Dam, J. van (2014) Het klinische effect van de menstruatiecyclus op het parodontium. thesis, Dentistry.
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Abstract
Background Estrogen and progesterone levels fluctuate during the menstrual cycle. Estrogen and progesterone levels peak in the week before menstruation. Gingival tissues, including keratinocytes and fibrinoblasts, contain receptors for estrogen and progesterone. Clinical changes of the periodontal tissues have been demonstrated in periods of hormonal fluctuation. Different studies demonstrate a relation between the fluctuation of estrogen and progesterone levels and an increased degree of gingival inflammation. Aim The clinical effect of the menstrual cycle on the periodontium is not yet clarified. Therefore the aim of this systematic review is to answer the following question: “What is the clinical effect of the fluctuations of estrogen and progesterone levels during the menstrual cycle on the periodontium?”. Materials and Methods A MEDLINE and EMBASE search was performed, aiming at studies investigating the effect of the fluctuations of estrogen and progesterone levels during the menstrual cycle on the periodontium. The search string included both MeSH terms and additional words, without using filters. Results In total, 524 articles were found. After screening 73 articles remained and were judged. Of ten abstracts the full-text was examined. Ultimately, five studies were included in this review. The results of the studies were not unambiguous. Conclusion No general conclusions about the clinical effect of the fluctuations of estrogen and progesterone during the menstrual cycle on the periodontium could be drawn based on the results of this review. There seems to be an increase of the gingival index and the bleeding score during ovulation and in the premenstrual phase. Also the hormone fluctuations during the menstrual cycle appear to have less effect on a healthy gingival tissue than on inflamed gingival tissue. However, more and lager clinical studies are needed to investigate this effect.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Tjakkes, Dr. G.H.E. |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:43 |
| Last Modified: | 25 Jun 2020 10:43 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/491 |
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