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What causes Gum Disease (periodontitis)?

Our mouths are full of bacteria.  These bacteria, along with mucus and other particles, constantly form a sticky, colorless "plaque" on teeth.  Brushing and flossing help get rid of plaque.  Plaque that is not removed can harden and form bacteria-harboring "tartar" that brushing doesn't clean.  Only a professional cleaning by a dentist or dental hygienist can remove tartar.

What is Periodontitis?

When gingivitis is not treated, it can advance to "periodontitis" which means "inflammation around the tooth."  In periodontitis, gums pull away from the teeth and form "pockets" that are infected.  The body's immune system fights the bacteria as the plaque spreads and grows below the gum line.  Bacterial toxins and the body's enzymes fighting the infection actually start to break down the bone and connective tissue that hold teeth in place.  If not treated, the bones, gums, and connective tissue that support the teeth are destroyed.  The teeth may eventually become loose and have to be removed.