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    The main cause of periodontal disease is bacterial plaque, a sticky, colorless film that constantly forms on your teeth. If not carefully removed by daily brushing and flossing, plaque hardens into a rough, porous substance known as calculus (or tartar). Other factors can also affect the health of your gums, including:

    • Smoking.
    • Diabetes.
    • Stress.
    • Clenching and grinding teeth.
    • Medication.
    • Poor nutrition.
    • Pregnancy and puberty.

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