If you do not remove the plaque, your gums will bleed easily and will show edema (swelling) This can cause pain and infection in your mouth. The evolution of the infection will result in the removal of gums from teeth and create gaps between the teeth and gums. These gaps are called in dental terminology periodontal pockets. These pockets tend to be more contaminated by bacteria. The disease is spread and can cause the loss of your teeth. Because it is impossible to clean by the patient at home, it is necessary directly visit and treatment by the dentist