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If your gums are swollen, tender, red, or if they bleed when you brush your teeth, you may have gingivitis, first-stage periodontal disease. Periodontal disease (gum disease) is the leading cause of tooth loss in US adults. At your first appointment, a hygienist will assess your gums for signs of disease. If we detect problems, therapy may include preventive care, scaling, root planning, and/or Arestin antibiotics. Severe cases may require surgery. Rest assured, gum disease can be arrested, reversed, and damaged tissue repaired with periodontal therapy. However, early treatment is best because gum disease has been linked to increased risk of stroke, heart disease, and pregnancy complications.