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Periodontal Disease
Damaging and sometimes irreversible periodontal tissue changes often begin during the late adolescent period.

Periodontitis: Inflammation of the periodontium and especially the periodontal membrane .
Periodontitis occurs when
Gingivitis: Inflammation or infection of the gums.
gingivitis is left untreated. Plaque and tartar accumulate at the gum line and the resultant inflammation leads to formation of a pocket between the gums and the teeth. The infection and inflammation can then spread from the gingiva to the ligaments and bones that support the teeth. This loss of support causes the teeth to become loose and to eventually fall out.

Periodontitis is the number one cause of tooth loss in adults. Signs and symptoms of periodontal disease include gums that are swollen, bright red, tender to touch, and bleed easily.
Halitosis: A condition of having fetid breath.
Halitosis and loose permanent teeth can also be signs of this disease.

Both internal hormonal changes and external factors can affect the periodontal tissues of the adolescent. In one study, approximately 73% of 13- to 17-year-olds had some periodontal bleeding and 60% of 13- to 17-year-olds had 1 mm or greater loss of periodontal attachment in at least one area of the mouth. More boys than girls had loss of periodontal attachment, moderate and deep pockets, and recession.
Periodontal disease is very common among adolescents.
Periodontitis is the number one cause of tooth loss in adults.
Pubertal hormonal changes, hormonal contraceptives, and pregnancy all increase the risk of developing periodontitis.
Tobacco use significantly increases the risk for development of periodontal disease.
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