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Gum infections and tooth decay, though usually caused by poor dental hygiene have several other predisposing factors, such as chain smoking, diabetes, or even high risk medications, not to mention genetic influences. Gingivitis is perhaps the most common gum condition that may remain unnoticed for years before progressing to periodontitis. At this stage it needs immediate medical attention, whether it means medication or removal of sustained plaque buildup by a qualified dental hygienist, as it could affect nearby bone and tissue eventually causing tooth loss. Any gum problem must be addressed by your dentist in Maryville, TN, or referred to a trained specialist as necessary. Best resolved in the early stages where there is bleeding and swollen gums, or even plain bad breath, extreme tooth sensitivity can also be a common symptom of gum trouble.