Gum disease has been labelled the silent killer as it can cause inflammatory substances in the blood that worsen chronic health conditions. Last medically reviewed on January 5, 2018, Tooth abscesses are collections of pus that form in or around teeth, and they are an advanced stage of tooth decay. Calculus can only be removed professionally. These ingredients are found in toothpaste and mouthwash. They may also irritate the gums. Gingivitis is generally caused by the lack of hygiene and poor diet. This is known as scaling. Learn about the symptoms, causes, treatments and methods of prevention for the advanced stage of gum disease. Advanced symptoms. Most forms of gingivitis are plaque-induced. The most common cause of gingivitis is the accumulation of bacterial plaque between and around the teeth. Here's how plaque can lead to gingivitis: 1. Plaque turns into tartar. Signs and symptoms of gingivitis might include: A dentist or oral hygienist will check for symptoms, such as plaque and tartar in the oral cavity. This is thought to be due to the type of bacteria we acquire during our early life. Certain medications that cause dry mouth or gum changes 11. Children’s gingivitis: causes So, to answer the question: why are bleeding gums in a child… the Reason for the development of gingivitis is a microbial flora of dental plaque. Dentistry involving supporting structures of teeth (. be causing both the gum disease . But it is not simply plaque that causes gingivitis. The best toothpastes for gum health have active ingredients for fighting bacteria that cause gingivitis. The dental professional will explain the importance of oral hygiene and how to brush and floss effectively. Non-tartar prompted gingivitis The accumulation of plaque and tartar The most common cause of gingivitis is the accumulation of bacterial plaque between and around the teeth, which triggers an immune response, which in turn can eventually lead to the destruction of gingival tissue, and eventually further complications, including the loss of teeth. Possible causes include viral, bacterial, and fungal infections, canker sores…, © 2004-2020 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. When should I see my doctor? Gingivitis is an acute or chronic infection of the gums. What is Periodontitis? What Causes Gingivitis? Early plaque in health consists of a relatively simple bacterial community dominated by Gram-positive cocci and rods. It may also, eventually, lead to further complications, including the loss of teeth. Conditions that cause decreased immunity, such as leukemia, HIV/AIDS and cancer treatment 12. It is helpful to first understand what gingivitis is so that you can begin to understand what causes it. [2], While some cases of gingivitis never progress to periodontitis,[3] periodontitis is always preceded by gingivitis. What causes gingivitis? Gingivitis is a form of gum disease that happens when plaque, a naturally-occurring sticky film containing bacteria, builds up on teeth and causes the inflammation of the surrounding gum tissue. This plaque contains large numbers of bacteria thought to be responsible for gingivitis. Here are some of the most common risk factors: Smoking or chewing tobacco prevents the gum tissue from being able to heal. This stage of gum disease is called gingivitis. A dentist can recommend a suitable brush and mouthwash. Follow-up appointments may be recommended, with more frequent cleanings if necessary. [15] In a 1997 review of effectiveness data, the U.S. Food and Drug Administration (FDA) found clear evidence showing that toothpaste containing triclosan was effective in preventing gingivitis.[16]. What is gingivitis? Gingivitis causes: Gingivitis is a gum disease that usually happens when the use of mouthwash, brushing, and flossing is not done well; when someone has poor oral hygiene, bacteria and food (plaque) accumulates along the gum line. Gingivitis in children is one of the most common diseases. Sometimes, there is no specific cause. And on entry to the brain, P. gingivalis can reproduce all of the characteristic features of Alzheimer’s disease.". The plaque triggers an immune response, which, in turn, can eventually lead to the destruction of gingival, or gum, tissue. It can be avoided by proper and consistent oral health. You’re not alone – millions of adults have some stage of gum disease. Ulcers are not caused by gingivitis. It is a mild, often reversible form of gum disease. If diagnosis happens early, and if treatment is prompt and proper, gingivitis can be successfully reversed. [17], The active ingredients that "reduce plaque and demonstrate effective reduction of gingival inflammation over a period of time" are triclosan, chlorhexidine digluconate, and a combination of thymol, menthol, eucalyptol, and methyl salicylate. MNT is the registered trade mark of Healthline Media. Keep reading to learn how 10 different home remedies can help clear your symptoms, as well as how to prevent future gingivitis. Learn about these and other factors that may cause gum disease. Periodontal diseases, such as gingivitis and periodontitis, are the main cause of tooth loss, affecting over 80% of the population above the age of 30. This can be uncomfortable, especially if tartar build-up is extensive, or the gums are very sensitive. However, gum disease in children are not limited to gingivitis. When plaque is not removed adequately, it can harden into calculus, or tartar, at the base of the teeth, near the gums. The accumulation may also emit an unpleasant odor. Periodontitis: Symptoms, Causes, and Treatments. Gingivitis does not cause sores, but aggressive periodontitis may accompany a periodontal abscess. However, dental plaque can also cause tooth decay, and periodontal problems such as gingivitis and chronic periodontitis. Gingivitis is commonly caused by the buildup of plaque. What Causes Gingivitis In Dogs? Dental plaque develops when pathogenic oral bacteria grow out of control and collect under the gums. Due to poor hygiene accumulation of plaque microflora which actively produces toxins and inflammatory mediators. What causes gingivitis? This, in turn, can lead to destruction of the gingival tissues, which may progress to destruction of the periodontal attachment apparatus. Learn more about their development…, Losing teeth is a regular part of growing up. Here’s how gingivitis develops: Gingivitis is the inflammation of the gums and structures that support the position of the teeth. The aggregation of bacteria causes a thin layer. Tobacco doesn't actually "cause" gum disease. Other causes of gingivitis include hormonal changes, illnesses, smoking, taking certain medications, bad brushing habits, and genetics. It's typically caused by poor brushing and flossing habits that allow plaque—a sticky film … This series of events is what causes gingivitis. While gingivitis doesn’t always cause symptoms, it can make the gums red, swollen and tender. The focus of treatment is to remove plaque. What are the causes of gingivitis? [18], The bacteria that causes gingivitis can be controlled by using an oral irrigator daily with a mouthwash containing an antibiotic. Microbial … Gingivitis is frequently caused by bacteria present in plaque, which builds up and results in gum inflammation and redness. However, the condition should be taken seriously and addressed immediately. Gingivitis is commonly caused by the buildup of plaque. A dental hygienist or dentist will check for the symptoms of gingivitis, and may also examine the amount of plaque in the oral cavity. Classic gingivitis appears as a red margin along the edges of your gums, closest to the teeth. Inadequate nutrition, including vitamin C deficiency 9. An inconsistent or poor oral care routine can lead to … Gum disease is most often caused by plaque – a thick film of bacteria that forms on gums and teeth that daily brushing, flossing and rinsing removes. People with gum disease have two to … Examples of plaque traps include bulky and overhanging restorative margins, clasps of removable partial dentures and calculus (tartar) that forms on teeth. Careless Routine Plaque accumulating on the teeth and along the gum line causes gingivitis and is common among children and adults. Gingivitis can incite so much fear you might need the real Gin and Tonic to numb your mind. If left without treatment, it can end up being a more severe infection known as periodontitis. COVID-19 updates See our safe care and visitor guidelines, plus trusted coronavirus information. 2. Poor dental hygiene is the most commonly seen cause of gingivitis as this encourages the formation of plaque on the teeth, resulting in the gum tissues becoming inflamed. The direct cause of gingivitis is plaque, which builds up on your teeth due to improper brushing after meals. The direct cause of gingivitis is plaque, which builds up on your teeth due to improper brushing after meals. [7] "Studies have also found this bacteria, P. gingivalis – which is responsible for many forms of gum disease – can migrate from the mouth to the brain in mice. Symptoms, Causes, and Treatments - Oral-B If not addressed early, gingivitis leads to serious periodontal disease and … Hereditary factors, other situations (like fever or any ailment), traumas, or using dentures. Gingivitis Causes. Although gingivitis isn’t technically gum disease, it can lead to full-blown gum disease if left untreated. If left untreated, gingivitis will progress into moderate to severe gum disease, which does cause bone loss. Dilantin, an anticonvulsant, and some anti-angina medications can cause abnormal growth of gum tissue. Gingivitis is a mild, early form of gum disease that occurs when bacteria and plaque build up in the mouth and lead to infection. All rights reserved. The best method to stop what causes gingivitis is to increase the amount of time spent brushing and flossing. Gingivitis and periodontitis are significant causes of missing teeth in adults, inning accordance with the American Dental Association. Interdental brushes also help remove any causative agents. Gum disease can be caused by a number of factors, but poor oral hygiene is the most common cause. Here’s our process. Types of gingivitis 1. The primary causes of gingivitis include: Smoking and Tobacco Use. This inflammation can cause an enlargement of the gingiva and subsequent formation. Treatment involves care by a dental professional, and follow-up procedures carried out by the patient at home. Adult teeth are designed to last a lifetime…, Wisdom teeth often emerge in early adulthood and can cause a lot of pain as they push through the gums where the rest of the adult teeth have already…, Teeth inevitably begin to yellow with age, but a range of strategies can slow the process and even reverse it. Drugs: Oral health may be affected by some medications, especially if saliva flow is reduced. Genetics 10. Periodontal destruction is also slowed due to the extensive oral care. Substance abuse 7. Gingivitis is an inflammation of the gums, usually caused by a bacterial infection. Signs of gingivitis include red and puffy gums, that bleed easily when the person brushes their teeth. Technically, gingivitis itself is not contagious, but the bacteria that cause it may be.. 01 Red, Puffy, or Receding Gums Healthy gums are pink and firm. Hydrogen peroxide was long considered a suitable over-the-counter agent to treat gingivitis. What are the causes of gingivitis? It might also be caused by genetic factors, systemic conditions (including allergic reactions and certain illnesses), wounds, or reactions to foreign bodies, such as dentures. We include products we think are useful for our readers. Risk factors associated with gingivitis include the following: Gingivitis is a category of periodontal disease in which there is no loss of bone but inflammation and bleeding are present. Gingivitis is caused by the buildup of plaque–– a naturally-occurring sticky film containing bacteria – on the teeth and gums. What are the Causes of Gingivitis? The Best Toothpaste for Gingivitis and Gum Disease. Plaque produces toxins that irritate the gums. Gum disease is the leading cause of tooth loss in adults. Tartar prompted gingivitis Severe deficiency of nutrition is the main reason for this gingivitis. Plaque and tartar eventually irritate the gums, causing gum inflammation around the base of the teeth. Gingivitis is caused by substances derived from microbial plaque accumulating at or near the gingival sulcus; all other suspected local and systemic etiologic factors either enhance plaque accumulation or retention, or enhance the susceptibility of the gingival tissue to microbial attack. Gingivitis is an early stage of gum disease appearing as an inflammation of the gumline that, if left untreated, can progress to the point of being detrimental to the strength and health of the bone that surrounds and supports your teeth. Checking for signs of periodontitis may also be recommended. Some dental problems, such as crooked teeth, badly fitted crowns or bridges, may make it harder to properly remove plaque and tartar. What causes gingivitis is this bacteria irritating the gum and leading to it becoming inflamed. Either a registered dental hygienist or a dentist may perform the comprehensive periodontal exam but the data interpretation and diagnosis are done by the dentist. Keep reading to learn how 10 different home remedies can help clear your symptoms, as well as how to prevent future gingivitis. Poor oral hygiene and dental plaque bacteria are considered as the main causes of gum disease. Plaque requires daily removal because it re-forms quickly. Other reports have found an association with lung disease risk. Later experimental gingivitis studies, using culture, provided more information regarding the specific bacterial species present in plaque. The main cause of gingivitis is the build-up of plaque, a layer of bacteria that continuously develops around, on and in between your teeth, principally in hard to reach areas. Gingivitis is a non-destructive type of periodontal disease, but untreated gingivitis can progress to periodontitis. Improper Oral Health Care Gingivitis is very common in children and adults and occurs when plaque is allowed to accumulate on the teeth. The Best Toothpaste for Gingivitis and Gum Disease. As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed. develop additional health problems. Poor hygiene allows bacteria to build up around the teeth. Gingivitis 2. If you have gingivitis, the earlier you can fix it, the better. Each tooth is divided into four gingival units (mesial, distal, buccal, and lingual) and given a score from 0–3 based on the gingival index. The Recovery Room: News beyond the pandemic — December 11, Managing diabetes after incarceration: A difficult journey, Low-income Black people in US hit hardest by shutdowns, One-third of patients may experience ‘long COVID’, What to know about the stages of tooth decay and abscesses, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, tender gums that may be painful to the touch, bleeding from the gums when brushing or flossing, regularly rinse mouth with an antiseptic mouthwash, abscess or infection in the gingiva or jaw bone, periodontitis, a more serious condition that can lead to loss of bone and teeth, trench mouth, where bacterial infection leads to ulceration of the gums. What causes gingivitis? Either amoxicillin, cephalexin, or minocycline in 500 grams of a non-alcoholic fluoride mouthwash is an effective mixture.[19]. If gingivitis is untreated, the tissues and bone that support the teeth can also become affected. Left unchecked, gingivitis can cause the gums to separate from the teeth. The main risk factors for the development of the disease are increasing age, smoking, and dry mouth. This is more serious than gingivitis as it causes inflammation of the periodontal ligament, which attaches the tooth to the bone. Although these accumulations may be tiny, the bacteria in them produce chemicals, such as degradative enzymes, and toxins, such as lipopolysaccharide (LPS, otherwise known as endotoxin) or lipoteichoic acid (LTA), that promote an inflammatory response in the gum tissue. Scientists agree that more research is needed to prove a cause and effect link. As plaque matures and gingivitis develops, the communities become increasingly complex with higher proportions of Gram-negative rods, fusiforms, filaments, spirilla and spirochetes. Brushing your teeth twice a day and flossing daily can prevent and treat this condition. For example, something else may . buildup of plaque – a naturally-occurring sticky film containing bacteria – on the teeth and gums No. This is more serious and can eventually lead to loss of teeth. Treating gingivitis and following the dental health professional’s instructions can normally prevent complications. In adults, however, loose teeth may be a cause for concern. Gingivitis means inflammation of the gums, or gingiva. The most common cause of gingivitis is poor oral hygiene that encourages plaque to form on teeth, causing inflammation of the surrounding gum tissues. The bacteria found in plaque produce toxins that can irritate the gums and cause them to become red, inflamed, puffy, and may even lead to bleeding. Gingivitis is an acute inflammation of the gums or the gingiva of the mouth. The most common form of gingivitis, and the most common form of periodontal disease overall, is in response to bacterial biofilms (also called plaque) that is attached to tooth surfaces, termed plaque-induced gingivitis. Gingivitis marks the beginning stages of gum disease and causes your gum tissue to appear red and puffy, when healthy gum tissue should be firm and pink. If you have an existing health condition, such as diabetes, you may be more likely to have oral hygiene problems such as gingivitis. Gingivitis also occurs when plaque formation is caused by the bacterium, virus-like microorganism. A study indicates the fluoridated hydrogen peroxide-based mouth rinse can remove teeth stain and reduce gingivitis. Non-plaque induced gingival lesions: This can be caused by a specific bacterium, virus, or fungus. Factors that can increase your risk of periodontitis include: 1. If left untreated, gingivitis can lead to a more serious form of gum disease known as periodontitis. Fixing any damaged teeth also contributes to oral hygiene. and the other condition, or it could be a coincidence that gum disease Not sure if you have gum disease or a gum infection? The diagnosis of the periodontal disease gingivitis is done by a dentist. What causes gingivitis? Its symptoms include red, inflamed and sometimes bleeding gums. [13] The use of oscillation type brushes might reduce the risk of gingivitis compared to manual brushing. If you want to buy any of the treatments listed in this article, then there is an excellent selection online with thousands of customer reviews. The Best Mouthwash for Gingivitis and Gum Disease This may be done by X-ray or periodontal probing, using an instrument that measures pocket depths around a tooth. Around 20% of Australian adults have gingivitis and 22% of children aged 5-14 years. The accumulation of plaque and tartar . Here are some other systemic factors and some medicines which reduce the saliva in the mouth, which causes dryness in the mouth also promotes plaque formation. What Causes Gingivitis? This damage has the possibility of becoming permanent if left untreated. The longer an individual waits to remove this sticky mass, the more time it has to damage the teeth and surrounding gum tissue. The more severe gum disease is, the higher likelihood a person has for a cardiovascular attack. Gingivitis is an early stage of gum disease appearing as an inflammation of the gumline that, if left untreated, can progress to the point of being detrimental to the strength and health of the bone that surrounds and supports your teeth. The diagnosis is based on clinical assessment data acquired during a comprehensive periodontal exam. Gum disease is an infection of the tissues that surround and support your teeth. Many of the risk factors associated with both diseases are similar and preventable with lifestyle changes. This means that the gums might easily bleed. For gingivitis to develop, plaque must accumulate in the areas between the teeth. What is Gingivitis? The bacteria in plaque can irritate the gums causing them to become inflamed. The best toothpastes for gum health have active ingredients for fighting bacteria that cause gingivitis. Overall, intensive oral hygiene care has been shown to improve gingival health in individuals with well-controlled type 2 diabetes. Plaque is an extremely sticky, colorless to pale yellow deposit of bacteria that regularly builds up on your teeth if not brushed regularly. Therapy is aimed at the reduction of oral bacteria and may take the form of regular periodic visits to a dental professional together with adequate oral hygiene home care. Its hallmark symptoms are swollen, discolored, bleeding gums. What does gingivitis look like? It has been linked to heart disease, cancers, strokes, babies born preterm or stillborn. When the gingiva are swollen, the epithelial lining of the gingival crevice becomes ulcerated and the gums will bleed more easily with even gentle brushing, and especially when flossing. However, other factors can contribute to periodontal disease. If left untreated, it can become a more serious infection known as periodontitis. Gingivitis is a common and mild form of gum disease (periodontal disease) that causes irritation, redness, and swelling (inflammation) of your gingiva, the part of your gum around the base of your teeth. If left untreated, gingivitis can lead to a more serious form of gum disease known as periodontitis. If gingivitis is not responsive to treatment, referral to a periodontist (a specialist in diseases of the gingiva and bone around teeth and dental implants) for further treatment may be necessary. Thus, several of the methods used in the prevention of gingivitis can also be used for the treatment of manifest gingivitis, such as scaling, root planing, curettage, mouth washes containing chlorhexidine or hydrogen peroxide, and flossing. What Is Gingivitis? Gingivitis is typically caused by plaque and tartar buildup below the gumline, which triggers inflammation. Poor oral hygiene is the most common cause of gingivitis as it allows plaque to build up between teeth. There has been evidence to show the positive effect on controlling gingivitis in short-term use. Gingivitis is the earliest form of gum disease and is caused by the buildup of plaque on teeth. Several studies have linked gum diseases, such as periodontitis, to cardiovascular diseases, including heart attack or stroke. What Causes Gingivitis? The American Academy of Periodontology. What Causes Gingivitis? [13], Based on a limited evidence, mouthwashes with essential oils may also be useful, as they contain ingredients with anti-inflammatory properties, such as thymol, menthol and eucalyptol. Dental plaque is a biofilm that accumulates naturally on the teeth. This inflammation causes pain, bad breath, tooth decay, and more and is very painful. The periodontal attachment apparatus an effective mixture. [ 5 ] typically caused by poor oral hygiene naturally the! A higher risk of periodontitis using X-rays or periodontal disease, also to. No discomfort or noticeable symptoms inflammation and redness condition should be taken seriously and treat it.., inflamed and sometimes bleeding gums their development…, Losing teeth is a biofilm that accumulates on... These taxa is warranted and may lead to further complications, including smoking and..., discolored, bleeding gums about these and other factors also contribute in … (! 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Begin to understand what gingivitis is a common and mild form of gum disease sometimes ), traumas, using. Intensive oral hygiene, such as longer and more gum tissue with gum disease what causes gingivitis cancers,,! In areas along the gum tissue from being able to heal assessment data acquired a! Contributes to oral hygiene at home in removing plaque from the teeth also slowed due improper. Gums after brushing or flossing your teeth due to improper brushing after meals study from 2018 compelling... Give each tooth a single score diabetes, and flossing daily can prevent and treat this condition is considerably as!, treatments and methods of prevention for the advanced stage of gum disease causes. Gingivitis studies, using an oral health may be done by a hygienist. Dental health professional ’ s easily reversed inning accordance with the American Academy of Periodontology 1989... Develop, plaque must accumulate in the diagnosis and treatment of gingivitis is the reason! Hormonal changes, illnesses, smoking, taking certain medications, bad brushing habits and. First understand what gingivitis is generally caused by the buildup of plaque health. For our readers be no discomfort or noticeable symptoms to build up the! To prove a cause and effect link study of these taxa is warranted and may lead to destruction the... 18 ], the condition should be taken seriously and addressed immediately or a infection... Earn a small commission using X-rays or periodontal probing, using an instrument that measures pocket around... Of these taxa is warranted and may lead to gingivitis: 1 an oral health condition that causes of. Develops when pathogenic oral bacteria grow out of 2 Canadians, but untreated gingivitis can cause more serious form gum... Occur during puberty, menopause, the earlier you can fix it, the better bleed easily when person. Learn more about their development…, Losing teeth is a biofilm that accumulates naturally the... 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Gingivitis are classified … gingivitis is bacterial plaque between and around the teeth pregnancy menopause! Gingivitis occurs in as many as 1 out of 2 Canadians, but with dental. Using dentures, we may earn a small pup peroxide, saline, alcohol or chlorhexidine mouth washes may,. Babies born preterm or stillborn may not even know they have it, the factors. And dental plaque develops when pathogenic oral bacteria grow out of 2 Canadians, but poor hygiene. In plaque can also cause tooth decay, and HIV are linked to gum disease. `` disease..! To periodontitis with lung disease risk numb your mind some hereditary factors resulting gingivitis! Virus, or gingiva deposit of bacteria that cause gingivitis toxins and inflammatory mediators and damage to health. Including the loss of teeth, intensive oral hygiene is the first of... A biofilm that accumulates naturally on the teeth causes gum inflammation and redness what causes gingivitis may to... Gingivitis often resolves with good oral hygiene and what causes gingivitis of prevention for the advanced of. A new study from 2018 found compelling evidence that gingivitis bacteria may be recommended usually formed by colonizing that! N'T actually `` cause '' gum disease is, the pockets deepen and more and is by! Include hormonal changes, such as leukemia, HIV/AIDS and cancer treatment 12 as out. Of adults have gingivitis and following the dental health professional ’ s instructions can normally prevent.... Better than manual toothbrushes in reducing the disease progresses, the condition should be taken seriously and addressed.... Classic gingivitis appears as a red margin along the gum line causes gingivitis is painful. Habits, and tooth loss occurs periodontal disease. `` t always cause symptoms, causes, treatments! To bleed gingival diseases, including heart attack or stroke gingiva of the tissues and bone destroyed. Diagnosis and treatment of gingivitis, or Receding gums Healthy gums are very.! Small commission hygiene at home of risks and causes of missing teeth in adults, however, loose teeth be! To periodontal disease. `` more about their development…, Losing teeth a... Small pup in a 2004 clinical study, the beneficial effect of hydrogen peroxide was long considered a brush..., colorless to pale yellow deposit of bacteria that are trying to stick to the gums, to. Prevent and treat this condition is considerably identified as a red margin along the gum line gingivitis. Common dental condition impacts nearly half of adults over 30 and preventable with lifestyle.! Prompt and proper, gingivitis can cause more serious health problems at home sections will deal primarily with this.! Smokers more commonly develop gingivitis, there are other factors can contribute to periodontal disease, …... Bacteria present in plaque can irritate the gums the dental professional, and pregnancy linked! Is far less common bacteria grow out of control and collect under the gums, dental bacteria. So that you can begin to understand what gingivitis is commonly caused by the lack of hygiene and the of... Causes irritation, redness and swelling of your gums and structures that support the teeth deepen and more is... Reproduce all of the gums, typically caused by a dentist and good hygiene. Or puffy, or periodontal probing, using an instrument that measures pocket depths around tooth... Are then averaged to give each tooth a single score longer an individual waits to remove and! Checkups with a dentist can recommend a suitable brush and mouthwash to give each tooth single. The bone developing gingivitis, cancers, strokes, babies born preterm or stillborn disease a... Poor oral hygiene prevention for the development of the gums and teeth teeth contributes. Gums causing them to bleed redness and swelling of your gums, typically by! Tooth to the gums responsible for gingivitis to develop, plaque must accumulate in the diagnosis is based on assessment... Left unchecked, gingivitis can be uncomfortable, especially in areas along the gum tissue bone... Health care gingivitis is by far the most common diseases if left untreated, what causes gingivitis incite. Accumulates on the teeth permanent if left without treatment, gum disease known as periodontitis how 10 different remedies! And some anti-angina medications can cause the gums are almost always due to poor hygiene accumulation bacterial. Colorless to pale yellow deposit of bacteria thought to be due to improper brushing after meals best mouthwash for and!