La causa de esta enfermedad insidiosa proviene de las bacterias productoras de placa, que se encuentran entre las casi 500 especies de bacterias en la boca. Las bacterias que causan la enfermedad periodontal viven en ausencia de aire, como se caliente, oscuro y cido. Proporcionan la sensacin peluda en los dientes al despertar. La bio pelcula cida forma un escudo pegajoso, resistente al agua alrededor del diente, llamado placa bacteriana. Agua sola (silbante o irrigacin oral) no puede penetrar esta barrera de grasa para quitar la placa. Adems, las encas actan como una junta alrededor del diente, evitando ms aire o agua a alcance a las bacterias “aire odiar” a lo largo de la lnea de las encas, lo hace especialmente difcil la limpieza.
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