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Revista de Cirurgia e Traumatologia Buco-maxilo-facial

versão On-line ISSN 1808-5210

Resumo

GUSMAO, Estela Santos et al. Gingival overgrowth associated the climateric: surgical removal. Rev. cir. traumatol. buco-maxilo-fac. [online]. 2010, vol.10, n.4, pp. 21-26. ISSN 1808-5210.

Changes in levels of sex hormones (estrogen and progesterone) in women during puberty, pregnancy, menstrual cycle, menopause and oral contraceptives use, in addition to acting in other organs, also act in the oral cavity, particularly in the periodontal tissues, as modifying factor of various types of pre-existing pathologies. This hormonal imbalance modifies the tissue response to plaque, influencing the flora composition and stimulating the synthesis of inflammatory cytokines, especially prostaglandins. A case report of a localized gingival overgrowth in the palate region in a 49-year-old female patient in the climacteric period is described. The patient was referred to the Periodontics Clinic, Faculty of Dentistry of Pernambuco - FOP / UPE, after repeated unsuccessful attempts at treatment. Treatment consisted of a therapy with oral hygiene instruction, scaling and planing root surface, and referred to a gynecologist for hormone replacement, followed by resection of the lesion. The results of periodontal and gynecological therapy were effective in preventing recurrence. This study concluded the importance of an integrated therapy for conditions such as presented, providing less damage to oral and systemic levels of the patient.

Palavras-chave : Overgrowth Gingival; Climateric; Hormonal Change.

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