Gum disease can be caused by a variety of problems, including hormonal changes and — believe it or not — genetics. But the most common cause is a buildup of plaque and tartar on the tooth surfaces. You can fight gum disease and, in some cases, even prevent it with a visit with our dentist at Two Rivers Dentistry for scaling and root planing in Vancouver, Washington. Call our office at 360-256-1202 to plan your appointment with Dr. Vaughn Teuscher.