Differences in Periodontal Severity Between Perimenopausal and Postmenopausal Women with Chronic Periodontitis

Wulandari, Pitu; Masulili, Sri Lelyati C.; Kusdhany, Lindawati S.; Tadjoedin, Fatimah Maria; Puspitadewi, Susi R.; Baziad, Ali

doi:10.4034/pboci.2019.191.113

Cited by 7 publications

(3 citation statements)

References 28 publications

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“…Premenopausal women exhibit the lower prevalence of periodontitis as compared with men and on contrary, after menopause, with a weakening estrogen signal, women may show equal or even greater periodontal destruction as compared to age matched men [168]. Wulandari et al reported no difference in periodontal severity between perimenopausal and postmenopausal women, however, emphasized the role of the bacterial plaque regarding periodontal disease severity in perimenopausal and postmenopausal women in a cross-sectional investigation in 63 subjects, aged 45-59 years, in East Jakarta [169]. Paramashivaiah et al examined 104 postmenopausal women, agegroup ranging from 35 to 60 years, and reported radiographic alveolar bone loss correlated with clinical indicators including attachment loss.…”

Section: Discussionmentioning

confidence: 98%

Gender-Associated Oral and Periodontal Health Based on Retrospective Panoramic Radiographic Analysis of Alveolar Bone Loss

Jain¹,

Bhavsar²,

Baweja³

et al. 2022

Clinical Concepts and Practical Management Techniques in Dentistry

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Gender-based heterogeneity in periodontal disease has been witnessed in the recent past with huge mounting evidence. The composite effect of sex-based genetic structure and the sex steroid hormones runs in line with the corresponding genderrelated differences in risk for chronic periodontitis. Since estrogens, the predominant sex hormones in women, show immune protective and anti-inflammatory effects in hormonally active premenopausal women, they show better periodontal status compared to age-matched men. Conversely, after menopause with a weakening estrogen signal, women may show an equal or even more serious periodontal status compared to men. Periodontal status of postmenopausal women may be improved by menopausal hormone therapy. Alveolar bone loss, an irreversible sign of past periodontal disease activity can be easily observed on radiographs in an objective manner. Orthopantomographs provide a fairly accurate assessment of the status of alveolar bone in the whole mouth. A cross-sectional retrospective panoramic radiographic analysis has been carried out in a north Indian dental institute to decipher the gender-based distribution of periodontal bone loss. The current chapter shall provide an update on gender-based differences in oral health, underlying mechanisms, differences in patterns and distribution of alveolar bone loss (case study), and potential gender-specific disease protection and management strategies.

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Section: Discussionmentioning

confidence: 98%

Gender-Associated Oral and Periodontal Health Based on Retrospective Panoramic Radiographic Analysis of Alveolar Bone Loss

Jain¹,

Bhavsar²,

Baweja³

et al. 2022

Clinical Concepts and Practical Management Techniques in Dentistry

View full text Add to dashboard Cite

show abstract

“…Upon reviewing the literature, it can be seen that studies are showing that the PI, GI and CAL values in the postmenopausal patients were higher compared to the premenopausal patients 30,52,60 or finding the values of the premenopausal and postmenopausal similar. [61][62][63] It was shown that estrogens decreased ROS production and therefore prevented oxidative stress formation. 64 It is considered that the antioxidant contribution of estrogen arises from its stimulating effect on the natural antioxidant enzymes.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Menopause on Nadph Oxidase Levels After Non-Surgical Periodontal Treatments on Patients With Periodontitis

KAYAALTI

Bostancı

Doğan

2022

Cumhuriyet Dental Journal

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Objectives: This study evaluated the clinical parameters [plaque index (PI), gingival index (GI), probing pocket depth (PPD), clinical attachment level (CAL)] and the levels of Nadph Oxidase (NOX-1) in gingival crevicular fluid (GCF) samples of premenopausal and post-menopausal periodontally healthy and periodontitis patients. Materials and Methods: Study included pre-menopausal periodontitis 15, postmenopausal periodontitis 15, pre-menopausal periodontally healthy 15 and postmenopausal periodontally healthy 15; a total of 60 individuals were included.Results: Clinical periodontal evaluation indices in the 6th week after treatment were found to be statistically significantly lower than the initial values of PI, GI, PPD, CAL in the periodontitis groups(p<0.05). Pre-treatment baseline NOX-1 values were singificantly higher in both periodontitis groups than healthy groups (p<0.05). While the pre-menopausal and post-menopausal periodontitis groups before treatment had similar PI, PPD and CAL values, the GI was found to be significantly higher in the post-menopausal periodontitis group(p<0.05). While NOX-1 values in pre-treatment GCF samples were similar in pre-menopausal and post-menopausal periodontitis groups, NOX-1 values in the post-menopausal periodontitis group at the 6th week after treatment were found to be statistically higher than the pre-menopausal periodontitis group (p<0.05). Conclusions:According to the results of our study, oxidative stress that increases with menopause may negatively affect the healing potential after periodontal treatment. Accordingly, antioxidant supplementation can be predicted with hormone replacement during this period.

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“…1 The prevalence and severity of gingivitis increased at age 21-30 years, whereas periodontitis increased significantly at age >40 years. 2 According to the Basic Health Research (RISKESDAS) 2018, caries and periodontal disease are the two dental and oral diseases with the highest prevalence. The prevalence of periodontal disease has reached 60% in Indonesian society 3 , and this phenomenon can describe the high risk of Indonesian people getting affected.…”

Section: Introductionmentioning

confidence: 99%

Quality Of Life of Menopausal Women Suffering from Periodontitis Relating to Dental Conditions

et al. 2022

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Menopause describes the cessation of a woman’s menstrual period due to the ovaries’ shutdown of estrogen and progesterone production. Decreased levels of these hormones cause menopause symptoms and reduce the quality of life. Therefore, this study aims to determine how the quality of life of postmenopausal women and the practice of periodontics in Medan City are related to the condition of teeth. A descriptive method was used with a cross-sectional design to adapt the questionnaires. The number of samples was 60 people based on medical record data at the periodontics installation of the RSGM USU and dentists’ practice in Medan. Furthermore, a Likert scale was used to assess the quality of life of postmenopausal women with periodontitis. The results showed that the quality of life, which strongly influenced the teeth, was Stage IV Grade B. In terms of social relations, the most decisive influence on the condition of the teeth was appearance. The aspect of the physical ability which strongly influences the condition is chewing hard food. In conclusion, menopausal women with periodontitis influence their quality of life from aspects of physical ability, social relations, general health, and psychology. Key words: quality of life, menopausal women, periodontitis, dental conditions

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Differences in Periodontal Severity Between Perimenopausal and Postmenopausal Women with Chronic Periodontitis

Cited by 7 publications

References 28 publications

Gender-Associated Oral and Periodontal Health Based on Retrospective Panoramic Radiographic Analysis of Alveolar Bone Loss

Gender-Associated Oral and Periodontal Health Based on Retrospective Panoramic Radiographic Analysis of Alveolar Bone Loss

The Effect of Menopause on Nadph Oxidase Levels After Non-Surgical Periodontal Treatments on Patients With Periodontitis

Quality Of Life of Menopausal Women Suffering from Periodontitis Relating to Dental Conditions

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