Periodontal or gum disease is a potentially dangerous condition. The progression of the disease is painless undetected unless it becomes severe. It is directly related to oral hygiene and how people care for their gums and teeth. Gum disease is a gradual infection of the gums. There are various stages of gum disease. It starts with inflammation, swelling, and bleeding of the gums called gingivitis. The advanced stage is periodontitis, where toxins get into the bone causing bone loss leading to tooth loss. Gum disease treatment involves deep cleaning, antibiotics and home care. The Dental Hygienist begins by removing the tartar and plaque from the surface of the tooth and below the gum line. Then root scaling and root planing are done. Bone grafts may also be recommended depending on the amount of bone loss. An antimicrobial therapy treatment is a nonsurgical treatment which arrests the progression of the disease used along with root planing and deep cleaning.