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Dentist Laurel MD, Dr. Daniel Melnick, speaks about periodontal disease. A periodontal disease attacks the gums and can vary from simple gum inflammation to serious diseases that can result in major damage to the soft tissue and bone that support the teeth. In the worst cases, teeth are lost. Our mouths are full of bacteria. These bacteria constantly form a sticky, colorless plaque on teeth. Brushing and flossing can help get rid of plaque. Periodontal disease is divided is two stages. Gingivitis is bacteria caused by inflammation of the gums. Periodontitis occurs when gingivitis is not treated. Gums pull away from the teeth and form spaces called "pockets" that become infected. The body's immune system fights the bacteria as the plaque spreads and grows below the gum line. Natural response to infection starts to break down the bone and connective tissue that hold teeth in place. If not treated, the bones, gums and tissue that support the teeth are destroyed.