What can make gum disease worse?

There are several factors that can make gum disease worse, including:

1. Poor oral hygiene: Not brushing and flossing your teeth properly can allow plaque and bacteria to build up, which can lead to gum disease.

2. Smoking: Smoking damages the gums and makes them more susceptible to infection.

3. Dry mouth: A lack of saliva can reduce the mouth's natural defenses against bacteria, which can lead to gum disease.

4. Diabetes: People with diabetes are more likely to develop gum disease.

5. Hormonal changes: Women who are pregnant or going through menopause may experience changes in their hormone levels that can make them more susceptible to gum disease.

6. Certain medications: Some medications, such as steroids and birth control pills, can cause gum disease as a side effect.

7. Genetics: Some people may be more genetically predisposed to developing gum disease.

8. Poor nutrition: A diet that is lacking in nutrients that are important for gum health, such as vitamin C and calcium, can make gum disease worse.

9. Stress: Chronic stress can affect the immune system and make it more difficult for the body to fight off gum disease.

10. Certain medical conditions: Some medical conditions, such as HIV/AIDS and leukemia, can make it more difficult for the body to fight off gum disease.

11. Misaligned bite: Improperly aligned teeth or jaws can contribute to gum disease by placing excessive force on the gums.

12. Acid Reflux: The frequent reflux of stomach acid into the mouth can damage the teeth and gums, leading to gum disease.

13. Compromised immune system: Conditions that weaken the immune system, such as autoimmune disorders or cancer treatment, can make it harder to fight off gum infections.