These may include poor oral hygiene, medications that suppress the immune system, viral infections, stress, uncontrolled diabetes, excessive alcohol consumption, tobacco use, and hormonal changes because of pregnancy.
नतीजा, मसूड़ों के नीचे प्लाक बढ़ने लगता है और उसमें जीवाणु अपना अड्डा बनाने लगते हैं ।