Why Gum Disease Is Quietly Becoming Korea’s Most Common Health Threat – And How to Stop It

[Physician's Column] By Lee Chan-hee, Director of Daily Dental Hospital

Healthcare | 2025-11-19 18:56:49
[mediK / HEALTH IN NEWS] In Korean culture, healthy teeth are considered one of the “five blessings” of life. Yet while most people focus on preventing cavities, dentists insist the far greater danger lies beneath the surface: the gums that anchor the teeth.

New data from South Korea’s Health Insurance Review and Assessment Service reveal a sharp rise in periodontal disease, commonly known as gum disease or pyorrhea. The number of patients treated jumped from roughly 16.49 million in 2020 to 19.67 million last year – an increase of nearly 20 percent in just four years.

Periodontal disease is an inflammatory condition affecting the gums (gingiva), periodontal ligament, and alveolar bone that support the teeth. The primary culprit is dental plaque – a biofilm of bacteria that hardens into calculus (tartar) when not removed. Once tartar forms, bacteria proliferate more easily, triggering gingival inflammation. Contributing factors include genetic predisposition, systemic illnesses such as diabetes, smoking, and chronic stress.

Periodontal disease cases in South Korea have surged nearly 20% in four years as plaque and tartar destroy the bone supporting teeth. Regular scaling remains the most effective prevention. (By Lee Chan-hee, Director of Daily Dental Hospital)
Periodontal disease cases in South Korea have surged nearly 20% in four years as plaque and tartar destroy the bone supporting teeth. Regular scaling remains the most effective prevention. (By Lee Chan-hee, Director of Daily Dental Hospital)


The disease progresses in stages. Early gingivitis is limited to the gums and is fully reversible with professional cleaning. Left untreated, it advances to periodontitis, where inflammation destroys the alveolar bone and periodontal ligament. As gums recede and deep periodontal pockets form, teeth lose their foundation and may eventually fall out or require extraction.
The risk escalates sharply after age 40. Aging markedly reduces the gums’ regenerative capacity, making middle-aged and older adults especially vulnerable. In advanced cases, routine scaling is no longer sufficient; patients may need complex procedures such as bone grafting or guided tissue regeneration.

The cornerstone of prevention remains professional scaling and root planing. This procedure removes plaque and calculus from tooth surfaces and roots, smooths the root to discourage bacterial reattachment, and often resolves inflammation. It also helps control halitosis and improves overall oral health.

Some patients avoid scaling, fearing tooth sensitivity or the sensation that teeth have “spread apart.” In reality, the gaps that appear after tartar removal were previously filled by calculus; the teeth themselves do not move, and the sensation typically resolves as tissues adapt.

Because early periodontal disease is nearly painless, regular dental checkups are essential. Red, swollen, or bleeding gums, persistent bad breath, loose teeth, pus discharge, or the feeling that teeth are drifting apart all signal that the condition is already advanced.

Without obvious symptoms in its initial phases, periodontal disease is easily overlooked. Yet consistent care – at minimum, a professional cleaning and examination every six to twelve months – can preserve not only oral health but systemic well-being as well.

Lim Hye Jung medi·K TEAM press@themedik.kr
Copyright © 2020 mediK. All rights reserved.