Altered tissue metabolism of progesterone in pregnancy gingivitis and granuloma

Ojanotko-Harri, Anita; Harri, Mikko; Hurttia, Helena; Sewoon, L. A.

doi:10.1111/j.1600-051x.1991.tb00425.x

Cited by 91 publications

(73 citation statements)

References 19 publications

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“…49 It is reported to affect between 30-100% of pregnant women. [51][52][53][54][55] Pregnancy gingivitis usually occurs in the second month of gestation and progresses with time, reaching a peak in the eighth month of gestation. It usually subsides thereafter and immediately postpartum may revert to what was previously observed in the mouth.…”

Section: Resultsmentioning

confidence: 99%

Oral colonization of Gram-negative anaerobes as a risk factor for preterm delivery

Africa¹

2011

Virulence

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Section: Resultsmentioning

confidence: 99%

Oral colonization of Gram-negative anaerobes as a risk factor for preterm delivery

Africa¹

2011

Virulence

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“…This explains the high incidence in women, particularly pregnant and oral contraceptive consumers. 10 In general, it appears in second to third month of pregnancy, with the tendency to bleed and a possible interference with mastication 11 .…”

Section: Discussionmentioning

confidence: 99%

Palatal piyojenik granülom: sıradışı bir bölgede sık rastlanan bir lezyon

Mad¹,

Babu²,

Castelino³

et al. 2016

Cukurova Medical Journal (Çukurova Üniversitesi Tıp Fakültesi Dergisi)

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AbstractÖz The pyogenic granuloma is a common tumour like growth of the oral cavity. It was originally thought to be caused by pyogenic organisms but it is now believed to be unrelated to infection. It represents an exuberant tissue response to local irritation and trauma. Despite its name, it is not a true granuloma. It arises most frequently on the gingiva, lips, tongue and buccal mucosa. Pyogenic granuloma of the palate is a rare occurrence. Here we report an unusual occurrence of pyogenic granuloma on the hard palate.Piyojenik granülom, ağız boşluğunda yaygın görülen bir tümördür.Başlarda, piyojenik organizmalardan kaynaklandığı düşünülsede, şimdilerde enfeksiyon ile ilgili olmadığına inanılmaktadır. İsim olarak lokal iritasyon ve travmaya dokunun verdiği aşırı reaksiyon anlamına gelir. Adına rağmen, tam bir granülom değildir. Sıklıkla diş eti, dudaklar, dil ve yanak mukozasında ortaya çıkar. Piyojenik granülom damakta nadiren görülür. Bu çalışmada, sert damakta alışılmadık bir şekilde görülen piyojenik granülomdan bahsedilecektir.

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“…Studies show that the increase of estrogen and progesterone cause changes in the gingival physiology, since gums have receptors for steroid hormones, which could enhance the tissue response to local irritants and change the local microbiota, with a predominance of more pathogenic microorganisms 9,10,22 .…”

Section: Discussionmentioning

confidence: 99%

Gravidarum granuloma associated to an osseointegrated implant: case report

Trento

Veltrini

Santos

et al. 2014

Rev. odontol. UNESP

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ResumoIntrodução: O granuloma piogênico é uma lesão oral reativa, benigna não-neoplásica que pode ocorrer em mulheres grávidas, conhecido como granuloma gravídico ou granuloma da gravidez. Geralmente é uma massa altamente vascularizada, tem característica exofítica, podendo ser séssil ou pediculado e, sua superfície costuma ter aspecto liso ou lobular, com coloração que varia de vermelha a rósea. A sensibilidade dolorosa irá depender do grau de injúria traumática que envolve a lesão, mas esta é frequentemente indolor. Áreas adjacentes a implantes são raras para o aparecimento de tal granuloma. Objetivo: O objetivo deste relato foi apresentar um caso clínico de granuloma piogênico, em região de gengiva lingual inferior, próximo a um implante osseointegrado, em uma paciente de 33 anos de idade, grávida de 3 meses, que possui a lesão desde o início da gestação. Conclusão: Granuloma gravídico foi diagnosticado em associação a um implante dentário. Isto evidencia a necessidade de reforço em higiene oral nas regiões peri-implantares. O tratamento cirúrgico com biópsia excisional e controle da higiene oral foram suficientes para resolução do caso.Descritores: Granuloma piogênico; gestantes; implantes dentários. AbstractIntroduction: Pyogenic granuloma, known as gravidarum granuloma or pregnancy granuloma, is a benign non-neoplastic reactive oral lesion that may occur in pregnant women. It is usually a highly vascularized mass, which has exophytic characteristics, and it may be sessile or pedunculated. Its surface has usually a smooth or lobular aspect, with its coloration ranging from red to pink. The pain sensitivity will depend on the degree of injury involving the traumatic lesion, but it is frequently painless. Adjacent areas to dental implants are rare for the appearance of this type of granuloma. Objective: The aim of this case report was to present a clinic case of gravidarum granuloma in the region of lower lingual gingiva, adjacent to an osseointegrated implant in a 33-year-old woman, with 3 months of gestation, who had the lesion since the beginning of her pregnancy. Conclusion: Gravidarum granuloma was diagnosed in association to a dental implant, and it highlights the necessity for improvements of oral hygiene in the peri-implant regions. Surgical treatment with excisional biopsy plus hygiene control were enough to settle the case.

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Altered tissue metabolism of progesterone in pregnancy gingivitis and granuloma

Cited by 91 publications

References 19 publications

Oral colonization of Gram-negative anaerobes as a risk factor for preterm delivery

Oral colonization of Gram-negative anaerobes as a risk factor for preterm delivery

Palatal piyojenik granülom: sıradışı bir bölgede sık rastlanan bir lezyon

Gravidarum granuloma associated to an osseointegrated implant: case report

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