It depends on the stage. Gingivitis — the earliest stage — can be completely reversed with a professional cleaning and consistent home care. Once gum disease advances to periodontitis, the bone and tissue damage is permanent. However, periodontitis can be stopped and managed with treatment, preventing further destruction and protecting the teeth you have.
What You'll Learn
Gingivitis: Fully Reversible
Gingivitis is inflammation of the gums caused by plaque buildup along the gumline. At this stage, only the soft tissue is affected — no bone or connective tissue has been lost. The damage is entirely reversible.
To reverse gingivitis, you need two things: a professional cleaning to remove tartar that brushing cannot eliminate, and consistent daily brushing and flossing to keep plaque from rebuilding. Most patients see significant improvement within 2–4 weeks.
Brush twice a day with a soft-bristled toothbrush and fluoride toothpaste
Floss once a day — especially before bed
Schedule a professional cleaning to remove tartar buildup
Consider an antibacterial mouthwash as a supplement (not a replacement for brushing and flossing)
Periodontitis: Not Reversible, But Treatable
Once gum disease advances to periodontitis, the bone and connective tissue that support your teeth have been permanently damaged. This damage cannot be undone. However, periodontitis can absolutely be treated and stopped — preventing further bone loss and protecting your remaining teeth.
The primary treatment for periodontitis is scaling and root planing — a deep cleaning procedure that removes bacteria and tartar from below the gumline and smooths the root surfaces to discourage future bacterial attachment. For more advanced cases, surgical intervention may be needed.
Scaling and root planing
Deep cleaning below the gumline to remove bacteria and smooth root surfaces. Usually done in quadrants with local anesthesia.
Antibiotic therapy
Topical or oral antibiotics may be used alongside deep cleaning to reduce bacterial load.
Periodontal surgery
For advanced cases, surgical procedures can reduce pocket depths and allow better access for cleaning.
Periodontal maintenance
Ongoing 3–4 month cleanings to keep the disease from recurring after treatment.
Frequently Asked Questions
Related Learning Center Articles
What Are the Stages of Gum Disease?
Learn the four stages of gum disease and what treatment looks like at each.
What Is Periodontal Maintenance?
Learn why patients treated for gum disease need more frequent cleanings.
How Do I Reduce Tooth Sensitivity?
Gum recession from gum disease is a common cause of sensitivity.
