Can a localized hole in gums still be just gingivitis and not periodontitis?

In the past, I had erratic oral care habits, and now my gums are swollen in places and bleed occasionally when I brush, floss, etc. which I now do as much as possible.I wear braces, and I think I may have gingivitis, as even after brushing vigorously, my breath isn't great. I also have, on a lower canine, a gum line significantly (2mm) lower than the rest. This dip is very localized, my teeth are very sturdy, and I don't believe I have any pockets under my gums. I'd like to know where I stand on the gum disease spectrum. Thank you.

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Answer: gingivitis or periodontitis

By BracesInfo.com Expert 10

It is not uncommon for gingivitis to occur during orthodontic treatment.  Having brackets and wires bonded to your teeth makes effectively removing plaque more difficult.  Bleeding when brushing and flossing in small amounts is not anything to worry about, especially considering your circumstances.  However, the only way to determine if there is bone loss or pocketing is to have a comprehensive periodontal assessment which includes both bitewing radiogaphs as well as a full periodontal charting.  This will allow the dentist and dental hygienist to gauge your baseline periodontal health.  The area you are describing on your canine tooth, could be recession.  This can be caused from improper brushing or brushing too hard, both of which you stated you have experienced in the past.  With proper brushing and flossing you can prevent this from getting worse and maintain the current health of the tissue.  

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