Periodontal Disease in Women and Men
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Purpose of Review
This manuscript will present a narrative review of the distribution of periodontitis in women and men based on recent epidemiological studies.
Large, global, population-based surveys provide continued evidence that a sexual dimorphism in prevalence of periodontitis exists between women and men. Based on included studies, the prevalence of severe periodontitis is greater in men compared to women by between 4.6 to 12.7%. Environmental or behavioral factors that exhibit a sex differential between women and men do not adequately account for the aforementioned observation. A sex dimorphism in host immune response remains a plausible explanation and requires further investigation.
There is a sexual dimorphism in susceptibility to periodontitis, reflecting a higher prevalence of destructive periodontal disease in men than women.
KeywordsPeriodontitis Sexual dimorphism Risk marker
Compliance with Ethics Guidelines
Conflict of Interest
Dr. Shiau has no conflicts of interest to declare.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance
- 13.• Kumar PS. Sex and the subgingival microbiome: do female sex steroids affect periodontal bacteria? Periodontology 2000. 2013;61(1):103–24 An excellent review of previous investigations primarily limited by culture techniques into associations of specific bacteria with oral contraceptives, pregnancy and menstruation. CrossRefGoogle Scholar
- 16.Jaillon S, Berthenet K, Garlanda C. Sexual dimorphism in innate immunity. Clin Rev Allergy Immunol. 2017;30:1–4.Google Scholar
- 21.Fleming EB, Nguyen D, Afful J, Carrol l MD, Woods PD. Prevalence of daily flossing among adults by selected risk factors for periodontal disease—United States, 2011–2014. J Periodontol 2018 12.Google Scholar
- 25.White AM, Giblin L, Boyd LD. The prevalence of dental anxiety in dental practice settings. American Dental Hygienists’ Association. 2017;91(1):30–4.Google Scholar
- 27.• Duan X, Gleason RC, Li F, Hosur KB, Duan X, Huang D, et al. Sex dimorphism in periodontitis in animal models. J Periodontal Res. 2016;51(2):196–202 Continued use of preclinical models such as done by Duan and colleauges is one approach to more clearly elucidate the biologic basis of sex dimorphism in periodontitis. CrossRefGoogle Scholar