Which of the following factors does NOT contribute to periodontal tissue damage?

Proper oral hygiene is essential for maintaining periodontal health; it actively contributes to the prevention of periodontal disease and tissue damage. Regular brushing and flossing, along with professional dental cleanings, help control plaque accumulation, reduce inflammation, and minimize the risk of periodontal disease. When individuals maintain good oral hygiene practices, they significantly lower their chances of developing periodontal issues.

In contrast, factors such as diabetes, genetics, and hormonal changes can negatively impact periodontal health. Diabetes can lead to a compromised immune response and altered healing, making individuals more susceptible to periodontal infections. Genetic predisposition may increase the risk of inflammatory responses that can escalate tissue destruction. Hormonal changes, particularly during puberty, menstruation, pregnancy, or menopause, can make the gums more sensitive and vulnerable to inflammation, contributing to periodontal damage.