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Common signs include: Red, swollen gums Bleeding gums during brushing or flossing Bad breath Receding gums Tender gums Causes and Risk Factors Causes of Gingivitis The primary cause of gingivitis is poor oral hygiene, which leads to plaque buildup

The answers could possibly be due to limited access to health care, lack of economical resources, and fear may impede some from getting care early

By the late 1990s, however, increased global competition and rising costs made it difficult for the family business to remain viable