PERIODONTAL TREATMENT OUTCOMES IN POST MENOPAUSAL WOMEN RECEIVING HORMONE REPLACEMENT THERAPY

Abstract

Purpose: To evaluate the effect of hormone replacement
therapy(HRT) on periodontal treatment outcomes in
a group of postmenopausal women with periodontitis.
Materials and Methods: 23 post-menopausal
chronic periodontitis patients were included in this
study. The test group(n=11) consisted of women
who started HRT with this study and received
conjugated estrogen and medroxyprogesteron. The
control group(n=12) was women not taking any HRT
or supplement therapy. Study groups received the
same periodontal treatment. All subjects examiend
by recording the following: plaque index (PI), sulcus
bleeding index (SBI), periodontal pocket depth (PD)
and relative attachment level (RAL) from 6 sites in
each tooth. Measurements were recorded at the
baseline, 1 month, 3 months, and 6 months following
periodontal treatment. Serum estrogene level and
bone mineral density was recorded at baseline
and 6 months following periodontal treatment.
Results: The GI change was greater in the
control group. There wasn’t significant difference
by means of PD, the attachment gain was
significantly greater in the HRT receiving group.
Conclusion: HRT seems to have a positive
effect on periodontal treatment outcomes.

Keywords

• Periodontitis; hormone replacement therapy; post menopausal; root planning

Hormon Replasman Tedavisi Alan Postmenopozal Dönemdeki Kadınlarda Periodontal Tedavinin Etkileri

Abstract

Amaç: Bu çalışmanın amacı periodontitisli postmenopozal kadınlarda postmenopozal hormon tedavisinin (PHT), periodontal başlangıç tedavisi sonuçları üzerindeki etkilerini incelemektir.Gereç ve Yöntem: 23 kronik periodontitisli daha önce hormon tedavisi görmemiş olan postmenopozal kadın çalışmaya dâhil edilmiştir. Deney grubuna (n=11) konjuge östrojen ve medroxyprogesteron kullandırılmış, kontrol grubuna(n=12) herhangi bir hormon tedavisi verilmemiştir. Çalışmadaki tüm bireyler bireylere aynı periodontal başlangıç tedavisi uygulanmıştır. Plak indeksi(PI), dişeti oluğu kanama indeksi (DOKİ), sondalanabilir cep derinliği (SD), rölatif ataşman düzeyi (RAD) ölçümleri başlangıçta, 1., 3., ve 6. aylarda, serum östrojen düzeyi, sistemik kemik yoğunluğu ölçümleri başlangıçta ve 6. ayda gerçekleştirilmiştir. Bulgular: DOKİ, kontrol grubunda daha fazla değişim göstermiştir. SD açısından gruplar arasında fark yoktur. PHT kullanmakta olan kadınlarda klinik atasman kazanci daha fazla bulunmuştur. Sonuç: PHT kullanımının periodontal tedavi sonuclarina olumlu katki sağladığı söylenebilir

Keywords

• Periodontitis, hormon replasman tedavisi, post menopozal, kök yüzeyi düzleştirme

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