The main cause of
periodontal infections is bacteria. There can be as many as 700 different types
of bacteria in your mouth. Bacteria accumulate on your teeth by forming a
sticky, white film called “plaque”. Plaque can be composed of many different
kinds of bacteria. When plaque is not removed adequately during brushing, it
will continue to form and grow on your teeth and cause infection in your gums
and bone. Some patients are more susceptible to this type of infection. Up to
30% of the population may be genetically susceptible. Despite aggressive oral
care habits, these people may be six times more likely to develop periodontal
disease. Approximately 50% of the variance of disease activity is due to
genetics.
There are also other
environmental and systemic health factors that can influence how the infection
can progress.
Smoking/Tobacco Use
Recent studies have shown that tobacco use may
be one of the most significant risk factors in the development and progression
of periodontal disease. Smokers have been found to be 4 times more likely to
have periodontal disease than non-smokers.
Clenching or Grinding Your Teeth
Clenching or grinding your teeth can put
excessive forces on the supporting tissues of the teeth and can increase the
rate at which pre-existing diseased periodontal tissues are destroyed.
Diabetes
People with diabetes are more likely to
have periodontal disease than people without diabetes. Periodontal disease is
considered on of the complications of uncontrolled diabetes. Recent research
also suggests that periodontal disease can influence a patient’s diabetic
control. Treatment of periodontal disease may also help a patient’s diabetic
control.
Stress
Research has shown that people under
stress are at greater risk for developing periodontal disease. Stress can make
it more difficult for the body to fight off infection. Financial strain has
been shown to be the most important stressor influencing periodontal disease.
Pregnancy and Puberty
During pregnancy, puberty or menopause, your
body experiences hormonal changes which can affect many of the tissues in your
body, including your gums. These conditions make you more susceptible to gum
disease. Additionally, recent studies suggest that pregnant women with gum
disease are seven times more likely to deliver preterm, low birth weight babies.
Medications
Certain medications can influence the health of
your gum tissue. It is important for you to provide your dental care provider
with all of the medications you are taking.