Periodontal disease develops when the patient’s immune system is not able to compensate for the sum of all risk factors, the main risk factor being the presence of periodontopathogenic bacteria. But there are also other risk factors, besides the patient’s genetic background, that play a major role in the development and progression of periodontitis.
- For example, smoking and diabetes mellitus impair tissue blood flow and thereby contribute to periodontitis progression.
- The hormonal changes that occur during pregnancy lead to tissue loosening, thus providing ideal conditions for attack by bacteria.
- Age poses additional problems such as reduced mobility and the use of certain medicines that predispose to periodontitis.
- But stress and inadequate oral hygiene are also considered as important risk factors for periodontal diseases.
The more of these factors are present in addition to bacteria, the higher is the likelihood of the disease becoming established or progressing to a severe form. This is why a thorough evaluation of the medical history is of great importance especially where periodontitis is concerned. Because the better a treatment is adapted to the patient’s individual situation, the more likely the treatment is to be successful.