Periodontal medicine and the woman

the importance of your knowledge for a preventive approach for gynecologists/obstetricians and dentistry

Authors

  • Patrícia Fernanda Roesler Bertolini Pontifícia Universidade Católica de Campinas
  • Oswaldo Biondi Filho Pontifícia Universidade Católica de Campinas
  • Bruna Ganzarolli Niero Pontifícia Universidade Católica de Campinas
  • Cintia Helena Coury Saraceni Pontifícia Universidade Católica de Campinas
  • Solimar Maria Ganzarolli Splendore Pontifícia Universidade Católica de Campinas
  • Arnaldo Pomílio Pontifícia Universidade Católica de Campinas
  • Maria Adelina Biondi Guanais Pontifícia Universidade Católica de Campinas

Keywords:

Contraception, Gingivitis, Periodontics, Puberty, Obstetric labor, premature

Abstract

Periodontal Medicine is presently a subject studied with interest by literature, because
it researches possibilities of periodontal disease affecting individual´s general health
and vice-versa. This manuscript is a literature review demonstrating that alterations in
women´s periodontal tissue are influenced by hormonal oscillations during puberty,
menstrual cycle, pregnancy and due to the use of contraceptives and suggests pathways
to integrate medical and dentistry treatment for woman . Hormonal action modifies
the characteristics of inflammatory response on periodontal tissue involved at the
presence of the bacterial biofilm. The hormonal presence in the gingival fluid propitiates
the bacteria proliferation. The periodontal disease is also considered an infectious
process. Therefore it has been pointed out as a risk factor to the occurrence of preterm
low weight birth babies due to possible production of pro-inflammatory cytokines
that stimulate uterine contraction. An effective plaque control program is indispensable
for periodontal disease prevention or periodontal health reestablishment and
maintenance. Therefore, gynecologists/ obstetricians and dentistry should
communicated to attend the needs of their patients to prevent systemic or buccal
alterations as well as to treat existing periodontal conditions or existing systemic
condition influenced by hormonal and periodontal condition, that’s supported by
periodontal medicine concepts. Literature suggests, however, that is a distant reality.

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References

Lõe H, Silness J. Periodontal disease in pregnancy. 1 Prevalence and severity. Acta Odontol Scand. 1963; 21:533-51.

Genco R. Host response in periodontal diseases: current concepts. J Periodontol. 1992; 63(4 Suppl) 338-55.

Willians RC, Offenbacher S. Periodontal medicine: the emergence of a new branch of periodontology. Periodontol 2000. 2000; 23(Jun):9-12.

Otomo-Corgel J, Steinberg BJ. Medicina periodontal e a mulher como paciente. ln: Rose LF, Genco RJ, Mealey BL, Cohen DW. Medicina periodontal. São Paulo: Livraria Editora Santos; 2002. p.83-98.

Mealey BL, Moritz AJ. Hormonal influences: effects of diabetes mel/itus and endogenous female sex steroid hormones on periodontium. Periodontol 2000. 2003; 32(1):59-81.

Jensen J, Liljemark W, Bloomquist C. The effect of female sex hormones on subgingival plaque. J Periodontol. 1981; 52(10):599-602.

Gusbert F, Mombelli A, Lang N, Minder C. Changes in subgingival microbiota during puberty. J Clin Periodontol. 1990; 17(10):685-92.

Ferris GM. Alteration in female sex hormones: their effect on oral tissue and dental treatment. Compendium. 1993; 14(12):1558-64, 1566.

Lõe H. Periodontal changes in pregnancy. J Periodontol. 1965; 36 (May-Jun):209-17.

Friedlander AH. The physiology, medical management and oral implications of menopause. J Am Dent Assoe. 2002; 133(1):73-81.

Gibbs RS, Romero R, Hillier SL, Eschenbach DA, Sweet RL. A review of premature birth and subclinical infection. Am J Obstet Gynecol. 1992; 166(5):1515- 26.

Andrews WW, Goldenberg RL, Hauth JC. Preterm labor: emerging role of genital tract infections. lnfect Agents Dis. 1995; 4(4):196-211.

Garcia RI, Henshaw MM, Krall EA. Relationship between periodontal disease and systemic health. Periodontol 2000. 2001; 25(1):21-36.

Offenbacher S, Katz V, Fertik G, Collins J, Boyd D, Maynor G, et ai. Periodontal infection as a possible risk factor for preterm low birth weight. J Periodontol. 1996; 67:(10 Suppl):1103-13.

Deasy MJ, Vogel RI. Female sex hormonal factors in periodontal disease. Ann Dent. 1976; 35(3):42-6.

Soory M. Hormonal factors in peridontal disease. Dent Update. 2000; 27(8):380-3.

Aufdemorte TB, Sheridan PJ. Nuclear uptake of sex steroides in gingiva of the baboon. J Periodontol. 1981; 52(8):430-4.

Nakagawa S, Fujji H, Machida Y, Okuda K. A longitudinal study from prepuberty to puberty of gingivitis. Correlation between the occurrence of Prevotella intermedia and sex hormones. J Clin Periodontol. 1994; 21(10):658-65.

Payne JB. The association between oestrogen status and alveolar bone density changes in post menopausa! women with a history of periodontitis. J Periodontol. 1997; 68(1):24-31.

Mariotti A. Dental plaque-induced gingial disease. Ann Periodontol. 1999; 4(1):7-17.

Stam JW. Epidemiology of gingivitis. J Clin Periodontol. 1986; 13(5):360-70.

Kornman K, Loesche WJ. Effects of estradiol and progesterone on Bacteroides melaninogenicus and Bacteroides gingivalis. lnfect lmmun. 1982; 35(1):256-63.

Lindhe J, Attstrom R. Gingival exudation during the menstrual cycle. J Periodont Res. 1967; 2(3):194-8.

Hugoson A. Gingival inflammation and female sex hormones. A clinicai investigation of pregnant women and experimental studies in dogs. J Periodontal Res Suppl. 1970; 5:1-18.

Bouer J. Sexo & eia: as dúvidas mais comuns (e as mais estranhas) que rolam na adolescência. São Paulo: Publifolha; 2002.

Costa-Paiva L, Pontes LT, Horovitz AP, Marins LBM, Fonsechi-Carvasan GA, Pinto e Silva JL. Perfil social, reprodutivo e sexual de adolescente atendidas em um ambulatório de ginecologia. Rev Cienc Med. 2004; 13(4):297-305.

Tilakaratne A, Soory M, Ranasinghe AW, Corea SM, Ekanayake SL, De Silva M. Periodontal disease status during pregnancy and 3 months post partum in a rural population of Sri Lankan women. J Clin Periodontol. 2000; 27(10):787-92.

Casamassimo PS. Maternal oral health. Dent Clin North Am. 2001; 45(3):469-78

De Liefde B. The dental care of pregnant women. N Z Dent J. 1984; 80(360):41-3.

Gibbs RS. The relationship between infections and adverse pregnancy outcomes: an overview. Ann Periodontol. 2001; 6(1):153-63.

Hill GB. Preterm birth: associations with genital and possibly oral microflora. Ann Periodontol. 1998; 3(1):222-32.

Willians CECS, Davenport ES, Stern JAC, Sivapathasundaram V, Fearne JM, Curtis M. Mecanismo de risco para fetos prematuros e de baixo peso. ln: Willians RC, Offenbacher S. Periodontol 2000. São Paulo: Livraria Editora Santos; 2005. p.142- 50.

Jeffcoat MK, Hauth JC, Geurs NC, Reddy MS, Cliver SP, Hodgkins PM, et ai. Periodontal disease and preterm birth: results of a pilot intervention study. J Periodontol. 2003; 74(8): 1214-8.

Instituto Brasileiro de Geografia e Estatística. Censos demográficos e contagem populacional; para os anos intercensitários, estimativas preliminares dos totais populacionais, estratificadas por idade e sexo pelo MS/SE/Datasus. [acesso em 1O dez 2004]. Disponível em: www.ibge.org

Aldrighi JM, Aldrighi CMS, Aldrighi APS. Alterações sistêmicas no climatério. Rev Sras Med. 2002; 59(12): 1 5-21.

Jaffe RB. The menopause and perimenopausal period. ln: Yen SSC, Jaffe RB. Reproductive endocrinology: physiology, pathophysiology and clinicai managenent. London: WB Saunders; 1991.

Trombelli L, Mandrioli S, Zangari F, Saletti C, Calura G. Sintomi orali in climaterio. Studio di prevalenza. Miner Stomatol. 1992; 41(11):507-13.

Wardrop RW, Hailes J, Burger H, Reade PC. Oral discomfort at menopause. Oral Surg Oral Med Oral Pathol. 1989; 67(5):535-40.

Tenembaum HC, Shelemay A, Girard B, Zohar R, Fritz PC. Bisphosphonates and periodontics: potencial aplications for regulation of bone mass in the periodontium and other therapeutic/diagnoses use. J Periodontol. 2002; 73(7):813-22.

Takaishi Y, Miki T, Nishizawa Y, Morii H. Clinicai effect of etidronate on alveolar pyorrhea associated with chronic marginal periodontitis: report of four cases. J lnt Med Res. 2001; 29:355-65.

EI-Shinnawi UM, EI-Tantawy SI. The effect of alendronate sodium on alveolar bone loss in periodontics (clinicai triai). J lnt Acad Periodont. 2003; 5(1):5-10.

Niero BG, Chiminazzo GB, De Toledo S, Biondi Filho O, Bertolini PFR. Avaliação do conhecimento de ginecologistas e obstetras sobre conceitos de medicina periodontal influenciando a mulher. Anais do 29º Congresso Universitário de Odontologia (CUBO); 2004 jul; Painel 6; Area de Periodontia; Faculdade de Odontologia. São Paulo: USP; 2004.

Rutkauskas J S. The medical necessity of periodontal care. Periodontol 2000. 2000; 23(Jun):151-6.

American Academy of Periodontology. Parameter on periodontitis associated with systemic conditions. J Periodontol. 2000; 71(5 Suppl):876-9.

Romito GA, Da Silva VG, Gomes GH, Alecrin IN, Pustiglioni FE. Doença periodontal e sua relação com o climatério. ln: Paiva JS, De Almeida RV. Periodontia a atuação clínica baseada em evidências científicas. São Paulo: Artes Médicas; 2005. p.353-67.

Published

2007-06-30

How to Cite

Bertolini, P. F. R., Biondi Filho, O., Niero, B. G., Saraceni, C. H. C., Splendore, S. M. G., Pomílio, A., & Guanais, M. A. B. (2007). Periodontal medicine and the woman: the importance of your knowledge for a preventive approach for gynecologists/obstetricians and dentistry. Revista De Ciências Médicas, 16(3). Retrieved from https://seer.sis.puc-campinas.edu.br/cienciasmedicas/article/view/1060

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