Periodontitis, commonly known as gum disease, can occur if there is a build-up of tartar and calculus below the gum line.  You may notice it by bleeding and puffy gums.  It is the number one reason for bad breath and loss of teeth.  Once it is on the teeth, brushing and flossing will not remove it.  It is necessary at this time to have this build-up removed professionally by a dental hygienist.  If gum disease goes untreated, the bone can be destroyed and ultimately, teeth can be lost.  Usually there will be no pain associated with gum disease until it is too late to save your teeth.  So if it has been awhile since you have had a cleaning or you notice problems with your breath or gums, call and schedule a checkup before it’s too late.