Development of periodontal (tissue around the tooth) diseases is also affected by the entirety of lifestyle and environmental events. Various environmental factors reduce the immunity of the body, which may cause periodontitis to occur, it may get more severe or progress faster.

Here is provided a list of factors (evaluated in points) which influence the course of the disease:

 

Death of a spouse

100

Divorce

73

Disagreements if the family

65

Imprisonment

63

Death of a close family member

63

Personal illness or injury

53

Marriage

50

Strained relations at work, stress at work

47

Resignation, retirement

45

Restoration of family relations

45

Health deterioration of a family member

44

Pregnancy

40

Sexual problems

39

Family increase

39

Reorganizing of business

38

Changes in financial status

38

Death of a close friend

37

Change of work character

36

Increased disagreements in the family

35

Large debts

31

Auction

30

Increased responsibility at work, higher job position

29

Son or daughter leaves home, moves out

29

Problems with the law

28

Exceptional, big personal achievement

28

A spouse begins to work

26

School is started of finished

26

Change of lifestyle or living conditions

25

Change of personal habits

24

Problems with a boss

23

Change in working hours

20

Change of a place of residence

20

Change of school

20

Change of leisure, entertainment

19

Change of activity in church

18

Change of one’s activity or social activity

18

Small debts

18

Change of sleep habits

16

Change in number of family members living together

15

Change of nutrition habits

15

Vacation

13

Christmas

12

If the sum of the factors present is from 50 to 100, then there’s a risk for the disease to occur, to get exacerbated and the treatment prognosis is worse.

If the sum of points is 100 and more, then there’s a significant risk for disease of periodontitis to occur or get exacerbated; treatment prognosis is even worse.

Stress acts as a damaging factor by changing the habits of oral hygiene and reducing the immunity of an individual.

Periodontitis is avoided, or destruction of periodontal tissue is staved off when there is a correct attitude developed towards oral health, and good contact of doctor and patient is present. When the patient regularly, following the provided schedule, visits the dentist, treats dental and oral diseases, maintains personal oral hygiene.