitis-treatment-herceg-novi","tag-periodontitis-treatment-montenegro","tag-periodontology","tag-periodontology-dr-veselinovic","tag-periodontology-herceg-novi","tag-periodontology-montenegro","tag-pyorrhea","tag-pyorrhea-dr-veselinovic","tag-pyorrhea-herceg-novi","tag-pyorrhea-montenegro","tag-pyorrhea-surgeon-herceg-novi","tag-pyorrhea-surgery","tag-surgical-treatment-of-periodontal-disease","tag-surgical-treatment-of-periodontitis","tag-symptoms-of-periodontitis","tag-what-is-periodontitis"],"yoast_head":"<!-- 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