Factors affecting puberty gingivitis in Polish girls with adolescent idiopathic scoliosis

• Published in: Ginekologia polska 2020-01, Vol.91 (3), p.103-110
• Main Authors: Glowacka, Joanna, Opydo-Szymaczek, Justyna, Mehr, Katarzyna, Jarzabek-Bielecka, Grazyna, Glowacki, Jakub
• Format: Article
• Language: English
• Subjects: Hormones; Oral hygiene; Puberty; Scoliosis
• ISSN: 0017-0011; 2543-6767
• DOI: 10.5603/GP.2020.0025

OBJECTIVES: Age at menarche and hormonal disturbances have been linked to the occurrence and severity of adolescentidiopathic scoliosis (AIS). Concomitantly, an increase in the production of sex hormones during puberty may result in steroidhormones-related gingivitis. Thus, the study aimed to assess the prevalence and factors affecting puberty gingivitis,including menarcheal status, in female patients with AIS and control subjects. MATERIAL AND METHODS: The study group was comprised of 59 girls aged 12–16 years with AIS and 50 healthy controls. Dentalexamination included the assessment of oral hygiene, gingivitis, and dental caries intensity. Data were statistically analyzedwith a significance taken as p < 0.05. RESULTS: There wasn’t any statistically significant difference in the age at menarche and menarcheal status of both groups. Duringregression analysis, three predictors significantly affected gingival status of girls: oral hygiene, orthopedic condition,and laterality of the curve. Scoliosis and left convex of the curve significantly increased the index of gingival inflammation. CONCLUSIONS: The results indicate that gingivitis is frequent among female adolescents with AIS, due to poor oral hygieneand higher susceptibility to inflammation. It emphasizes a need for a development of preventive strategy for scoliotic patients,since incipient periodontal problems in children may turn into irreversible advanced periodontal diseases in adults.