Severe Gingivitis: Causes, Symptoms & Treatment
Severe Gingivitis: Causes, Symptoms & Treatment Gingivitis grave, often referred to as advanced periodontitis, is an advanced stage of gum disease that requires prompt attention. It occurs when untreated gingivitis progresses and leads to inflammation and infection of the gums, potentially causing irreversible damage to the surrounding tissues and bone.
What causes severe gum disease? Gingivitis grave can develop due to a variety of factors, including poor oral hygiene habits, decayed gums, plaque buildup, and the presence of harmful bacteria. Lifestyle factors, such as smoking, and medical conditions like diabetes can also contribute to the development and progression of severe gum disease.
The symptoms of gingivitis grave are indicators of the advanced nature of the condition. These symptoms include persistent gum inflammation, bleeding gums, bad breath, receding gums, loose teeth, and even pus formation around the gums. It is crucial to be aware of these gum infection symptoms and seek professional dental care to prevent further damage.
Upon visiting a dental professional, a comprehensive examination will be conducted to diagnose the severity of gingivitis grave. This may involve periodontal probing, imaging techniques, and a detailed assessment of your oral health. Dental experts, such as those at the Acibadem Healthcare Group, can accurately diagnose and determine the appropriate treatment plan based on the individual’s condition.
If left untreated, severe gum disease can have significant consequences for overall oral health. It can lead to tooth loss, bone loss, and even impact systemic health. Timely treatment is essential to prevent these repercussions and restore oral health.
Various treatment options are available for severe gingivitis, ranging from non-surgical approaches to surgical interventions. Non-surgical techniques like scaling and root planing can effectively remove plaque and tartar, while surgical procedures such as periodontal surgery may be necessary for more advanced cases. A personalized treatment plan designed by a dental professional will address the individual’s specific needs.
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ACIBADEM Health Point, we are dedicated to providing exceptional healthcare services to our patients. With a team of highly skilled medical professionals and state-of-the-art facilities, we strive to deliver the highest standard of care to improve the health and well-being of our patients. What sets ACIBADEM Health Point apart is our patient-centered approach. We prioritize your comfort, safety, and satisfaction throughout your healthcare journey. Our compassionate staff ensures that you receive personalized care tailored to your unique needs, making your experience with us as seamless and comfortable as possible.Prevention is always better than cure when it comes to gum disease. By maintaining proper oral hygiene practices, such as regular brushing and flossing, attending routine dental visits, and following a healthy diet and lifestyle, you can significantly reduce the risk of developing severe gum disease.
Even after receiving treatment for gingivitis grave, it is important to maintain proper oral hygiene and continue regular follow-up visits with a dental professional. This ensures long-term gum health and prevents the recurrence of gum disease.
Professional dental care plays a crucial role in preventing, detecting, and treating severe gum disease. Dental healthcare providers like the Acibadem Healthcare Group offer specialized expertise and comprehensive services to support individuals on their journey towards healthier gums.
Regular periodontal maintenance appointments are vital for individuals with a history of severe gum disease. These appointments involve monitoring the health of your gums, professional cleanings, and assessments to detect any signs of recurrence or worsening. They are key to maintaining long-term gum health.
When it comes to gingivitis grave, seeking timely professional treatment is of utmost importance. Neglecting gum health can result in severe consequences, affecting both oral and overall health. Take the necessary steps to restore and maintain healthy gums by consulting with a qualified dental professional today.
Understanding Gingivitis Grave
Gingivitis grave, also known as severe gum disease, is an advanced form of periodontal disease that causes inflammation and damage to the gums. It is important to understand the symptoms and characteristics that distinguish this condition from milder forms of gum disease to ensure timely treatment and prevent further complications.
During the stage of gingivitis grave, the gingiva, or gum tissue, becomes inflamed and may appear red, swollen, and sensitive to touch. This inflammation is a result of the body’s immune response to the bacteria and plaque buildup along the gumline. If left untreated, the inflammation can progress, leading to further damage to the gums and even the underlying bone.
One of the key symptoms of gingivitis grave is gum infection symptoms, such as persistent bad breath, bleeding gums, and gum recession. Individuals may also experience pain or discomfort when chewing or brushing their teeth. It is important to note that these symptoms may vary from person to person, and a proper diagnosis from a dental professional is essential.
Causes of Severe Gingivitis
In this section, we will examine the underlying causes of severe gingivitis, a condition characterized by the inflammation and decay of gums. Understanding the root causes of this advanced stage of gum disease is essential for preventing its progression and implementing the most effective treatment plan.
Poor Oral Hygiene
Poor oral hygiene practices play a significant role in the development of severe gingivitis. Failing to brush and floss regularly allows plaque to accumulate along the gumline, leading to bacterial growth and gum inflammation. Over time, this can result in the decay of gums and the onset of advanced periodontal disease.
Plaque Buildup
Plaque, a sticky film of bacteria that forms on the teeth, is a primary contributor to severe gingivitis. When plaque is not properly removed through regular brushing and flossing, it hardens into tartar, which irritates the gums and causes them to recede. This exposes the tooth roots and creates an environment conducive to gum decay.
Bacterial Infections
Bacterial infections, particularly those caused by specific strains such as Porphyromonas gingivalis and Tannerella forsythia, can lead to severe gum disease. These bacteria thrive in the oral cavity and can trigger an inflammatory response, damaging the surrounding gum tissues and resulting in decayed gums.
Lifestyle Factors
Several lifestyle factors can contribute to the development of severe gingivitis. Smoking, for example, weakens the immune system and inhibits the body’s natural ability to fight off infections, including those affecting the gums. Additionally, a diet high in sugary and acidic foods can promote bacterial growth and plaque accumulation, accelerating gum decay.
Medical Conditions
Certain medical conditions can increase the risk of severe gingivitis. Conditions such as diabetes and HIV/AIDS compromise the immune system, making individuals more susceptible to infections and inflammation, including gum disease. Hormonal changes during pregnancy and menopause can also contribute to the development of advanced periodontal disease.
By understanding the causes of severe gingivitis, individuals can take proactive measures to prevent its onset or seek early treatment if symptoms arise. Next, we will explore the common symptoms associated with this advanced stage of gum disease.
Symptoms of Gingivitis Grave
Gum disease, particularly when it reaches the severe stage, can have noticeable symptoms that require prompt attention. Recognizing the common gum infection symptoms is crucial for early detection and seeking professional dental care. Here are some signs to look out for:
- Bleeding gums: One of the most common symptoms of severe gum disease is regular bleeding when brushing or flossing. This occurs when inflamed gums become more fragile and susceptible to bleeding.
- Receding gums: As the gum disease progresses, the gumline may start to recede, making the teeth appear longer. Receding gums can expose the roots of the teeth, leading to sensitivity and an increased risk of dental decay.
- Persistent bad breath: Chronic halitosis or bad breath is another symptom of severe gum disease. The presence of bacteria in the mouth can cause an unpleasant odor that can persist even after brushing and using mouthwash.
- Pain or discomfort: Deep gum pockets caused by advanced periodontitis can harbor bacteria and lead to pain and discomfort in the gums. This can be felt as tenderness, soreness, or even toothaches.
- Loose or shifting teeth: As gum disease advances, the supporting structures of the teeth can be compromised, resulting in loose teeth or changes in tooth alignment. It is crucial to address these symptoms promptly to prevent tooth loss.
Early detection of these gum infection symptoms is key to preventing further damage and seeking appropriate treatment. If you experience any of these signs, it is important to schedule an appointment with a dental professional for a comprehensive evaluation and personalized treatment plan.
Diagnosing Severe Gum Disease
When it comes to identifying gingivitis grave or severe gum disease, dental professionals rely on a range of diagnostic methods to assess the extent and severity of the condition. These diagnostic techniques play a crucial role in guiding the appropriate treatment plan for patients.
The Acibadem Healthcare Group offers advanced diagnostic services to accurately diagnose gum infections and provide personalized care for patients. Some of the common diagnostic methods used by dental professionals include:
- Comprehensive Dental Exams: A thorough evaluation of the patient’s oral health is conducted, encompassing a detailed examination of the gums, teeth, and supporting structures. This allows the dentist to identify any signs of gum infection or severe gum disease.
- Periodontal Probing: This procedure involves measuring the depth of the pockets around the teeth using a periodontal probe. Deeper pockets indicate advanced gum disease, while healthy gums have shallow pockets.
- Imaging Techniques: X-rays and advanced imaging methods like cone beam computed tomography (CBCT) can provide a comprehensive view of the oral structures. These images allow dentists to assess bone loss, tooth mobility, and other signs of severe gum disease.
By combining these diagnostic tools and techniques, dental professionals can accurately diagnose severe gum disease and determine the most appropriate treatment options for each patient.
| Diagnostic Methods | Benefits |
|---|---|
| Comprehensive Dental Exams | – Identify signs of gum infection and severe gum disease – Evaluate overall oral health |
| Periodontal Probing | – Measure pocket depth to determine gum health – Assess the severity of gum disease |
| Imaging Techniques | – Provide a comprehensive view of oral structures – Identify bone loss and tooth mobility |
The Impact of Severe Gum Disease on Oral Health
Untreated severe gum disease, also known as advanced periodontitis, can have serious consequences on both oral health and overall well-being. When left unaddressed, this condition can progress, causing irreversible damage and potentially leading to tooth loss, bone loss, and systemic health complications.
One of the primary effects of severe gum disease is the destruction of the supporting structures that hold teeth in place. The infection can cause the gums to recede, exposing the roots of the teeth and leading to increased sensitivity. As the disease progresses, pockets form between the gums and the teeth, harboring bacteria that further damage the tissues and bone supporting the teeth. This can eventually result in tooth loss, affecting not only the appearance but also the ability to bite, chew, and speak properly.
In addition to tooth loss, untreated severe gum disease can lead to significant bone loss in the jaw. The chronic inflammation and infection caused by the disease can break down the bone structure that supports the teeth, weakening the foundation. This can lead to loose or shifting teeth and even structural changes in the face.
Beyond its impact on oral health, severe gum disease has been linked to systemic health conditions. Research has indicated possible associations between advanced periodontitis and cardiovascular disease, respiratory infections, and diabetes. The chronic inflammation caused by gum disease can contribute to the development or worsening of these conditions, highlighting the importance of addressing severe gum disease promptly.
The Importance of Periodontal Disease Treatment
Effective periodontal disease treatment is essential in halting the progression of severe gum disease and preventing further damage. Seeking professional dental care is crucial to develop a personalized treatment plan that addresses the specific needs of each individual.
Periodontal disease treatment typically involves a combination of non-surgical and surgical interventions. Non-surgical treatments, such as scaling and root planing, aim to remove plaque and tartar buildup from the tooth surfaces and root surfaces, reducing inflammation and promoting gum healing. Surgical interventions may be necessary in cases where non-surgical treatments are not sufficient. These procedures can include gum grafting, bone grafting, and pocket reduction surgery to repair or regenerate damaged tissues and improve overall oral health.
Regular periodontal maintenance appointments are also crucial for individuals with a history of severe gum disease. These appointments involve professional cleanings, comprehensive assessments of gum health, and monitoring for any signs of disease recurrence or progression. Maintaining a diligent oral hygiene routine and following the recommendations of the dental professional are vital in preventing the reoccurrence and advancement of severe gum disease.
Treatment Options for Severe Gingivitis
When it comes to treating severe gingivitis, there are various options available to restore gum health and prevent further progression of the disease. The appropriate treatment approach depends on the severity of the condition and the individual’s specific needs.
Non-surgical Techniques:
Non-surgical techniques are often the first line of treatment for severe gingivitis. These methods aim to remove plaque and tartar buildup, reduce inflammation, and promote gum healing. One common non-surgical treatment is scaling and root planing.
Scaling and Root Planing:
Scaling and root planing is a deep cleaning procedure performed by dental professionals. It involves removing plaque and tartar from the tooth surfaces and smoothing the root surfaces to eliminate bacterial toxins. This procedure helps to control infection, reduce gum inflammation, and prevent further damage to the gums and underlying bone.
Surgical Interventions:
In some cases, surgical interventions may be necessary to treat severe gingivitis. Periodontal surgery is a common surgical option that aims to repair and regenerate damaged gum and bone tissue. It is typically recommended for individuals with advanced periodontitis.
Periodontal Surgery Options:
There are different types of periodontal surgery options available, depending on the extent of the gum disease. Some common periodontal surgical procedures include:
| Procedure | Description |
|---|---|
| Flap Surgery | A procedure in which the gums are lifted to remove tartar and infected tissue. The gums are then repositioned to fit snugly against the teeth. |
| Bone Grafting | A surgical technique used to replace or regenerate lost bone around the teeth. This helps to strengthen the teeth and provide support. |
| Tissue Grafting | A procedure that involves taking tissue from another part of the mouth and using it to cover exposed tooth roots or fill in areas where gums have receded. |
| Gingivectomy | A surgical procedure to remove and reshape excess gum tissue, allowing for better access to clean the teeth and prevent further infection. |
It’s important to note that not everyone with severe gingivitis will require surgery. Your dental professional will evaluate your condition and recommend the most suitable treatment option based on your specific needs.
Following a Personalized Treatment Plan:
Regardless of the treatment option chosen, it’s crucial to follow a personalized treatment plan for optimal results. This may include regular dental visits, maintaining good oral hygiene practices at home, and making necessary lifestyle changes to support gum health.
By seeking timely treatment and following a comprehensive care plan, individuals with severe gingivitis can effectively manage the condition, prevent further damage, and restore their gum health.
Preventing Severe Gum Disease
Preventing severe gum disease is essential for maintaining optimal oral health. By following these oral hygiene tips for gum health, you can effectively minimize the risk of gum issues and enjoy a healthy, vibrant smile.
1. Brush Regularly and Properly
Brushing your teeth at least twice a day is crucial for removing plaque and bacteria that can lead to gum disease. Use a soft-bristled toothbrush and fluoride toothpaste to gently clean your teeth, gums, and tongue. Remember to brush in small circular motions and pay attention to all areas, including the gumline.
2. Floss Daily
Flossing is an important step in oral hygiene that should not be overlooked. Regular flossing helps remove food particles and plaque from between your teeth and along the gumline, where a toothbrush cannot reach. Be gentle and thorough when flossing to avoid injuring your gums.
3. Choose the Right Mouthwash
Using an anti-bacterial mouthwash can further assist in preventing gum disease. Look for a mouthwash that specifically targets plaque and gum issues. Rinse your mouth with the mouthwash for the recommended time to ensure maximum effectiveness.
4. Visit Your Dentist Regularly
Regular dental check-ups and cleanings are essential for maintaining gum health. Your dentist can detect early signs of gum disease and provide professional cleanings to remove stubborn plaque and tartar. Follow your dentist’s recommended schedule for routine visits.
5. Maintain a Healthy Lifestyle
A healthy lifestyle plays a significant role in preventing gum disease. Eat a well-balanced diet rich in fruits, vegetables, and whole grains. Limit sugary snacks and beverages, as they can contribute to the buildup of plaque. Avoid smoking or using tobacco products, as they can increase your risk of gum disease.
By following these oral hygiene tips for gum health and incorporating them into your daily routine, you can take proactive steps towards preventing severe gum disease and maintaining a healthy smile for years to come.
Maintaining Gum Health After Treatment
Once severe gingivitis has been addressed and treated, it is crucial to maintain gum health to prevent future complications. Following the recommended post-treatment care routine can help ensure long-term gum health and reduce the risk of recurrent gum infection symptoms and decayed gums.
Oral Hygiene Practices for Healthy Gums
Effective oral hygiene practices play a significant role in maintaining gum health after treatment. The following tips can help:
- Brush your teeth thoroughly twice a day using a soft-bristled toothbrush.
- Use a fluoride toothpaste to help prevent tooth decay and promote gum health.
- Floss daily to remove plaque and food particles from between the teeth and along the gumline.
- Consider using an antimicrobial mouthwash to reduce bacteria and promote fresh breath.
- Replace your toothbrush every three to four months or sooner if the bristles become frayed.
Lifestyle Changes for Gum Health
In addition to maintaining proper oral hygiene, certain lifestyle changes can contribute to overall gum health:
- Eat a well-balanced diet rich in fruits, vegetables, whole grains, and lean proteins to provide essential nutrients for gum tissue.
- Avoid tobacco products, as they can impair gum healing and increase the risk of gum disease.
- Manage stress levels through activities such as exercise, meditation, or yoga, as stress can negatively impact gum health.
- Stay hydrated by drinking plenty of water, as it helps flush out bacteria and promote saliva production.
Ongoing Follow-up with a Dental Professional
Regular follow-up visits with a dental professional are essential for maintaining optimal gum health. These visits allow the dental team to monitor your gum health and address any concerns or gum infection symptoms that may arise. It is recommended to schedule professional dental cleanings and examinations every six months or as advised by your dentist.
The Role of Professional Dental Care
When it comes to the prevention, early detection, and treatment of severe gum disease, professional dental care plays a crucial role. Reputable dental healthcare providers, such as the Acibadem Healthcare Group, offer a wide range of expertise and specialized services to address periodontal disease effectively.
Periodontal disease treatment requires the knowledge and skills of dental professionals who understand the complexities of gum health. At Acibadem Healthcare Group, our team of experienced dentists and periodontists are dedicated to providing comprehensive care for patients with severe gum disease.
Our approach to periodontal disease treatment involves a personalized plan tailored to each patient’s unique needs. We believe in the importance of early intervention to prevent the progression of gum disease and ensure optimal oral health.
Comprehensive Diagnosis and Assessment
At Acibadem Healthcare Group, we utilize advanced diagnostic techniques to accurately assess the severity of periodontal disease. Through comprehensive dental exams, periodontal probing, and imaging, our dental professionals can determine the extent of gum infection and develop an appropriate treatment plan.
Non-Surgical and Surgical Interventions
Depending on the stage of gum disease and individual patient needs, we offer both non-surgical and surgical treatment options. Non-surgical techniques, such as scaling and root planing, aim to remove plaque and tartar buildup, allowing the gums to heal. In more severe cases, our skilled periodontists perform periodontal surgeries to address deep pockets, receding gums, and other complications.
Post-Treatment Support and Maintenance
At Acibadem Healthcare Group, we understand the importance of ongoing care and maintenance after periodontal disease treatment. Our dental professionals provide guidance on oral hygiene practices, lifestyle changes, and regular follow-up appointments to ensure the long-term success and stability of gum health.
With the expertise and specialized services offered by Acibadem Healthcare Group, individuals with severe gum disease can receive the comprehensive care they need to restore and maintain healthy gums. Don’t let periodontal disease compromise your oral health; seek professional dental care today.
Importance of Periodontal Maintenance
For individuals with a history of advanced periodontitis, regular periodontal maintenance appointments are crucial for ensuring long-term gum health. Periodontal maintenance goes beyond routine dental cleanings and plays an essential role in preventing the recurrence of gum infection symptoms and managing the progression of gum disease.
During these maintenance visits, dental professionals assess the condition of the gums and perform specialized cleaning procedures to remove plaque and tartar buildup. This thorough cleaning helps eliminate bacteria that contribute to gum infection symptoms and prevents further damage to the gums and supporting structures.
In addition to professional cleanings, periodontal maintenance appointments involve comprehensive gum assessments. These assessments may include measurements of pocket depth, evaluation of gum recession, and assessment of overall gum health. By regularly monitoring these factors, dental professionals can identify any changes or signs of reemerging or worsening gum disease.
One of the key benefits of periodontal maintenance is the opportunity for personalized care and guidance. Dental professionals can provide individualized oral hygiene instruction, helping patients develop effective at-home cleaning practices to maintain optimal gum health. They may recommend specific tools or techniques tailored to each patient’s needs, ensuring they can effectively manage their gum disease and prevent its progression.
To highlight the significance of periodontal maintenance, here is a comparison table showcasing the fundamental differences between routine dental cleanings and specialized periodontal maintenance appointments:
| Routine Dental Cleanings | Periodontal Maintenance Appointments | |
|---|---|---|
| Procedure | Cleaning of teeth surfaces to remove plaque and tartar | Thorough cleaning of teeth surfaces, including below the gumline, to remove plaque, tartar, and bacteria |
| Frequency | Typically every 6-12 months | Every 3-4 months or as recommended by the dental professional |
| Gum Assessment | Not typically conducted | Evaluation of gum health, pocket depth, gum recession, and signs of gum disease |
| Individualized Care | Limited guidance on at-home oral hygiene | Personalized instruction, tools, and techniques for effective home care |
By prioritizing regular periodontal maintenance appointments, individuals with a history of advanced periodontitis can actively manage their gum health and minimize the risk of gum infection symptoms and further damage to their teeth and gums. Consult a trusted dental professional to schedule these crucial appointments and receive the personalized care needed for long-term gum health.
Seeking Treatment for Gingivitis Grave
If you are experiencing symptoms of severe gum disease, known as gingivitis grave, it is crucial to seek timely professional treatment. Untreated gingivitis grave can lead to serious complications and potentially irreversible damage to your oral health. Fortunately, there are a variety of effective periodontal disease treatments available that can help restore and maintain healthy gums.
When searching for a qualified dental professional to address your periodontal needs, it is essential to consider their expertise in periodontal disease treatment. Look for a dentist or periodontist who specializes in gum health and has experience in treating severe gum diseases like gingivitis grave. Acibadem Healthcare Group, for example, is a reputable provider known for its expertise in comprehensive periodontal care.
Neglecting the health of your gums can have serious consequences. Severe gum disease not only leads to tooth loss and bone loss but has also been linked to various systemic health conditions. By seeking treatment for gingivitis grave, you can lower the risk of these complications and regain a healthy smile.
Don’t wait until it’s too late. Take proactive steps towards restoring and maintaining healthy gums by seeking professional treatment for gingivitis grave. Your dental professional will devise a personalized treatment plan tailored to your specific needs, utilizing various periodontal disease treatment options available, such as scaling and root planing or, if necessary, periodontal surgery. Remember, maintaining your gum health is vital for your overall well-being.
FAQ
What is severe gingivitis?
Severe gingivitis, also known as gingivitis grave or advanced periodontitis, is a severe gum disease characterized by significant inflammation, bleeding, and damage to the gums and supporting structures of the teeth.
What are the symptoms of severe gum disease?
Common symptoms of severe gum disease include bleeding gums, receding gums, persistent bad breath, loose teeth, and gum sensitivity. If you experience any of these symptoms, it is important to seek professional dental care.
What causes severe gingivitis?
Severe gingivitis is primarily caused by poor oral hygiene habits, leading to the buildup of plaque and tartar on the teeth and gumline. Other contributing factors include smoking, genetic predisposition, certain medical conditions, and hormonal changes.
How is severe gum disease diagnosed?
Dental professionals diagnose severe gum disease through a comprehensive dental exam, periodontal probing to assess pocket depth, and imaging techniques such as X-rays and dental scans to evaluate the extent of damage to the gums and jawbone.
What are the treatment options for severe gingivitis?
Treatment options for severe gingivitis include non-surgical techniques such as scaling and root planing to remove plaque and tartar, as well as surgical interventions like periodontal surgery to repair damaged gum tissue and restore gum health.
How can I prevent severe gum disease?
To prevent severe gum disease, it is important to maintain a good oral hygiene routine, including regular brushing and flossing, along with routine dental visits for professional cleanings and check-ups. A healthy diet and lifestyle choices also contribute to gum health.
What is the role of professional dental care in treating severe gum disease?
Professional dental care plays a crucial role in the prevention, early detection, and treatment of severe gum disease. Reputable dental healthcare providers, such as the Acibadem Healthcare Group, offer specialized services and expertise in periodontal disease treatment.
How can I maintain gum health after treatment for severe gingivitis?
After treatment for severe gingivitis, it is important to follow proper oral hygiene practices, including regular brushing and flossing. Lifestyle changes, such as quitting smoking and maintaining a healthy diet, also contribute to long-term gum health. Regular follow-up visits with a dental professional are essential for monitoring and maintaining gum health.
Why is it important to seek treatment for severe gingivitis?
Seeking timely professional treatment for severe gingivitis is crucial to prevent further damage to the gums and supporting structures of the teeth. Neglecting gum health can lead to tooth loss, bone loss, and potential systemic health complications.
How can I find a qualified dental professional for treating severe gum disease?
To find a qualified dental professional, you can ask for recommendations from friends, family, or your general dentist. You can also research reputable dental healthcare providers, such as the Acibadem Healthcare Group, that specialize in periodontal disease treatment.
Why is ongoing periodontal maintenance important for individuals with severe gum disease?
Regular periodontal maintenance appointments are essential for individuals with a history of severe gum disease. These appointments involve professional cleanings, gum assessments, and monitoring to ensure long-term gum health and prevent the recurrence of severe gingivitis.
How can severe gum disease impact overall oral health?
Severe gum disease can lead to tooth loss, bone loss, and deteriorated oral health if left untreated. It can also contribute to broader systemic health issues, emphasizing the importance of timely treatment and ongoing oral care.
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