Can periodontitis develop without tartar?

Although tartar is a major cause of periodontitis, it is not the only factor. Periodontitis is an inflammatory disease in which the immune system plays a role. In people with a genetic predisposition, the body can overreact to even a minimal bacterial load. Smoking, diabetes and stress can also cause or worsen periodontitis. In some cases oral hygiene is good, yet the damage is still present. The condition often progresses insidiously and without clear symptoms. Regular screening is therefore essential, even when the teeth appear healthy. Professional measurement of periodontal pocket depth and X-rays are needed for a correct diagnosis. Periodontitis without tartar requires a careful and individual approach. Good cooperation between patient and clinician is then all the more important.