I personally think it is a combination of things...
Low Vit D... dry mouth, poor calcium intake, low antioxidant values, low Vit C. etc.
Periodontal disease seems to strike certain people and spare others. Sometimes I think it is the simple fact of pH of the saliva.
My dentist told me once, there are people who make tons of tartar and others make little. It all has to do with the pH of the saliva. I am in the low tartar group, luckily.
I know you don't want to hear this but..... smoking is a huge factor. (sorry)
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Weezie looking at petunias 8.25.2017
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