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29-Jan-2021 17:42

La gengivite gravidica è il risultato di una combinazione di stimoli fisiologici, di un aumentata risposta alla placca batterica e di un deficit di vitamina C Diversi studi hanno dimostrato le funzioni immunosoppressive degli ormoni durante la gravidanza.In questa fase, infatti, si riduce l’attività delle cellule aspecifiche di difesa e dei fibroblasti, ma soprattutto quella dei linfociti T.Inoltre e’ consigliabile in tali periodi l’ausilio di prodotti per il controllo chimico della placca batterica.I migliori, certamente, sono i colluttori a base di Clorexidina, la piu’ efficace sostanza antiplacca, o sciacqui a base di Triclosan.1) la gengivite gravidica: ha una prevalenza che varia dal 35 al 100% e un andamento in relazione a livelli delle gonadotropine ipofisarie: FSH (Ormone Follicolo Stimolante) e LH (Ormone Luteinizzante).La gengivite aumenta progressivamente dal primo al quarto mese, si mantiene stabile a picchi ormonali elevati dal quarto all’ottavo mese, per poi regredire nell’ultimo mese.Tale lesione può comparire comunque dal 3° mese di gravidanza ed esistono buone possibilità di regressione dopo il parto.

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Due possibili quadri di patologia orale possono essere identificati nella donna in gravidanza: la gengivite e l’epulide gravidica.

I cambiamenti ormonali, l’aumentata percentuale di batteri gram-negativi, la diminuzione del p H delle ghiandole salivari costituiscono una serie di fattori cariogeni o comunque favorenti l’insorgere o l’aggravarsi di patologie odontostomatologiche.



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