Lifestyle Factors and Periodontitis

Published on June 4, 2012 by

Lifestyle factors such as smoking, stress, depression, and alcohol consumption, have been shown to be increased risk factors for periodontitis, as well as systemic diseases. Use of tobacco products are also important risk factor in the etiology of periodontitis. As a result of this information, the American Academy of Periodontics has established a separate category for smoking – associated periodontal disease. The associations between the deleterious effects of tobacco on periodontitis and systemic diseases may involve its effects on neutrophil function and morphology; its ability to elevate serum C-reactive protein (CRP), cholesterol, and lipoproteins; and increase insulin-resistance.
Emotional stress often increases the severity of gingivitis. One study of 52 medical students found that out of 26 students who had just completed a major exam, six had severe gingival bleeding, which the authors attributed to stress. Stress, depression and periodontitis are common conditions in older adults. Grossi reported an association between stress and periodontal disease, and Persson and co-workers found an association between depression and tooth loss and chronic pain. Smoking, stress, and lack of physical activity have all been reported to be common denominators for periodontal disease, heart attack, and diabetes mellitus. However, physical activity, in the form of walking, has been shown to be beneficial to periodontal health.
Sound nutrition may delay or deter oral and systemic disease initiation and progression. Topical and systemic nutritional supplementation are beneficial adjuncts to gingivitis and periodontitis therapy and can modify oral – systemic disease associations. Whole foodstuffs and combined nutritional therapeutics can have an enhancing effect.
Important: Make no changes or additions to ongoing therapy until you have consulted your physician and dentist.

Filed under: Prevention

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