2. Swollen or Tender Gums: The Silent Progression of Periodontitis
As periodontitis begins to take hold, swollen or tender gums often emerge as a telling symptom. Unlike the more noticeable bleeding, swelling and tenderness can be subtle, creeping up almost unnoticed. This is the insidious nature of periodontitis – it progresses silently, often without pain in its early stages, making it easy to ignore until it becomes more severe.
The swelling of the gums is primarily due to the body’s inflammatory response. As the body tries to fend off the bacteria causing periodontitis, the gums become engorged with blood, leading to swelling. This is not just a physical change but a sign of the ongoing battle beneath the gum line.
Tenderness in the gums is another crucial indicator. It often accompanies swelling and is a direct result of the increased sensitivity of the inflamed tissues. This tenderness might be most noticeable when eating certain foods, especially those that are hot, cold, or hard.
This symptom highlights a crucial phase in periodontitis. At this stage, the disease is more advanced than when only bleeding is present. The swelling and tenderness are indicative of a deeper infection that, if left unchecked, can lead to the breakdown of the supporting structures of the teeth.
One of the most deceptive aspects of this symptom is its intermittent nature. Swelling and tenderness can fluctuate, leading to a false sense of recovery or improvement. This can delay seeking necessary dental care, allowing periodontitis to progress further. (2)
