Periodontal disease

Hello all
I am Bororu (DA).
This time, I will share the topic of what causes periodontal disease.
The direct causes are plaque (gum disease bacteria), and tartar (plaque) is the immediate factor that causes periodontal disease. Gingivitis and periodontitis can be improved by removing plaque. Some people think of plaque as food particles, but it is a sticky barrier created by periodontal disease bacteria and tooth decay bacteria to protect themselves.
When this plaque absorbs calcium from body fluids and calcifies, it becomes tartar, a breeding ground for plaque. It is said that there are more than 100 million microorganisms in 1 mg of plaque, and the acids released by periodontal disease bacteria and tooth decay bacteria can cause damage to teeth, gums, and alveolar bones.

1. Local factors that promote the activity of periodontal disease bacteria
a/Traumatic occlusion:
When you bite, all your teeth don`t hit evenly, and only some teeth hit particularly hard. This causes some of the teeth that hit hard to move more than normal teeth, causing the space between your teeth and gums to move. The groove widens, and a periodontal pocket is formed. Plaque invades these periodontal pockets, and periodontal disease progresses.
b/Mouth breathing:
Breathing through your mouth dries out your mouth and weakens the immune system of saliva.
c/Eating habits:
Just as soft and sweet foods feed tooth decay bacteria, they also feed periodontal disease bacteria. Eat hard foods that require you to use your jaw and chew them thoroughly to produce more saliva. Brushing your teeth after meals is also crucial for preventing periodontal disease.

2. Systemic factors that advance periodontal disease:
a/Stress:
Excessive stress has been reported to cause a decline in immune function and accelerate the progression of periodontal disease.
b/Smoking:
The tar continued in cigarettes adheres to the surface of your teeth, making them rough and making it easier for plaque to build up. Next, nicotine and other substances constrict blood vessels, impair blood circulation to the gums, inhibit the supply of oxygen and nutrients to tissues, and impair the function of white blood cells and other immune cells that protect the body from bacteria. In this way, the inside of the mouth becomes susceptible to periodontal disease, reducing the resistance to periodontal disease and causing the disease to progress.
c/Juvenile periodontitis:
It develops around the age of 11 to 13, after the permanent teeth have erupted, and is more common in girls than boys. The causes are infection by particular bacteria, as well as genetic predisposition. It is widespread in girls and is thought to be caused by increased secretion of the female hormone estrogen during adolescence, which causes a decline in the function of white blood cells. Treatment is the same as for adult periodontitis.
d/Pregnancy:
During pregnancy, the secretion of the female hormone estrogen also increases.
e/Osteoporosis:
A lack of the female hormone estrogen causes bones throughout the body to become brittle and easily break. The same goes for the bones around the teeth, which tend to dissolve more easily and accelerate the progression of periodontal disease.

Thank you for the reading. I hope this will be helpful for your knowledge.