Gum disease is generally a silent disease.
For a lot of people with periodontal disease, there is no pain or warning until the teeth become loose. At that point, too much damage has commonly been done to save the teeth.
This can be easily prevented in most cases by regularly visiting the office for a professional cleaning every 6 months. For patients who have not seen the dentist in over a year, it may require multiple appointments to provide enough time to adequately clean the teeth.
If you have especially sensitive gums, or you need a deep cleaning, anesthetic can be placed to numb the gums during the cleaning appointment.