Data from the latest survey of oral health in Spain show that periodontitis is prevalent in Spain. In the group aged 35-44 years 25% have periodontitis and in the oldest age 65-74, 38%. It is necessary to detect patients with periodontitis. For this, the Spanish Society of Periodontology has developed a screening method aimed at detecting patients who may have diseases.

This method is called the Basic Periodontal Examination, which is developed from the WHO CPITN index.
The mouth is divided into sextants, and each sextant is given a score from 0 to 4 based on the involvement or otherwise of the disease and severity. This ranges from healthy gums (0), presence of plaque (1), bleeding on probing (2), moderate pockets (3) and deep pockets (4). If a patient shows a score> _3, it was recommended that a complete periodontal examination (periodontograma and radiographic series.)
SEPA has developed a periodontal probe easy to use to make the Basic Periodontal Examination.

This is a tube with bands
of colors (green, yellow and red). If the probe is visible green band (0-4 mm) indicates the absence of periodontal pocket if it penetrates the green band is visible at all and the yellow band (4-6 mm) indicates the presence of moderate bag and if dipping complete the yellow band indicates the presence of deep pockets (> 6 mm). That is, the yellow band denotes score 3 and the red band, score 4. It is recommended that the periodontograma series and film.

These tissues increase blood flow and have an increased inflammatory capacity to local irritants external. Increases the likelihood of developing certain disorders such as gingivitis. Plaque act more aggressively in gums whose status is influenced by hormones, poor diet, changing eating habits or patterns of dental hygiene. Gingivitis is an inflammation of the gums that are red, swollen, sensitive and prone to spontaneous bleeding or small stimuli such as chewing or brushing dientes.Durante pregnancy this condition is so common and specific, which is called embarazo.

Esta gingivitis is more evident after the third month of embarazo.Si women previously suffering from gingivitis or periodontal disease, worsens during the embarazo.Puede did not exist previously and is triggered during this etapa.Si gingivitis is not treated can develop into periodontal disease tissue injury of bone bonding to the tooth, partial loss of bone and risk of loss of a small percentage Teeth. shows a localized increase in the gum called granuloma, epulis or pregnancy tumor. It is possible that if you have periodontal disease and are pregnant, may be at risk of giving birth to a premature baby of low birth weight. We have long known that many risk factors contribute to mothers with premature babies low weight, smoking, alcohol and drugs, and infections.

Today there is greater evidence that suggests a new risk factor-periodontal disease. Pregnant women who suffer from periodontal disease have 7 times more likely to have well ahead of time infants and very small.

More research is needed to confirm how periodontal disease affects pregnancy outcomes. What we do know now is that periodontal disease is an infection and all infections are cause for concern among pregnant women because they represent a risk to the baby’s health. If you are planning to become pregnant, or are at risk of getting gum disease, is especially important to incorporate into their prenatal care habits of good periodontal health. Pregnant women, or those who plan to become pregnant are advised to talk with their dentist or periodontist for a periodontal evaluation as gums lead to a healthier body and a healthier baby. is advisable to make regular visits to the dentist, who may make such treatment possible and detect and prevent any alteration to that oral health is the óptima.Si has not gone before, dental checkups can be done safely during pregnancy. Some dental procedures can be performed since there are certain drugs and anesthetics can be used during ambarazo. But the treatments that are not urgently need to be postponed to after the first quarter. In the latter half of the third quarter is also advisable to avoid dental procedures.

Sometimes we fail to cure it or stop it, especially in cases where the patient go to the dental clinic with the disease in very advanced stages due to lack of diagnosis or previous treatment. In these cases of advanced periodontitis patients may end up losing teeth in itself already have an advanced mobility.

The causes of periodontitis?
Periodontal disease or periodontitis is caused by bacteria, depending on their degree of involvement is called gingivitis (affects only the gums) or periodontitis (affecting the bone).
If left untreated evolve and will destroy the bone causing the mobility and tooth loss.

Price treating periodontitis
To evaluate and diagnose periodontal disease make the measurement of periodontal pockets by periodontal probing.
Periodontal probing is the diagnosis of the degree of disorder and bone destruction. The price is 49 euros.

In dental clinics propdental once the diagnostic probing periodontal treatment planning periodontal usually treated by curettage and root planing of periodontal pockets.
The quadrants are performed by curettage and consist of the removal of tartar from below the ence. The price is 76 euros curettage per quadrant.

Once the periodontal treatment is important to conduct regular checks to assess individual performance and maintain periodontal health.
recommend periodontal maintenance done every 6 months. The price is 79 euros.

This is gingivitis or mild form of periodontal disease early. Do you brush your teeth at least two minutes? Brush your teeth twice a day for at least two minutes with fluoride toothpaste and toothbrush with soft bristles. Most studies have shown that electric toothbrushes are better than normal to remove the plaque, perhaps because people do not use the best technique or not brushing enough. Remember to floss daily Floss to remove food particles and plaque.

If your gums become red, swollen or bleeding (first signs of gingivitis) go to the dentist. Gingivitis is reversible and does not worsen if prompt treatment.

The coronary artery disease is another type of cardiovascular disease in which the walls of the coronary arteries (heart blood vessels) gradually become thicker by the accumulation of fatty protein. Usually, blood clots form in these narrow coronary arteries and normal activity of the blood flow is blocked, depriving the heart of the nutrients and oxygen needed for proper operation. Scientists now believe that bacteria found in the oral cavity entering the bloodstream, binds to fatty plaques and may contribute to clot formation. Researchers have found that people with periodontal disease are twice as likely to contract the disease of the coronary arteries, compared with those who suffer from it. The current data leads scientists to believe that periodontal disease is a major risk factor for heart disease, along with other risk factors such as age, smoking, diabetes, hypertension and high of cholesterol in the blood. 1-12

Hispanic Americans and Heart Health
According to the American Heart Association (American Heart Association) and the National Center for Health Information for Women (National Women’s Health Information Center), heart disease and heart attacks are the leading cause of death among adults Hispanic: 13

Heart disease and heart attacks constitute 26.9 percent of deaths among Hispanic men – more than cancer and AIDS combined. 13

Heart disease and heart attacks constitute 33.3 percent of all deaths among Hispanic women – more than cancer, diabetes, pneumonia and influenza combined. 13

Between 43 and the 52 percent of Hispanic women have cholesterol levels above the desired (240 mg / dL). 14
With the increase in the risk of heart health problems, including hypertension, heart disease and stroke, Hispanic Americans should carry out preventive measures against both heart disease and periodontal disease. A Hispanic Americans are advised to talk with their dentist or periodontist about evaluation periodontal and preventive steps to maintain good oral health.

The ability of a toothbrush to remove plaque is reduced considerably when the bristles open. For this reason, toothbrushes should be replaced at the first sign of wear.
Electric toothbrushes no benefit compared to conventional ones. May be indicated for people with dexterity problems such as patients with arthritis, paralysis, etc …

The use of thread or dental floss at least once a day reduces the increase in plaque in interdental spaces where a toothbrush can not reach.

The use of interdental brushes and equipment that supply water pressure can supplement hygiene techniques. Although these irrigators do not remove the board, may, however, remove food debris favoring plaque formation.
The last pillar, and no less important in the prevention, are regular visits to the dentist to monitor the health of our gums. The dentist will determine if they are needed and how often the oral hygiene or tartar removal. This measure will prevent the onset of periodontitis completing prophylaxis.

Toxins produced by bacteria in plaque irritate the gums. By remaining in place, the toxins cause the gums to detach from the teeth and periodontal pockets are formed, which are filled with more toxins and bacteria.

As the disease progresses, pockets extend and plate penetrates more and more until the bone supporting the teeth is destroyed. Eventually, the tooth fall out or need to be removed.

Stages of periodontal disease

There are many forms of periodontal disease. The most common include:
Gingivitis The mildest form of periodontal disease. Causes the gums to become red, swollen and bleed easily. There is usually little or no discomfort at this time. Gingivitis is reversible if treated professionally and with good oral care at home.
Mild periodontitis: If gingivitis is not treated, can progress to periodontitis. At this stage of bad light, periodontal disease begins to destroy the bone and tissue that support teeth.

Moderate to advanced periodontitis, moderate to advanced periodontitis develops if the early stages of the disease are neglected. This is the most advanced form of the disease where it occurs an extensive loss of bone and tissue.
Juvenile periodontitis, localized juvenile periodontitis (LRP) occurs in adolescents and is characterized by the rapid loss of bone around the teeth. Ironically, young people are PJL little plaque or calculus. Generalized juvenile periodontitis is considered generally a disease of young adults, but may begin around puberty. It is characterized by marked inflammation and heavy accumulation of plaque and tartar. The bags can form around the affected teeth, filling with infection. If not treated early, the infection can lead to loss of bone, causing teeth to become loose.
Symptoms and warning signs
Sometimes gum disease may progress without symptoms or pain. During a regular dental checkup, the dentist looks for signs of periodontal disease, as yet undetected disease can be treated before it advances.

Gums soft, swollen or red.
Bleeding while brushing or flossing.
Gums that emerge from the teeth
Loose or separating teeth
Pus between the gum and tooth
Continuous bad breath
Change the way the teeth fit together when biting
Change in fit of partial dentures.
Prevention and diagnosis of periodontal disease
A proper brushing twice a day and flossing daily will help prevent periodontal disease.

A professional cleaning every three to six months by a dentist or a dental expert will remove plaque and tartar on hard to reach areas, and consequently are susceptible to periodontal disease.

During a regular dental checkup, the dentist or hygienist expert inspect the gums and the space between the tooth and gum to rule out periodontal disease. If the signs of the disease has progressed to a certain point, the dentist advised the patient to visit a periodontist – a dentist who specializes in the treatment of periodontal disease.

Toxins produced by bacteria in plaque irritate the gums. By remaining in place, toxins cause gum arising from the teeth and periodontal pockets form, which are filled with more toxins and bacteria.

As the disease progresses, the pockets stretch and plaque penetrates more and more until the bone supporting the teeth is destroyed. Eventually, the tooth will fall off or need to be extracted.

Symptoms and warning signs
Occasionally periodontal disease can progress without any symptoms or pain. During a regular dental checkup, the dentist looks for signs of periodontal disease, as yet undetected disease may be treated before it progresses.
* Gum soft, swollen or red.
* Bleeding while brushing or flossing.
* Gums that emerged from the teeth
* Loose or separated
* Pus between the gum and tooth
* Bad breath continued
* Changed the way the teeth fit together when biting
* Change in the fit of partial dentures.

Keeping your natural teeth will chew more comfortably and enjoy better digestion. You will have a healthy smile, natural complement of its image and can talk more comfortably than if she had dentures. Proper oral hygiene protects your health and saves money. By the prevention of dental problems, their treatment costs are drastically reduced. The time to do so, he is about ten minutes a day, less time than shaving or applying makeup. With all these benefits, proper oral hygiene is an essential part of healthy living.

The main cause of periodontal disease and tooth decay is plaque.
Bacterial plaque is a sticky, colorless film that forms constantly between his teeth, even in the absence of food. The careful removal of plaque through daily brushing and using dental floss and / or interproximal brush helps prevent periodontal disease and caries. This booklet explains how to use the toothbrush, floss and interdental brush interproximal effectively, and reports the existence of other oral hygiene instruments complementing the instructions you receive from your dentist or members of his team.

• Surgery Gum surgery may be needed if problems persist, such as inflammation and deep pockets despite treatment with deep cleaning and medications. A periodontist may perform gum surgery to remove tartar deposits in deep pockets or to reduce the periodontal pocket, so it will be easier for the patient, the dentist and dental hygienist to keep clean that part of the mouth.
• Bone grafts and tissue: in addition to gum surgery, your periodontist may recommend a bone graft or tissue. A bone or tissue graft is a way to replace missing bone or gum tissue destroyed by periodontal disease or to promote new growth. One technique that can be used with bone grafts is called guided tissue regeneration, in which a small piece of mesh-like fabric is inserted between the bone and gum tissue. This prevents the gum tissue to grow in the place where it should be the bone, allowing bone and tissue regrowth.

Because each case is different, it is not possible to predict with certainty which grafts will provide long-term results.
The treatment results depend on many things, including the severity of the disease, the ability to maintain oral hygiene at home, and certain risk factors such as cigarette smoking, which can reduce the chances of success.