He explained that one of the main periodontal diseases is gingivitis, which consists of inflammation of the gums due mainly to the continuous presence of bacterial plaque
in that area of ??the oral cavity of people.
Even using water or antibacterial mouthwash right away could help remove the bacterial plaque
. Drinking juices, such as cranberryjuice, with a straw is a good choice because it limits the liquid's contact with the teeth.
In addition, newly erupted enamel tends to be more susceptible to demineralisation and acid attack from bacterial plaque
.  Furthermore, the consequences of untreated dental caries may lead to the inability to eat, thereby affecting nutritional intake in young children, lowering the body mass index and resulting in an inability to thrive.
Thus, this study aimed to investigate the association between these factors and the presence of mucosal changes and bacterial plaque
accumulation in the oral cavity of community-dwelling elderly.
Furthermore, the components of the appliances tend to reduce the physiological mechanism of self-cleansing by the tongue, cheeks, and saliva, thereby leading to increased accumulation of bacterial plaque
and the number of retentive sites for the sub layers and cause compression effects damaging the oral mucosa (31).
Before the placement of the RME appliances in the study group, oral hygiene training was given to the patients to manage bacterial plaque
. The appliances were then cemented to the patients' maxillary teeth, and the expansion screw was turned twice per day (1 turn= 0.25 mm) until the required expansion was achieved (Figure 1).
accumulation is the main cause of periodontal disease.
Regular removal of the plaque is important for the maintenance of good oral and dental health.14A consensus statement on oral hygiene concluded that bacterial plaque
can cause tooth decay, bad breath and gum diseases; that effective removal of dental plaque can result in the prevention or reduction of these diseases.12 Mechanical cleaning of the teeth is considered a reliable mean of controlling plaque, provided that cleaning is done thoroughly and performed on a regular basis.15,16
The weak sealing ability of the peri-implant nonkeratinized tissue , thecritical bacterial plaque
control in some patients , pain, and discomfort are the main reasons for justifying a gingival graft on the implant site  with absence of KM using a mandibular fixed implant.
The bacterial plaque
becomes calcified into a bacterial tartar, which will require scaling off under general anaesthetic.
Whilst mechanical controls such as twice daily brushing and daily flossing can help control the microbial populations, it has been proposed that additional methods are required to control bacterial plaque
formation, such as with the use of antimicrobial dentrifices or anti-plaque mouthwashes.
The most likely cause is food and bacterial plaque
on the tongue and teeth -- especially when this causes gum inflammation.