A recent study showed that people who address problems quickly and directly are significantly less likely to have gum disease than are people who react to problems by refusing to think about them.
Conclusion (clearly indicate that)
Some forms of gum disease are caused or aggravated by suppression of the immune system.
Evidence (since)
Stress can have a negative effect on the immune system + People who address problems quickly/directly are way less likely to get gum disease than are people who refuse to think about problems.
Evaluate
This argument is almost incomprehensible to understand on a first read because of the assumptions being made.
We have to figure out how gum disease / immune system are related, and we need to figure out how stress and people's rate of addressing problems are related (our common sense tells us to pair up these somewhat related ideas).
The author's conclusion is making a causal claim:
suppressed → some gum immune system disease
When we look at the premises we have to ask ourselves how the author thinks each idea connects to this causal path.
The premise that would be saying that Stress is causing "suppressed immune system".
stress → suppressed → gum immune disease
So what about the premise that ?
This is a Curious Comparison, so our author will probably be trying to come up with some causal explanation for,
Like with almost all correlations, our author will assume that one side causes the other. Since the author's conclusion is saying that something is causing gum disease, we know that our author is interpreting this direction of causality: addressing problems lowers your risk of quickly / directly gum disease
What does stress, in the 2nd premise, have to do with this?
Apparently the causal story the author is envisioning is that
1. you refuse to think about problems 2. that causes stress 3. that causes worse immune 4. that causes gum disease
Goal
Because this is Necessary Assumption and we're dealing with a Curious Fact / Explanation argument, we would expect a correct answer to either
rule out an alternate explanation for why "address problems quickly" is correlated with "less gum disease" or establish something that needs to be true for the author's explanation to be plausible
Since her story currently involves a really big missing link, refusing to think of problems → stress the answer will probably address that.