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Factors that may cause or contribute to periodontal disease include: oral hygiene issues crooked teeth damaged or faulty fillings bridges or partial dentures that no longer fit a genetic predisposition hormonal changes due to pregnancy or oral contraceptives medications that cause dry mouth specific disorders such as Down syndrome and Crohns disease stress smoking or the use of any tobacco product diabetes advanced age There are In periodontitis, the gum and connective tissues pull away, and a pocket forms between the tooth and gum that can collect bacteria