Aggravating factors

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Certain factors associated with your daily life influence the appearance and development of periodontal disease; these may be risk factors or aggravating factors.
Métadonnées
Titre: 
Periodontitis aggravating factor - immunosuppressive treatments, diet, stress, genetic predisposition
Description: 
ParoActiv' - Discover all aggravating factors associated with periodontal disease, gingivitis and periodontitis, such as immunosuppressive treatments and diet.
Keywords: 
biofilm maintenance, immunosuppressive treatments, diet, female hormones, stress, genetic predisposition

Biofilm maintained by:

. large dental volume,
. poorly positioned teeth,
. ill-adapted crowns,
. overflowing restoration,
. untreated caries, etc.


Immunosuppressive treatments:

These reduce the body's immune defences and may thus facilitate the development of periodontitis.

 

Diet:

An imbalanced or deficient diet (vitamin C or calcium deficiency, etc.) may weaken the body's immune defences.

 

 

 

 

 

 


Female hormones:

Female hormones may influence the inflammatory reaction initiated by the bacteria and aggravate existing periodontitis. This phenomenon may occur:
. during pregnancy,
. during menopause.


Menopausal women receiving hormone replacement therapy are less likely to suffer bone loss than non-substituted women. The expected benefit must, however, be assessed by a healthcare professional before prescribing this type of treatment.

 


Stress:

Stress, by altering your immune defences on the one hand, and by modifying your behaviour (sleep, diet, hygiene) on the other hand, may aggravate existing periodontitis.

 

 

 

 

 

 


Genetic predisposition:

Certain individuals may present increased sensitivity to periodontitis. These patients present with amplified inflammation, thus increasing the risk of developing severe periodontitis.

 

 

Risk factors and aggravating factors... in practice


. You smoke: stopping smoking is recommended.
Medical care may be of assistance.
. You are diabetic: a dental check-up at least twice a year is recommended.
. You are menopausal and not receiving hormone replacement therapy: a dental check-up at least twice a year is recommended.
. You are pregnant: a clinical examination to search for signs of periodontal disease from the onset of pregnancy is recommended, along with an examination 6 months after giving birth.
. For children and teenagers with gingivitis: a follow-up reinforced with age is recommended to prevent the progression of periodontal disease.



References :
Wolf HF, et al. Parodontologie. 3rd Ed. Paris, Masson; 2005. p.39-66.
Lézy JP, Princ G. Pathologie maxillo-faciale et stomatologie. Abrégés. 3rd Ed Paris, Masson : 2004. p.79-94.
Tenenbaum H. Classification des maladies parodontales . In Bercy P, Tenenbaum H. Parodontologie, du diagnostic à la pratique. 1st Ed. Bruxelles, De Boeck Université; 1996. p.49-64.
ANAES. Parodontopathies : diagnostic et traitements. Mai 2002.