Note how disseminating oral infections can erode a patients heart valves.
Brushing diseased gums must be done forcefully with about 5 – 6 lbs of force directed into the soft tissue. Caveat: This is counter intuitive and uncomfortable the first 3 -4 days but a scientifically valid approach to oral hygiene.
You can see in this picture your toothbrush can reach shallow gum infections but not periodontal infections in the supporting bone.
Germs which cause bone infection are invisible unless stained with vegetable dyes.
Stained to better show the bacteria.
Only a periodontal probe can diagnose gum disease. X-Rays cannot diagnose bone infection.