Огляди літератури
SEX- AND GENDER-RELATED ASPECTS OF PATHOGENESIS AND CLINICAL COURSE OF GENERALIZED PERIODONTITIS
Published
2025-11-27
Authors:
ОP
О.О. Pompii
ЕP
Е.S. Pompii
- Abstract:
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The literature review presents current perspectives on the impact of sex- and gender-related differences among patients on the pathogenesis and clinical course of generalized periodontitis. The biological factors of the disease are analysed in detail, including hormonal background, genetic predisposition, peculiarities of immune responses, and the oral microbiome in people of different sexes. The paper presents indicators of the prevalence of periodontitis depending on the patients’ behavioural factors, lifestyle, bad habits, and other gender factors. The article discusses the clinical symptoms of inflammatory lesions of periodontal tissues, which differ between men and women. The article outlines the problematic issues of the gender-oriented approach in dentistry that require further scientific research to improve the clinical effectiveness of the treatment of generalized periodontitis and the development of modern methods of individual prevention.
- Keywords:
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generalized periodontitis sex-related characteristics gender differences risk factors gender-specific medicine
- References:
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- Ali Alftaikhah SA, Issrani R, Alnasser M, Almutairi HA, Khattak O, Iqbal A, et al. Salivary biomarkers in periodontitis: a scoping review. Cureus. 2023;15(12):e50207. doi: 10.7759/cureus.50207.
- Angelov N, Soldatos N, Ioannidou E, Carter TC, Shimpi N, Applegate J. A retrospective analysis of the role of age and sex in outcomes of non-surgical periodontal therapy at a single academic dental center. Sci Rep. 2024;14(1):e9504. doi: 10.1038/s41598-024-60094-7.
- Ashwini A, Priyanka T, Nasser I, Sangavi G, Nagaland T, Agila E, et al. The clinical incorporation of the 2017 Classification of periodontal disease conditions part II: the association between clinical parameters and gender. Cureus. 2024;16(7):e63737. doi: 10.7759/cureus.63737.
- Bosnić Z, Babič F, Wittlinger T, Anderková V, Šahinović I, Majnarić LT. Influence of age, gender, frailty, and body mass index on serum IL-17A levels in mature type 2 diabetic patients. Med Sci Monit. 2023;29:e940128. doi: 10.12659/MSM.940128.
- Bostanci N, Krog MC, Hugerth LW, Bashir Z, Fransson E, Boulund F. Dysbiosis of the human oral microbiome during the menstrual cycle and vulnerability to the external exposures of smoking and dietary sugar. Front Cell Infect Microbiol. 2021;11:e625229. doi: 10.3389/fcimb.2021.625229.
- Ciesielska A, Kusiak A, Ossowska A, Grzybowska ME. Changes in the oral cavity in menopausal women – a narrative review. Int J Environ Res Public Health. 2021;19(1):e253. doi: 10.3390/ijerph19010253.
- Cornejo Ulloa PE, Krom BP, Schoonmade LJ, van der Veen MH. Sex steroid hormones: an overlooked yet fundamental factor in oral homeostasis in humans. Front Endocrinol (Lausanne). 2024;15:e1400640. doi: 10.3389/fendo.2024.1400640.
- Cornejo Ulloa P, Krom BP, van der Veen MH. Sex steroid hormones as a balancing factor in oral host microbiome interactions. Front Cell Infect Microbiol. 2021;11:e714229. doi: 10.3389/fcimb.2021.714229.
- Cornejo Ulloa P, van der Veen MH, Brandt BW, Buijs MJ, Krom BP. The effect of sex steroid hormones on the ecology of in vitro oral biofilms. Biofilm. 2023;6:e100139. doi: 10.1016/j.bioflm.2023.100139.
- Del Pinto R, Ferri C, Giannoni M, Cominelli F, Pizarro TT, Pietropaoli D. Meta-analysis of oral microbiome reveals sex-based diversity in biofilms during periodontitis. JCI Insight. 2024;9(17):e171311. doi: 10.1172/jci.insight.171311.
- Di Naro E, Loverro M, Converti I, Loverro MT, Ferrara E, Rapone B. The effect of menopause hypoestrogenism on osteogenic differentiation of periodontal ligament cells (PDLC) and stem cells (PDLCs): a systematic review. Healthcare (Basel). 2021;9(5):e572. doi: 10.3390/healthcare9050572.
- Di Spirito F, Amato A, Romano A, Dipalma G, Xhajanka E, Baroni A, et al. Analysis of risk factors of oral cancer and periodontitis from a sex- and gender-related perspective: gender dentistry. Applied Sciences. 2022;12(18):e9135. doi: 10.3390/app12189135.
- Freitag-Wolf S, Munz M, Junge O, Graetz C, Jockel-Schneider Y, Staufenbiel I, et al. Sex-specific genetic factors affect the risk of early-onset periodontitis in Europeans. J Clin Periodontol. 2021;48(11):1404-1413. doi: 10.1111/jcpe.13538.
- Ghafouri-Fard S, Gholami L, Badrlou E, Sadeghpour S, Nazer N, Shadnoush M, et al. Sex-based dysregulation of inflammation-related genes in periodontitis. Int J Mol Cell Med. 2023;12(3):300-309. doi: 10.22088/IJMCM.BUMS.12.3.300.
- Ghafouri-Fard S, Gholami L, Nazer N, Hussen BM, Sayad A, Hajiesmaeili M. Downregulation of oxytocin-related genes in periodontitis. Front Mol Neurosci. 2022;15:e950919. doi: 10.3389/fnmol.2022.950919.
- Ghanem AS, Móré M, Nagy AC. Assessing the impact of sociodemographic and lifestyle factors on oral health: a cross-sectional study in the Hungarian population. Front Public Health. 2023;11:e1276758. doi: 10.3389/fpubh.2023.1276758.
- Huang YQ, Xu JN, Huang Y, Xu YD, Wang HL, Shi WT, et al. Independent and combined effects of smoking, drinking and depression on periodontal disease. BMC Oral Health. 2024;24(1):e535. doi: 10.1186/s12903-024-04287-6.
- Jain A, Bhavsar N, Baweja A, Bhagat A, Ohri A, Grover V. Gender-associated oral and periodontal health based on retrospective panoramic radiographic analysis of alveolar bone loss. 2020;1:1-37. doi: 10.5772/intechopen.93695.
- Li J, Wang Y, Tang M, Zhang C, Fei Y, Li M, et al. New insights into nanotherapeutics for periodontitis: a triple concerto of antimicrobial activity, immunomodulation and periodontium regeneration. J Nanobiotechnology. 2024;22(1):e19. doi: 10.1186/s12951-023-02261-y.
- Lin J, Pei T, Yang H. Association between modifiable lifestyle pattern and periodontitis: a cross-sectional study based on NHANES. BMC Oral Health. 2024;24(1):e591. doi: 10.1186/s12903-024-04207-8.
- Lipsky MS, Su S, Crespo CJ, Hung M. Men and oral health: a review of sex and gender differences. Am J Mens Health. 2021;15(3):e15579883211016361. doi: 10.1177/15579883211016361.
- Michelson C, Al-Abedalla K, Wagner J, Swede H, Bernstein E, Ioannidou E. Lack of attention to sex and gender in periodontitis-related randomized clinical trials: a meta-research study. J Clin Periodontol. 2022;49(12):1320-1333. doi: 10.1111/jcpe.13707.
- Oliveira LM, da Silva Pilecco K, de Oliveira CA, Antoniazzi RP, Demarco FF, Zanatta FB. Alcohol intake influences the occurrence and progression of periodontitis differently according to sex and country sociodemographic development: a two-stage systematic review. Alcohol. 2022;57(5):566-575. doi: 10.1093/alcalc/agac023.
- Park KY, Kim MH, Choi SH, Pang EK. Association of periodontitis with menopause and hormone replacement therapy: a hospital cohort study using a common data model. J Periodontal Implant Sci. 2023;53(3):184-193. doi: 10.5051/jpis.2202480124.
- Rafiei M, Salarisedigh S, Khalili P, Jamali Z, Sardari F. Hormonal fluctuations and periodontal status in postmenopausal women. Int J Dent. 2022;2022:e9990451. doi: 10.1155/2022/9990451.
- Saadaoui M, Singh P, Al Khodor S. Oral microbiome and pregnancy: a bidirectional relationship. J Reprod Immunol. 2021;145:e103293. doi: 10.1016/j.jri.2021.103293.
- Sayad A, Ghafouri-Fard S, Shams B, Arsang-Jang S, Gholami L, Taheri M. Sex-specific up-regulation of p50-associated COX-2 extragenic RNA (PACER) lncRNA in periodontitis. Heliyon. 2020;6(5):e03897. doi: 10.1016/j.heliyon.2020.e03897.
- Seredin P, Litvinova T, Ippolitov Y, Goloshchapov D, Peshkov Y, Kashkarov V. A study of the association between primary oral pathologies (dental caries and periodontal diseases) using synchrotron molecular FTIR spectroscopy in view of the patient's personalized clinical picture (demographics and anamnesis). Int J Mol Sci. 2024;25(12):e6395. doi:10.3390/ijms25126395.
- Sfeatcu R, Balgiu BA, Mihai C, Petre A, Pantea M, Tribus L. Gender differences in oral health: self-reported attitudes, values, behaviours and literacy among romanian adults. J Pers Med. 2022;12(10):e1603. doi: 10.3390/jpm12101603.
- Singh N, Verma SK, Sharma NK, Gupta V, Jha AK, Priyank H. Comparative evaluation of periodontal health status of pre and postmenopausal females. J Educ Health Promot. 2023;12:e211. doi: 10.4103/jehp.jehp_15_23.
- Skośkiewicz-Malinowska K, Kaczmarek U, Malicka B. Gender-wise comparison of oral health quality of life and its relationship with oral health parameters among elderly from Wroclaw, south-west Poland. PLoS One. 2021;16(11):e0259286. doi: 10.1371/journal.pone.0259286.
- Song J, Wu Y, Ma H, Zhang J. Association between muscle quality index and periodontal disease among American adults aged ≥ 30 years: a cross-sectional study and mediation analysis. BMC Oral Health. 2023;23(1):e918. doi: 10.1186/s12903-023-03520-y.
- Su S, Lipsky MS, Licari FW, Hung M. Comparing oral health behaviours of men and women in the United States. J Dent. 2022;122:e104157. doi: 10.1016/j.jdent.2022.104157.
- Su X, Jin K, Zhou X, Zhang Z, Zhang C, Li Y, et al. The association between sex hormones and periodontitis among American adults: a cross-sectional study. Front Endocrinol (Lausanne). 2023;14:e1125819. doi: 10.3389/fendo.2023.1125819.
- Tavakoli TT, Gholami F, Huang H, Gonçalves PF, Villasante-Tezanos A, Aukhil I, et al. Gender differences in immunological response of African-American juveniles with Grade C molar incisor pattern periodontitis. J Periodontol. 2022;93(3):392-402. doi: 10.1002/JPER.21-0143.
- Thomas C, Timofeeva I, Bouchoucha E, Canceill T, Champion C, Groussolles M, et al. Oral and periodontal assessment at the first trimester of pregnancy: the PERISCOPE longitudinal study. Acta Obstet Gynecol Scand. 2023;102(6):669-680. doi: 10.1111/aogs.14529.
- Vág J, Nagy TL, Mikecs B. Sex-related differences in endothelium-dependent vasodilation of human gingiva. BMC Oral Health. 2022;22(1):e177. doi: 10.1186/s12903-022-02186-2.
- Wen X, Li H, Li S, Chang B, Chen S, Li H, et al. Associated factors of periodontitis and predicted study among young man in China: a population-based cross-sectional study. BMC Public Health. 2024;24(1):e1235. doi: 10.1186/s12889-024-18732-2.
- Yang YP, Hsin HT, Wang BL, Wang YC, Yu PC, Huang SH, et al. Gender differences in oral health among prisoners: a cross-sectional study from Taiwan. BMC Oral Health. 2023;23(1):e900. doi: 10.1186/s12903-023-03598-4.
- Zhao YQ, Zhou YH, Zhao J, Feng Y, Gao ZR, YeQ, et al. Sex variations in the oral microbiomes of youths with severe periodontitis. J Immunol Res. 2021;2021:e8124593. doi: 10.1155/2021/8124593.
- Publication:
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«World of Medicine and Biology»
Vol. 21 No. 94 (2025)
, с. 262-270
УДК 616.311.2-002-036-055
How to Cite
SEX- AND GENDER-RELATED ASPECTS OF PATHOGENESIS AND CLINICAL COURSE OF GENERALIZED PERIODONTITIS. (2025). World of Medicine and Biology, 21(94), 262-270. https://doi.org/10.26724/2079-8334-2025-4-94-262-270
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