17. Plaque induced gingival diseases, modulated by sex hormones Flashcards

1
Q

Types of plaque induced gingival diseases modified by sex hormones

A
  • Puberty associated gingivitis
  • Menstrual cycle associated gingivitis
  • Pregnancy associated gingivitis
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2
Q

Pregnancy effect on periodontal disease

A
  • Increaed plasma hormone levels(increased bleeding, gingival overgrowth, exudate and GCF)
  • Estrogen affects salivary peroxidases
  • Increased growth of seletive pathogens
  • Estrogen increases inflammation
  • Estrogen affects degree of keratinisation of CT ground substance
  • Pregnancy granuloma can develop
  • Gingivitis in response to low plaque levels

-salivary perioxidases active against mo
-Increased risk in 2nd and 3rd trimesters

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3
Q

Puberty effect on periodontal disease

A
  • Steroid hormones=>increased inflammatory mediators
  • Gingivitis

Gingivitis in repsonse to relatively low levels of plaqque

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4
Q

Menstrual cycle effect on periodontal disease

A
  • Overt gingival changes rare w/ menstrual cycle
  • Increased exudate/inflammatory exudate
  • Not clinically observable
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