Individual Medical Practice, 93-410 Łódź, Poland.
Physics and Applied Informatics, 92-321 Łódź, Poland.
Medicina (Kaunas). 2023 Jan 29;59(2):258. doi: 10.3390/medicina59020258.
: Progesterone and estrogen modify the bone metabolism directly related to the periodontium, this study aimed at answering the question whether fluctuations in the levels of these hormones or the use of their synthetic equivalents in modern contraceptives have a significant impact on the natural tooth mobility (TM) in its alveolus. : Sixty healthy women who had never been pregnant and when interviewed reported either (1) having regular menstruations every 28-30 days or (2) taking oral two-phase two-ingredient hormonal contraceptives formed, respectively, groups M and S in the study. TM evaluated as the Periotest value (PTV) was checked in the menstruation, ovulation, and luteal phases of the menstrual cycle (group M) and on the days corresponding to the moment of the menstrual cycle in group S. : Although the PTV-s were within the limits of norm, the canines and the molars were always more stable than the other teeth. In group M, the TM was statistically comparable ( > 0.05) in the menstrual and ovulation phases, thus significantly increased ( < 0.001) in the luteal phase. The TM remained constant ( = 0.758) in all studies in group S. The results demonstrated that the canines and the molars in the luteal phase were significantly more mobile in group M than in group S ( < 0.001), although increased mobility of the teeth in group M affected the canines and the first molars to a significantly lesser degree than the other teeth. : However, since women between 20 and 30 years old constitute the majority of ortho-dontic patients, possible determination of the optimum moment of force application in relation to the sex hormones cycle, namely, to its luteal phase, is clinically very promising.
孕激素和雌激素可直接调节与牙周组织相关的骨代谢。本研究旨在回答以下问题:这些激素水平的波动或其合成类似物在现代避孕药中的应用是否对天然牙动度(TM)在牙槽骨中的变化有显著影响。
本研究纳入了 60 名从未怀孕的健康女性,当她们接受采访时,报告称(1)月经周期规律,每 28-30 天一次,或(2)服用口服双相双成分激素避孕药,分别在研究中组成 M 组和 S 组。TM 通过牙周测试值(PTV)评估,在月经周期的月经期、排卵期和黄体期(M 组)以及 S 组相应的月经周期日进行检查。
尽管 PTV 值在正常范围内,但尖牙和磨牙始终比其他牙齿更稳定。在 M 组中,TM 在月经期和排卵期的统计学上无差异(>0.05),但在黄体期显著增加(<0.001)。在 S 组的所有研究中,TM 保持不变(=0.758)。结果表明,在黄体期,M 组的尖牙和磨牙的 TM 明显比 S 组更活跃(<0.001),尽管 M 组中牙齿的活跃程度增加对尖牙和第一磨牙的影响程度明显小于其他牙齿。
然而,由于 20-30 岁的女性构成了正畸患者的大多数,因此可能确定与性激素周期(即黄体期)相关的最佳力应用时机在临床上具有很大的应用前景。