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Although these taxa are part of the commensal oral microbiome, it should be noted that Candidatus Saccharibacteria has been associated with periodontitis77 79 and could predispose susceptible CD patients to periodontal breakdown

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This means that gum disease is easily missed Reduced level of immune cells arriving at the gums to help fight the early stages of the bacterial infection and gum disease Tobacco Exacerbates Periodontal Tissue Inflammatory Response The cells of the immune system arrive at the gums to fight the bacterial infection

I mean, there always has to be compromise, he said