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Even if you are looking for specialist opinion, be sure to ask your family dentist in Maryville, TN, for referrals since this ensures that you consult with the right specialist and reputed one at that. Gum disease, which affects a startling majority of Americans, is often the result of poor oral hygiene which begins with plaque and tartar accumulation and may lead to severe bacterial infections. Decaying teeth and gum problems while pointing to the need for better oral hygiene may also be caused by genetic predisposition, tobacco use, or taking medication that have undesirable side effects. 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.