Periodontal disease is one of the most prevalent diseases worldwide. In spite of the efforts made to try to reduce the tooth loss that this pathology causes, even today the consequences from the functional and the aesthetic reach a large part of the population of developed or developing countries. Despite having an infectious cause, it is not only that, the only one to neutralize to diminish the negative impact of the pathology. Environmental factors and inherent to humans also play a role of importance for the development or outcome to a more severe disease that ends with greater tooth loss in patients who are affected. At this point the monitoring of populations that are affected by periodontal diseases and the knowledge of their evolution and their relationship with the different environmental variables make us rethink that treatments should be made with a critical look and not only focused on the infectious factor but also to the aspects that involve the individual as a social being. The work addresses our research in the follow-up of periodontitis of different levels of severity and its different levels of care in reference to people who correspond to different social levels and therefore different access to health care means. Involves not only the treatment from the initial phases but also the monitoring of more than 15 years performed on teeth and osseointegrated implants.