Effects of hormonal contraceptives on the periodontium, in a population of rural Sri‐Lankan women

Tilakaratne, A; Soory, Menaka; Ranasinghe, A. W.; Corea, S. M. X.; Ekanayake, S L; Silva, M de

doi:10.1034/j.1600-051x.2000.027010753.x

Cited by 56 publications

(57 citation statements)

References 23 publications

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“…The most pronounced periodontal changes occur during pregnancy, as a significant proportion of pregnant women suffer from pregnancy gingivitis. Women on hormonal replacement therapy (HRT) and oral contraceptives experience increased gingival inflammation [81, 99]. With oral contraceptives, this increase in gingival inflammation is mainly related to the duration of use as it has been suggested that prolonged use of oral contraceptives may detrimentally affect the periodontium.…”

Section: Risk Factors Of Periodontal Diseasementioning

confidence: 99%

Risk Factors of Periodontal Disease: Review of the Literature

AlJehani

2014

International Journal of Dentistry

241

209

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Objectives. This paper aims to review the evidence on the potential roles of modifiable and nonmodifiable risk factors associated with periodontal disease. Data. Original articles that reported on the risk factors for periodontal disease were included. Sources. MEDLINE (1980 to Jan 2014), PubMed (using medical subject headings), and Google Scholar were searched using the following terms in different combinations: “periodontal disease,” “periodontitis,” “risk factors,” and “causal.” This was supplemented by hand-searching in peer-reviewed journals and cross-referenced with the articles accessed. Conclusions. It is important to understand the etiological factors and the pathogenesis of periodontal disease to recognize and appreciate the associated risk factors. As periodontal disease is multifactorial, effective disease management requires a clear understanding of all the associated risk factors.

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Section: Risk Factors Of Periodontal Diseasementioning

confidence: 99%

Risk Factors of Periodontal Disease: Review of the Literature

AlJehani

2014

International Journal of Dentistry

241

209

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“…However, it should be emphasized that there are reports of the presence of estrogen and progesterone receptors in the periodontal tissues 25,26 making alterations on cytokine and prostaglandin production in association with disturbances in the microvascular system and higher levels of certain bacterial species, as a result of the effects of higher serum levels of sex hormones during the use of oral contraceptives. These arguments are supportive to the belief that women taking this medicine are more susceptible to the development and progression of periodontal diseases 2,10,11,14,16,24 .…”

Section: Discussionmentioning

confidence: 69%

“…Tilakaratne, et al. 24 (2000) investigated 32 women taking hormonal contraceptives for less than 2 years, 17 of them for 2-4 years and a matched control group of 39 women not taking the medication. The results obtained suggested that women taking pills had similar oral hygiene levels than women who did not take.…”

Section: Discussionmentioning

confidence: 99%

Influence of combined oral contraceptives on the periodontal condition

et al. 2012

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Most studies investigating the impact of oral contraceptives have been performed some years ago, when the level of sexual hormones was greater than the actual formulations.Objective The aim of this study was to evaluate the effects of current combined oral contraceptives (COC) on periodontal tissues, correlating the clinical parameters examined with the total duration of continuous oral contraceptive intake. Material and methods Twenty-five women (19-35 years old) taking combined oral contraceptives for at least 1 year were included in the test group. The control group was composed by 25 patients at the same age range reporting no use of hormone-based contraceptive methods. Clinical parameters investigated included pocket probing depth (PD), clinical attachment level (CAL), sulcular bleeding index (SBI) and plaque index (Pl.I). Data were statistically evaluated by unpaired t test, Pearson's correlation test and Spearman's correlation test. Results The test group showed increased PD (2.228±0.011 x 2.154±0.012; p<0.0001) and SBI (0.229±0.006 x 0.148±0.005, p<0.0001) than controls. No significant differences between groups were found in CAL (0.435±0.01 x 0.412±0.01; p=0.11). The control group showed greater Pl.I than the test group (0.206±0.007 x 0.303±0.008; p<0.0001). No correlation between the duration of oral contraceptive intake, age and periodontal parameters was observed. Conclusions These findings suggest that the use of currently available combined oral contraceptives can influence the periodontal conditions of the patients, independently of the level of plaque accumulation or total duration of medication intake, resulting in increased gingival inflammation.

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“…Periodontal disease prevalence among women of reproductive age is estimated to be 37% to 46% and can be up to 30% among pregnant women (New York State Department of Health, 2006). Although pocket depth (an increase in pocket depth is a marker for clinical periodontal disease) around teeth has been shown to increase as pregnancy progresses, this increase resolves after birth if it is caused by hormonal changes during pregnancy (Tilakaratne et al, 2000) rather than periodontal destruction (Miyazaki et al, 1991).…”

Section: Periodontal Disease During Pregnancymentioning

confidence: 99%

Maternal Periodontal Disease, Pregnancy, and Neonatal Outcomes

Dasanayake

Gennaro

Hendricks‐Muñoz

et al. 2008

McN: The American Journal of Maternal/Child Nursing

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The purpose of this article is to review the current literature on the association between maternal periodontal disease and poor pregnancy and neonatal outcomes and outline the role nurses can play in improving the oral health of pregnant women. Maternal periodontal disease is linked to preterm birth, low birthweight, and preterm low birthweight, but treatment of periodontal disease during pregnancy has been shown to be safe and effective. Nurses, nurse practitioners, and nurse-midwives are in a position to educate pregnant women on the benefits of good oral health and identify and refer women who are in need of dental care for treatment.

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Effects of hormonal contraceptives on the periodontium, in a population of rural Sri‐Lankan women

Cited by 56 publications

References 23 publications

Risk Factors of Periodontal Disease: Review of the Literature

Risk Factors of Periodontal Disease: Review of the Literature

Influence of combined oral contraceptives on the periodontal condition

Maternal Periodontal Disease, Pregnancy, and Neonatal Outcomes

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