ASSOCIAÇÃO DA TERAPIA DE REPOSIÇÃO HORMONAL COM A CONDIÇÃO PERIODONTAL DE MULHERES

O objetivo deste estudo foi avaliar o efeito da TRH nas condições periodontais em mulheres na pós-menopausa. A amostra consiste de 90 mulheres na pós-menopausa na faixa etária dos 44-77 anos selecionadas em uma base de dados secundária, 42 fizeram uso TRH e 48 não utilizaram. A condição clínica de pós-menopausa foi considerada a ausência de menstruação por um período de 12 meses ou a remoção do útero a pelo menos 6 meses. TRH foi avaliada pelo relato na entrevista, sendo o uso, prescrições e tipos de medicamentos utilizados confirmados pela revisão dos prontuários médicos. Comparações entre os grupos foram testadas com teste t independente. Variáveis categóricas foram testadas através do teste qui-quadrado. Não foram observadas diferenças estatisticamente significantes para nenhuma das variáveis periodontais entre os grupos. Menor perda de inserção foi observada no grupo que recebeu TRH, porém não foi observada uma diferença estatisticamente significante após o ajuste para idade. Quando dois critérios estabelecidos para determinar periodontite foram comparados entre os grupos, diferenças significantes não foram observadas. Neste estudo a condição periodontal de mulheres na pós-menopausa não foi associada ao uso de TRH

Correlations between supra- and subgingival clinical parameters in smokers and individuals who have never smoked

Introduction Smoking is a risk factor for prevalence, severity and progression of periodontal disease and appears to suppress marginal periodontium inflammatory response. Purpose To correlate Visible Plaque Index (VPI) and Gingival Bleeding Index (GBI) in smokers and never-smokers, as well as GBI and bleeding on probing (BOP ) in these groups. Material and method We used baseline data of one quasi-experimental study in which 11 smokers and 14 subjects who never smoked were submitted to clinical periodontal examinations between September 2010 and October 2011. Result The correlation between VPI and GBI was positive for both groups, it was strong and statistically significant in subjects who had never smoked and moderate in smokers. Regarding GBI and BOP correlations were moderate for smokers and weaker for individuals who had never smoked. Conclusion Smokers have lower strength correlation between VPI and GBI compared to individuals who had never smoked resulting in a less pronounced marginal gingival bleeding

Factors associated with periodontal diseases in pregnancy: Findings of the 2015 Pelotas Birth Cohort Study

Abstract Although periodontal disease is common during pregnancy, little is known about socioeconomic, behavioral, or biological determinants related to clinically assessed periodontal condition during this period. We assessed the prevalence of periodontal disease and associated factors in pregnant women. This population-based survey used data used from the 2015 Pelotas Birth Cohort Study, Brazil. Pregnant women expected to give birth between December 2014 and May 2016 were interviewed and clinically examined by trained dentist, with periodontal measures collected in all teeth, six sites per tooth. Outcomes were periodontitis (using the 2012 Centers for Disease Control and Prevention and the American Academy of Periodontology criteria) and gingivitis (by the 2018 European Federation of Periodontology/ American Academy of Periodontology classification). Multivariate hierarchical Poisson regression was used to assess the associations between socioeconomic, systemic, and clinical oral factors and periodontal disease. A total of 2,474 pregnant women participated in the study. Prevalence of periodontitis and gingivitis was 14.63% and 21.67%, respectively. Lower educational level and calculus were associated with higher prevalence periodontitis and gingivitis (P<0.05). Smoking was also associated with periodontitis (P=0.05), and lower frequency of toothbrushing (P=0.005) with gingivitis. Periodontal disease, especially gingivitis, was prevalent in pregnant women and their determinants were socioeconomic, environmental, and clinical oral health factors

Correlations between supra- and subgingival clinical parameters in smokers and individuals who have never smoked

Introduction Smoking is a risk factor for prevalence, severity and progression of periodontal disease and appears to suppress marginal periodontium inflammatory response. Purpose To correlate Visible Plaque Index (VPI) and Gingival Bleeding Index (GBI) in smokers and never-smokers, as well as GBI and bleeding on probing (BOP ) in these groups. Material and method We used baseline data of one quasi-experimental study in which 11 smokers and 14 subjects who never smoked were submitted to clinical periodontal examinations between September 2010 and October 2011. Result The correlation between VPI and GBI was positive for both groups, it was strong and statistically significant in subjects who had never smoked and moderate in smokers. Regarding GBI and BOP correlations were moderate for smokers and weaker for individuals who had never smoked. Conclusion Smokers have lower strength correlation between VPI and GBI compared to individuals who had never smoked resulting in a less pronounced marginal gingival bleeding