The only cause of periodontal disease is the dental microbial plaque, i.e. germs, which we either cannot properly remove with brushing, or we cannot remove although we do brush properly, because they are enclosed within the mass of tartar that only the dentist-Periodontologist can remove.
Aggravating factors influencing aggression as well as the speed of spread of periodontal disease are:
1. Inheritance-Periodontitis is related to the defense of our body. Some patients have weaker defensive cells compared to others.
2. Smoking-nicotine found in cigarettes causes vasoconstriction,which blocks our body vessels, making them smaller.Smaller vessels lead to weaker body defense against microbes.
4. Vascular disease