Marcuschamer E, Hawley CE, Speckman I, Díaz RRM, Nart MJ

Idioma: Ingles.
Referencias bibliográficas: 54
Paginas: 53-64
Archivo PDF: 225.41 Kb.

RESUMEN

Recientes investigaciones han demostrado la interacción entre las enfermedades periodontales y diferentes condiciones sistémicas. Dentro de estas relaciones se encuentran las fluctuaciones hormonales durante la pubertad, menstruación, embarazo y menopausia que tienen un impacto biológico en la microbiología periodontal, la función celular y la vasculatura gingival, además del sistema inmunológico local y el proceso inflamatorio. Normalmente, las alteraciones periodontales afectadas por hormonas sexuales femeninas no suelen ser de gran preocupación ya que generalmente su ocurrencia es transitoria, episódica y autolimitante, y las mujeres afectadas en raras ocasiones presentarán pérdida de inserción periodontal o pérdida dental durante esos episodios. Estas alteraciones pueden ser también molestas y/o incómodas y de gran inquietud, de manera que las pacientes afectadas consultarán a los especialistas de la salud para ser evaluadas y atendidas. Estas alteraciones han sido claramente definidas clínicamente, de tal manera que en 1999, durante el Congreso Internacional para la Clasificación de Enfermedades y Condiciones Periodontales de la Academia Americana de Periodoncia, las enfermedades: Gingivitis asociada a la pubertad, gingivitis asociada al ciclo menstrual, gingivitis asociada al embarazo y granuloma piogénico asociado al embarazo fueron ampliamente descritas. El impacto en el periodonto, por la producción de hormonas sexuales, así como las diferentes enfermedades y condiciones periodontales, durante la vida de la mujer, serán descritas para así poder ayudar al equipo médico y de la salud, a guiar a sus pacientes y recibir el tratamiento adecuado en el momento adecuado.

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