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Prevention of hormonal changes

 For example, at the age of 12, girls may suffer from pubertal gingivitis.

Prevention of hormonal changes

The hormonal changes experienced by women at certain stages of their lives have an extraordinary influence on the appearance of some oral disorders and these, in turn, become a health problem, especially during puberty, menstruation, pregnancy, and menopause. In this situation, information and prevention are key. 

The health of a woman's gums depends throughout her life on an element that we do not control: the hormonal changes she experiences during puberty, pregnancy, and menopause.

Puberty

Around the age of 12, girls may suffer from pubertal gingivitis, with great inflammation of the gums at the interdental and vestibular level. It is associated with increases in sex hormones, estrogens, and progesterone, which lead to an increase in blood circulation to the gums, favoring inflammation due to bacteria.

What does this result in? Sometimes bleeding of the gums, a greater predisposition to have dental caries, and also to develop infectious problems.

This situation is usually transitory and reversible after puberty, at least partially, but it is advisable to prevent, diagnose and treat periodontal problems in girls and adolescents early by seeing a dentist.

Pregnancy


Hormonal changes during this period affect the blood vessels of the gums, the functioning of the cells of the periodontium (tissue that surrounds and supports the teeth), plaque bacteria, and the local immune system.
If the pregnant woman has pre-pregnancy gingivitis or periodontitis, the risk of having a premature delivery or a low birth weight baby increases. There are also studies that link periodontal disease to the increased time it takes a woman to become pregnant.

Several studies have shown an increase in gum inflammation during the 9 months of gestation, something that usually disappears after delivery. This is known as pregnancy or gravid gingivitis, a pathology characterized by enlarged, intensely red gums that bleed easily, with low amounts of bacterial plaque.

Bleeding gums during pregnancy is not normal, should not occur, and should be diagnosed and treated correctly. Therefore, periodontal examination before and during pregnancy and treatment of its pathology is of vital importance.

Menopause


In this period of a woman's life, estrogen and progesterone levels decrease, i.e. hormonal changes that reduce the inflammatory effect on the gums and bone density is reduced, resulting in osteoporosis.

In the mouth, there are significant alterations in the tissues and changes in the biochemical composition of saliva, as well as reduced secretion.
In menopausal women, atrophic gingivitis, shiny and dry gums, easy bleeding, and oral discomfort may appear, with a burning sensation, dryness, and bad taste, symptoms known as "burning mouth syndrome".

Special mention should be made of osteoporosis, since it can be a risk factor for periodontal disease, due to the increased loss of alveolar bone.

Therefore, it is essential to maintain low levels of bacterial plaque: regular visits to the dentist will help to identify and treat any problems that may arise. And in the case of taking oral bisphosphonates (the most frequent treatment to prevent osteoporotic fractures), the specialist should be informed so that he/she can take the appropriate preventive and therapeutic measures.

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