There are different stages of gum disease and no one is immune. The first stage is gingivitis which is bleeding of your gums. The next stage is periodontitis when this happens your bone and gum tissue begin to breakdown. When this happens you may not begin to see the signs til it is advanced. But what causes all of this to begin with? It essentially starts with plaque on the teeth. Granted, there may be other factors that contribute to gum disease. It is important for all of us to brush at least twice a day while others may prefer to brush more. In addition, gently flossing daily, can help combat gum disease. So make your mouth happy and take care of it, this is the best prevention.