This document outlines the pathogenesis of periodontal disease. It begins by defining pathogenesis as the origination and development of disease. It then defines periodontal disease as an infection of the gums, periodontal ligament and alveolar bone. Healthy gums are described as pink, firm and not inflamed or swollen, while gum diseases like gingivitis and periodontitis are defined. The document goes on to describe the inflammatory response in the periodontium, including microbial virulence factors from bacteria and host-derived inflammatory mediators like cytokines and prostaglandins. Clinical signs of periodontal disease are provided.