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You say you brush and floss regularly... Your bleeding gums tell me that is a lie. Dentaltown - Dentally Incorrect

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Bacteria causing tooth decay convert sugars into acid byproducts that can lead to break down in tooth structure and manifest as a cavity. Disease progression results from shift in imbalance in mouth and dental plaque that can be contributed by patient behaviors like diet composition and frequency, oral hygiene, and fluoride exposure.