Document Detail


Experimental gingivitis during pregnancy and post-partum: clinical, endocrinological, and microbiological aspects.
MedLine Citation:
PMID:  7989619     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to assess whether an intensive oral hygiene regimen practised during pregnancy results in a clinically healthy gingival state, and to assess whether experimentally-induced gingivitis differs in severity during pregnancy as compared to post-partum. In addition, levels of black-pigmented Gram negative anaerobes at subgingival and oral mucosal sites and plasma concentrations of free estrogens and prosterone were determined. These parameters were studied during a 14-day episode of experimental gingivitis induced in the 25th week of pregnancy, and again 6 months post-partum. The subjects were selected on shallow pockets < or = 4 mm and interproximal loss of attachment not exceeding 2 mm. As a result of controlled oral hygiene, the gingival condition improved both during pregnancy and post-partum. At day 0 during pregnancy, however, gingival swelling, redness, and bleeding on probing were found to be higher than post-partum. Free plasma levels of estrogens and progesterone were found to be normal throughout the study. It was hypothesized that the increase in severity of gingival symptoms during pregnancy reflect microvascular physiologic effects of increased levels of these hormones. During pregnancy, more swelling, redness and bleeding on probing developed during experimental gingivitis than post-partum, whereas the amount of plaque was similar in both phases. This suggests that as a result of dental plaque accumulation, gingival inflammation develops superimposed on pregnancy-associated physiologic alterations. Microbiological evaluation showed that the mean proportions of Prevotella intermedia in subgingival plaque increased during experimental gingivitis performed during pregnancy, whereas no increase of this micro-organism was found post-partum.
Authors:
J E Raber-Durlacher; T J van Steenbergen; U Van der Velden; J de Graaff; L Abraham-Inpijn
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of clinical periodontology     Volume:  21     ISSN:  0303-6979     ISO Abbreviation:  J. Clin. Periodontol.     Publication Date:  1994 Sep 
Date Detail:
Created Date:  1995-01-12     Completed Date:  1995-01-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0425123     Medline TA:  J Clin Periodontol     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  549-58     Citation Subset:  D; IM    
Affiliation:
Department of General Pathology and Internal Medicine, Academic Centre for Dentistry Amsterdam, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adult
Colony Count, Microbial
Dental Plaque / microbiology,  physiopathology,  prevention & control
Estradiol / blood
Female
Gingiva / microbiology
Gingival Hemorrhage / microbiology,  physiopathology,  prevention & control
Gingivitis / microbiology,  physiopathology*,  prevention & control
Gram-Negative Anaerobic Bacteria / isolation & purification
Humans
Mouth Mucosa / microbiology
Oral Hygiene
Periodontal Attachment Loss / microbiology,  physiopathology,  prevention & control
Periodontal Pocket / microbiology,  physiopathology,  prevention & control
Postpartum Period*
Pregnancy
Pregnancy Complications / microbiology,  physiopathology*
Prevotella intermedia / isolation & purification
Progesterone / blood
Chemical
Reg. No./Substance:
50-28-2/Estradiol; 57-83-0/Progesterone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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