Gingivitis is manifested by inflammation, swelling and bleeding of the gum tissue caused by plaque which is then converted into tartar. This plaque contains bacteria and toxins that irritate and destroy gum tissue. Causes that favor the occurrence of gingivitis Improper oral hygiene Emotional stress Hormonal imbalances such as pregnancy, menstruation, and hormonal changes of adolescence Nutritional deficiencies Diseases such as diabetes and osteoporosis Medications such as antibiotics and anticoagulants.