Gum disease is caused by
Gum disease begins when plaque bacteria accumulate along the gum margin and trigger inflammation, while smoking, diabetes, medicines, and oral anatomy can.
The short answer
Plaque is a sticky bacterial film that forms on teeth. If it remains at the gum edge, the gum can become inflamed; mineralized plaque, called calculus, creates a rough surface that requires professional removal.

What is the direct answer?
What does this question mean?
Brush along the gumline with fluoride toothpaste and clean between teeth every day. A dental professional can remove calculus, measure pockets, review contributing conditions and medicines, and provide periodontal treatment when supporting tissues are affected.
What can you do next?
Seek an examination for bleeding, swollen or receding gums, persistent bad breath, pus, loose teeth, or changes in the bite. Rapid swelling or fever needs prompt care.
When should you seek dental care?
Ask which risk factors apply to you, whether pocket depth or bone loss is present, what cleaning is needed, and how smoking, diabetes, dry mouth, or medicines may change the plan.
Frequently asked questions
What is the most useful first step?
Seek an examination for bleeding, swollen or receding gums, persistent bad breath, pus, loose teeth, or changes in the bite. Rapid swelling or fever needs prompt care.
When should this be checked?
Ask which risk factors apply to you, whether pocket depth or bone loss is present, what cleaning is needed, and how smoking, diabetes, dry mouth, or medicines may change the plan.
