There’s several factors that contribute to or aggravate periodontal disease:
- Plaque which is not removed daily may build up and harden to form dental calculus (tartar). Calculus builds up above and below the gums and cannot be removed by a toothbrush. While it remains the teeth cannot be properly cleaned.
- Some conditions can make existing periodontal disease worse. For example, poorly controlled Diabetes Mellitus, or cigarette smoking may worsen periodontitis dramatically. Immune disorders may manifest themselves as gum problems.
- Poorly shaped or finished fillings, some partial dentures, and some crowns and bridges can make it very difficult to remove plaque.