How is poor oral hygiene a risk factor for periodontal disease?

Plaque: Poor oral hygiene allows plaque to build up which harbors bacteria. The bacteria transform to a more malignant variety that first causes attachment loss then bone loss which is what we call periodontal disease.

Cause and effect: Bacteria cause gum disease. Toothbrushing only reaches 1mm below the gum and floss only removed 15% of plaque. You need something that can manage the environment so you can kill 99+% of the bacteria (j dent res 2007) and is better than deep cleaning (j clin dent 2012). Look into the perio protect method. It will help you manage the bacteria that cause the disease.