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Table 3 Possible causes of periodontal disease

From: Oral health in asthmatic patients: a review

Dehydration of alveolar mucosa due to mouth breathing  
Alteration of immune response with an increased concentration of IgE and a reduction of secretory IgA
Reduction in salivary flow due to beta 2 agonists
Higher incidence of calculus due to an increased level of calcium and phosphorous in saliva
Decrease in bone mineral density due to inhaled steroids