How to reduce your risk of periodontitis
Originally published
Bleeding gums, persistent bad breath or teeth that seem to be getting longer are reasons to book a dental appointment. They do not prove that you have periodontitis, but they should not be ignored just because your mouth does not hurt.
Periodontitis damages the tissues and bone supporting the teeth. It develops through an inflammatory response to bacterial plaque, with some people more susceptible than others. A family history can increase your risk, but it does not make the condition inevitable. Smoking and diabetes are also important factors.
Make daily cleaning manageable
Brush twice a day for about two minutes, including last thing at night, with fluoride toothpaste. Clean along the gumline as well as the inside, outside and biting surfaces of your teeth. Gentle, thorough brushing is more useful than scrubbing hard. Spit out the toothpaste afterwards without rinsing with water.
Clean between your teeth every day too. Interdental brushes are useful where there is enough space; floss can reach tighter contacts. Ask your dentist or hygienist to show you the sizes and technique that suit your mouth. A water flosser may help some people, but choosing one should be part of an effective cleaning routine, rather than a reason to stop brushing.
If your gums bleed, keep cleaning gently and arrange a check. Do not scrub harder to try to remove the bleeding.

Get advice about your own risk
A dental review can identify gum problems before you notice pain. Your dentist may measure the spaces around your teeth and arrange X-rays when needed to assess the supporting bone. The findings determine whether you need treatment and how often to return.
Professional cleaning can remove hardened deposits that a toothbrush cannot remove. It is not automatically the same treatment at every check-up, and established periodontitis needs a treatment and maintenance plan rather than occasional cleaning alone.
Tell the dental team about diabetes, medicines you take and any family history of early tooth loss. If you have diabetes, keeping it well managed is part of looking after your gums as well as your general health.
Food and smoking
A varied diet supports your health, but eating particular foods or taking vitamins does not remove plaque or rebuild bone lost through periodontitis. Fruit, vegetables and other sources of essential nutrients can be part of your usual balanced diet. Limiting how often you have sugary snacks and drinks also helps reduce tooth decay, which is a different problem from gum disease.

Stopping smoking can improve your gum health and your response to treatment. Your pharmacist or a stop-smoking service can help you choose support. Let the dental team know if you are finding it difficult; you do not need to manage it alone.
Stress can make everyday routines harder to maintain. Rest, exercise or support with stress may help you look after yourself, but they do not replace treatment for gum disease.

When to seek help
Book a dental appointment for recurring bleeding, swelling, recession or persistent bad breath. Contact a dentist promptly if an adult tooth becomes loose or your gums are very painful or swollen. Daily care lowers risk, but it cannot guarantee that you will never develop a gum problem.
You can contact our team to arrange an assessment.
