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Rough margins of the fixed bridge can attract plaque and food and cause gingivitis and gum infection. Poorly fitted bridges can impinge on the gum tissues and cause damage to the periodontium. Improper oral hygiene habits may cause food accumulation under the bridge and cause gum infection. Bridge placed on an already weak tooth and gum can worsen the gum infection further. Using interproximal brushes can be useful in keeping the areas under the bridge clean. Newer techniques such as mechanised water jets are commercially available that can flush out the food stuck under the bridge. Using a mouth was regularly can bring down the bacterial counts. If you notice redness or bleeding or food accumulation around the bridge contact your dentist immediately. Visit your dentist regularly to identify the problem early. The dentist may deep clean the area and restore it to health. In severe cases replacement of the bridge or placing a dental implant is recommended.