SYSTEM: reproductive system
Disease Definition, including signs and Dental (medical history) considerations Dental implications and management
/Condition symptoms
ie associated drugs, or disease effects Ie check INR score before treatment
on the oral cavity
Puberty During puberty Pubertal gingivitis: Dental implications:
Increased levels of Red, inflamed, swollen gingival Need to stress that daily attention to
oestradiol in females and tissue. biofilm control and frequent
testosterone in males Bleeding on probing. professional care are very important
Increased level of sex Inflammation that is reversible with for gingival health during puberty.
hormones meticulous self-care Early diagnosis ensures the greatest
These increasing levels in Reversible throughout puberty. chance for successful treatment- it is
hormones cause an important for kids to have periodontal
increase in blood circulation examination as part of their dental
to the gingival tissues and visit.
this may cause an Depending on patient's level of self
increased sensitivity to local care, the frequency of professional
irritants, like plaque biofilm, care may need to be increased.
causing pubertal gingivitis.
The period of puberty is associated
with increased gingival
inflammation.
Changes in the composition
of the subgingival
microbiota, rather than in
the plaque biofilm, are the
most likely contributing
factors.
Occurs equally in females
and males.
The tendency for plaque-induced
gingivitis normally decreases as the
young person progresses through
puberty.
, Pregnancy First trimester- foetus is at risk from Dental relevance Dental implications:
infections and drugs. Recommendations for drugs and Need to educate about the
medicines. importance about oral hygiene.
Second and third- can still be Avoid radiography Good time to educate mothers on
affected by certain drugs- like Severe morning sickness can cause future care on their children.
tetracycline. erosion Help with any concerns during
Cravings can change diets pregnancy.
Impact of hormonal fluctuations on Opportunity to educate patients' and Prenatal vitamins, help reduce birth
pregnancy on the periodontium: the new-born oral health. defects.
Elevated progesterone Chewing xylitol-containing gum can
levels enhance capillary decrease caries risk.
permeability and dilation Morning sickness can cause erosion.
which results in the Care plan- prevent, treatment should
increased gingival exudate be minimal.
and oedema. Be considerate about other general
Increased levels of health risk factors.
estrogen have been shown
to alter the microbial profile
of subgingival plaque.
High levels of estrogen and
progesterone associated
with pregnancy have been
shown to suppress the
immune response to dental
plaque biofilm.
Sometimes the gingiva
papilla can react intensely
to the plaque biofilm and
cause the gingiva to
overgrow.
o Called pregnancy-
associated
pyogenic
granuloma
(pregnancy tumour)
o Form on the
interdental gingiva
or gingival margin
Disease Definition, including signs and Dental (medical history) considerations Dental implications and management
/Condition symptoms
ie associated drugs, or disease effects Ie check INR score before treatment
on the oral cavity
Puberty During puberty Pubertal gingivitis: Dental implications:
Increased levels of Red, inflamed, swollen gingival Need to stress that daily attention to
oestradiol in females and tissue. biofilm control and frequent
testosterone in males Bleeding on probing. professional care are very important
Increased level of sex Inflammation that is reversible with for gingival health during puberty.
hormones meticulous self-care Early diagnosis ensures the greatest
These increasing levels in Reversible throughout puberty. chance for successful treatment- it is
hormones cause an important for kids to have periodontal
increase in blood circulation examination as part of their dental
to the gingival tissues and visit.
this may cause an Depending on patient's level of self
increased sensitivity to local care, the frequency of professional
irritants, like plaque biofilm, care may need to be increased.
causing pubertal gingivitis.
The period of puberty is associated
with increased gingival
inflammation.
Changes in the composition
of the subgingival
microbiota, rather than in
the plaque biofilm, are the
most likely contributing
factors.
Occurs equally in females
and males.
The tendency for plaque-induced
gingivitis normally decreases as the
young person progresses through
puberty.
, Pregnancy First trimester- foetus is at risk from Dental relevance Dental implications:
infections and drugs. Recommendations for drugs and Need to educate about the
medicines. importance about oral hygiene.
Second and third- can still be Avoid radiography Good time to educate mothers on
affected by certain drugs- like Severe morning sickness can cause future care on their children.
tetracycline. erosion Help with any concerns during
Cravings can change diets pregnancy.
Impact of hormonal fluctuations on Opportunity to educate patients' and Prenatal vitamins, help reduce birth
pregnancy on the periodontium: the new-born oral health. defects.
Elevated progesterone Chewing xylitol-containing gum can
levels enhance capillary decrease caries risk.
permeability and dilation Morning sickness can cause erosion.
which results in the Care plan- prevent, treatment should
increased gingival exudate be minimal.
and oedema. Be considerate about other general
Increased levels of health risk factors.
estrogen have been shown
to alter the microbial profile
of subgingival plaque.
High levels of estrogen and
progesterone associated
with pregnancy have been
shown to suppress the
immune response to dental
plaque biofilm.
Sometimes the gingiva
papilla can react intensely
to the plaque biofilm and
cause the gingiva to
overgrow.
o Called pregnancy-
associated
pyogenic
granuloma
(pregnancy tumour)
o Form on the
interdental gingiva
or gingival margin
