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hi james i want to thank you for coming in today hello so after looking at your radiographs and your periodontal chart you are showing signs of periodontitis and what exactly is periodontitis okay so periodontitis is a form of periodontal disease and theres two different types as you can see right here this is a healthy tooth this is the bone this is the supporting structures and then you have the outside is your gum tissue what happens is sometimes theres bacteria in your mouth and it can cause a gum infection and cause your gums to be inflamed thats gingivitis thats totally reversible um its you know if you if you get a proper cleaning and youre brushing and flossing every day like youre supposed to then you can restore everything back to its normal healthy state and and then youre youre good to go with periodontitis the difference is you actually lose tissue which means your bone you have you have bone loss as you can see in this picture and in and even in your case we have