Periodontal disease is the number-one cause of tooth loss in America. One hundred million Americans suffer from periodontal disease signs that may include bad breath, gingivitis, malocclusion, and tooth loss. Prompt treatment can control the severity of gum disease and save the teeth. Gum disease begins with the accumulation of plaque at the gum line. Plaque is composed of bacteria or “germs” that can irritate the gums, causing swelling and redness. Often the gums bleed when brushed. This is a condition known as gingivitis, the earliest sign of gum disease.