Those microorganisms that are nearest to the tooth surface convert to anaerobic respiration
. It is in this state that they start to synthesize acid. Acid released from plaque, as what a tenured dentist Myrtle Beach has would tell you, lead to demineralization of the neighboring tooth surface, and subsequently to dental caries. Saliva is also unable to penetrate the build up of plaque and thus cannot neutralize the acid produced by the bacteria and reinstitute minerals to the tooth surface. They then cause irritation of the gums that could lead to gingivitis, periodontal disease and tooth loss. Soon after, plaque buildup can become mineralized and form calculus, or tartar.