Factors that can increase your risk of periodontitis include:
Gingivitis.
Poor oral health care habits.
Smoking or chewing tobacco.
Hormonal changes, such as those related to pregnancy or menopause.
Recreational drug use, such as smoking marijuana or vaping.
Obesity.
Poor nutrition, including a low vitamin C level.
Genetics.
Certain medicines that cause dry mouth or gum changes.
Conditions that lower immunity, such as leukemia, HIV/AIDS and cancer
treatment.
Certain diseases, such as diabetes, rheumatoid arthritis and Crohn's disease.