2009, Number 2
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Perinatol Reprod Hum 2009; 23 (2)
A lifetime of normal hormonal events and their impact on periodontal Health
Marcuschamer E, Hawley CE, Speckman I, Díaz RRM, Nart MJ
Language: English
References: 54
Page: 53-64
PDF size: 225.41 Kb.
ABSTRACT
Current research has demonstrated a link between periodontal diseases and systemic conditions. Among these links, there are normal hormonal fluctuations during puberty, menstruation, pregnancy and menopause that present a biologic impact on the periodontal microbiology, the gingival cell function and vasculature, the local immune system and the process of inflammation. Usually, periodontal disorders affected by female sex hormones are of no significant permanent concern, since their occurrence is usually transient, episodic and self-limiting. Affected women will rarely lose periodontal attachment or teeth during these episodes. These disorders may, however, be annoying, worrisome, and of enough concern that patients will seek the counsel of health care providers for evaluation and treatment. These disorders were clinically defined during the International Workshop for the Classification of Periodontal Diseases and Conditions of the American Academy of Periodontology, in 1999; therefore the following diseases: puberty-associated gingivitis, menstrual cycle-associated gingivitis, pregnancy-associated gingivitis and pregnancy-associated pyogenic granuloma, were clearly described. The impact on the periodontium, from the female sex hormone production, as well as the different periodontal diseases and conditions throughout the woman’s life, will be described in order to help the health care team guide their female patients to receive the proper treatment on time.
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