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Poor maintenance of the teeth, usually inadequate or improper brushing and flossing, result in a thin layer of plaque covering the tooth surface. With time, plaque may harden to form tartar. The bacteria is the chief culprit behind the inflammation. The gums become tender, red, swollen and bleeds easily upon contact, e.g., during brushing. Bleeding of the gums is often the first indication of the onset of gum disease (periodontal disease). Unfortunately, this sign is seldom taken seriously because there is no pain and the warning is therefore ignored. Bleeding of the gums is often the first indication of the onset of gum disease (periodontal disease). Unfortunately, this sign is seldom taken seriously because there is no pain, and the warning is therefore ignored.

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