Acta Stomatologica Naissi Dec./Dec. 2014, Vol. 30, br./No 70 str./p. 1393-1407 Primljen/ Recived on 01.05.2014. Revidiran/ Revised on 26.06.2014. Prihvaćen/ Accepted on 10.09.2014. UTICAJ ESTROGENA NA ZDRAVLJE GINGIVE KOD DEVOJČICA THE INFLUENCE OF ESTROGEN ON THE GINGIVAL HEALTH OF GIRLS Vera S. Radojkova-Nikolovska 1 , Mirjana F. Popovska 1 , Ana B. Minovska 2 , Vera T. Stojanovska 3 , Biljana Lj. Džipunova 1 , Pavlina E. Aleksova 1 , Aneta S. Atanasovska- Stojanovska 1 , Ana I. Belazelkovska A 3 , Bruno I. Nikolovski 4 1 UNIVERZITET “SV. ĆIRILO I METODIJE", STOMATOLOŠKI FAKULTET - SKOPLJE, REPUBLIKA MAKEDONIJA 2 UNIVERZITET “GOCE DELČEV" - ŠTIP, REPUBLIKA MAKEDONIJA 3 EVROPSKI UNIVERZITET, STOMATOLOŠKI FAKULTET - SKOPLJE, REPUBLIKA MAKEDONIJA 4 PHO ETERNADENT- SKOPLJE, REPUBLIKA MAKEDONIJA 1 UNIVERSITY “ST CYRILUS AND METHODIUS" FACULTY OF DENTISTRY - SKOPJE, REPUBLIC OF MACEDONIA 2 UNIVERSITY “GOCE DELCEV" - STIP, REPUBLIC OF MACEDONIA 3 EUROPIAN UNIVERSITY, FACULTY OF DENTISTRY - SKOPJE, REPUBLIC OF MACEDONIA 4 PHO ETERNADENT- SKOPJE, REPUBLIC OF MACEDONIA Sažetak Uvod. Inflamacija gingive je veoma česta u detinjstvu i pubertetu. Cilj istraživanja bio je odrediti indekse gingive i vrednosti 17β estradiola u pljuvački i serumu i njegov uticaj na zdravlje gingive kod tinejdžerki. Pacijenti i metode. Studija je obuhvatila 30 devojčica (starosti od 11 do 14 godina) sa inflamacijom gingive i 30 devojčica kontrolne grupe koje nemaju inflamaciju gingive. Stepen zdravlja gingive je procenjen kliničkim merenjem indeksa gingive. Koncentracija 17β estradiola u serumu i pljuvački određena je DRG Estradiol ELISA (EIA-2693) i DRG Salivary Estradiol ELISA (SLV-4188) metodom. Rezultati. Vrednosti indeksa gingive jasno ukazuju na prisustvo inflamacije gingive. Analiza vrednosti nivoa estrogena u serumu i pljuvački ukazuju na pozitivnu korelaciju indeksa, posebno ističući uticaj 17β estradiola na inflamaciju i krvarenje gingive. Zaključak. Dobijene vrednosti koncentracije hormona u serumu i pljuvački pokazuju u obe grupe njegov potencijalni uticaj na zdravlje gingive, što ističe ulogu stomatologa u preventivi i terapiji parodontopatije u pubertetu. Ključne reči: pubertetski gingivitis, indeks gingive, estrogeni hormoni, zdravlje gingive Abstract Introduction. Gingival inflammation during childhood and pubertal maturation increases remarkably. The aim of the study was to determine the values of the gingival indices among teenage girls, salivary and serum values of the dominant female sex hormone 17β estradiol and influence of estrogen hormone on gingival health. Patients and method. The study included 30 girls (aged 11 to 14 years) with diagnosed gingival inflammation and 30 girls with no gingivitis as a control group. Gingival health was evaluated through clinical examination of gingival indices. Serum and salivary concentrations of 17β estradiol were evaluated with DRG Estradiol ELISA (EIA-2693) and DRG Salivary Estradiol ELISA (SLV-4188) methods. Results. Gingival index values clearly indicate the presence of gingival inflammation. Analyses of correlative values comparing serum and salivary levels of estrogen hormone with indices of gingival status indicate a positive correlation with all index values, particularly emphasizing the impact of 17 β estradiol on gingival inflammation and gingival bleeding. Conclusion. The obtained values of the hormone concentrations in serum and saliva, in both groups, suggest their potential impact on the gingival health. This emphasizes the role of dentists in preventive and treatment modalities in patients during the period of puberty. Key words: puberty gingivitis, gingival index, estrogen hormones, gingival health Corresponding author details: Assoc. Prof. Vera Radojkova-Nikolovska,. DDS, Phd, University Ss. Cyril and Methodius, Faculty of dentistry, Majka Tereza bb, 1000 Skopje, Republic of Macedonia © 2014 Faculty of Medicine in Niš. Clinic of Dentistry in Niš. All rights reserved / © 2014. Medicinski fakultet Niš. Klinika za stomatologiju Niš. Sva prava zadržana E-mail: v.nikol@yahoo.com Tel: +38970355030 KLINIČKI RAD CLINICAL ARTICLE doi: 10.5937/asn1470393R 1393