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But another form of tobacco, smokeless tobacco, also carries risks, even without the spark of a lighter
Some major contributors include: Accumulation of plaque and tartar bacterial biofilm irritates gum tissue Aggressive brushing or abrasive brushing techniques Misaligned bite or malocclusion , causing uneven pressures Teeth grinding or clenching (bruxism) Genetic predisposition some people have thinner tissue or weaker defenses Smoking / tobacco use reduces healing and increases disease risk Hormonal changes , immune conditions, chronic illness (e.g., diabetes) Poor dental restorations (roofs, crowns, bridges) with rough edges or margins under the gum Inadequate oral hygiene habits Periodontal pockets / deep gum infection breaking down support Because many patients have multiple overlapping risk factors, a holistic approach is necessary when planning treatment
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