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These authors concluded that commercial food cannot be solely responsible for the development of PD in cats.

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The Choice of Diet Affects the Oral Health of the Domestic Cat

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Research suggests that PD has an association with the development of cardiorespiratory, hepatic, and renal disorders [ 4 ], and also diabetes mellitus in humans [ 7 ].

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Periodontal disease and diabetes.

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The aetiology of this condition starts with the formation of dental plaque that extends into the gingival sulcus and, with the aid of the calcium salts from saliva, produces the calculus, which is the main cause for the development of gingivitis [ 4 ]. In addition, homemade diet nutritional details may vary substantially nutritional deficiencies, feeding of bones, etc for the variability in scores, and, therefore, cat oral health.