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[使用激素避孕的塞内加尔女性样本的牙周状况]

[Periodontal status in a sample of Senegalese women using hormonal contraception].

作者信息

Seck-Diallo A, Cissé M L, Benoist H M, Diouf A, Ahnoux-Kouadio A, Diallo T, Sembene M, Moreau J C, Diallo P D

机构信息

Service de Parodontologie, Université Cheikh Anta Diop, Dakar, Sénégal.

出版信息

Odontostomatol Trop. 2008 Mar;31(121):36-42.

Abstract

Hormonal contraception is based on the use of synthetic hormones containing variable doses of oestrogen and progesterone making it possible to avoid pregnancy in a temporary and reversible way. The objective of this study is to evaluate the periodontal status of a sample of Senegalese women under hormonal contraceptive. One hundred women using contraception since at least 6 month were paired on the age, the socio-economic profile and oral hygiene with a control group. Oral hygiene (plaque index (PI) of Silness and Löe), the inflammation (gingival index (GI) of Löe and Silness), probing depth and clinical attachment loss were recorded. With equal hygiene, the scores of the gingival index were significantly higher among women under contraceptive (p < 0.001). Inflammation was significantly more marked for the women who used contraception in injectable form compared to the control group (p < 0.001). Probing depth (3.01 +/- 0.04) and clinical attachment loss (3.19 +/- 0.08) were significantly more important among women under contraceptive (p < 0.001). The women under contraceptive seem to set up a group at risk for developing a periodontal disease, it is thus necessary to systematise periodontal appraisal before and during contraceptive use period.

摘要

激素避孕是基于使用含有不同剂量雌激素和孕激素的合成激素,从而有可能以暂时和可逆的方式避免怀孕。本研究的目的是评估使用激素避孕的塞内加尔女性样本的牙周状况。将至少使用避孕措施6个月的100名女性与对照组在年龄、社会经济状况和口腔卫生方面进行配对。记录口腔卫生情况(Silness和Löe的菌斑指数(PI))、炎症情况(Löe和Silness的牙龈指数(GI))、探诊深度和临床附着丧失。在口腔卫生情况相同的情况下,使用避孕药的女性牙龈指数得分显著更高(p < 0.001)。与对照组相比,使用注射剂型避孕药的女性炎症更为明显(p < 0.001)。使用避孕药的女性的探诊深度(3.01 +/- 0.04)和临床附着丧失(3.19 +/- 0.08)显著更高(p < 0.001)。使用避孕药的女性似乎构成了患牙周病的风险群体,因此有必要在使用避孕药之前和期间系统地进行牙周评估。

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