whitepotatoes
New Member
- Joined
- Oct 30, 2017
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As long as I can remember my gums have always been an off-shade of red. Now they are a bit swollen around the gumline. I brush 2x per day and floss + waterpik. I suspect something else is going on, it should not be this difficult.
Could it be due to stress hormones? Anyone know of any research on this topic? I couldn't find Barnes or anyone else speaking on this issue, but I have found case studies of treating with thyroid hormone reducing swelling and bleeding.
"Patients with long standing hypothyroidism may have increased subcutaneous mucopolysaccharides due to decrease in the degradation of these substances. The presence of excess subcutaneous mucopolysaccharides may decrease the ability of small blood vessels to constrict when cut and may result in increased bleeding from infiltrated tissues, including mucosa and skin."[1]
"The common oral findings in hypothyroidism include the characteristic macroglossia, dysgeusia, delayed eruption, poor periodontal health, altered tooth morphology and delayed wound healing"[1]
"The oral manifestations of thyrotoxicosis, includes increased susceptibility to caries, periodontal disease, enlargement of extraglandular thyroid tissue (mainly in the lateral posterior tongue), maxillary or mandibular osteoporosis, accelerated dental eruption"[1]
"The pathogenesis in Hashimoto's thyroiditis is lymphocytic infiltration into the glands and production of auto-antibodies directed toward thymoglobulin and thyroid peroxidase. Oral findings include macroglossia dysguesia, delayed root resumption, decreased salivary gland secretion, poor periodontal health, delayed wound healing, and osteoarthritis of the temporomandibular joint (TMJ). "[2]
"It is assumed that both increase and decrease in salivary flow, induced by emotional disturbance, may affect the periodontium adversely. Emotional distress may also produce changes in saliva pH and chemical composition like IgA secretion. These relationships between salivary physiology and psychological status do not necessarily demonstrate causation of periodontal disease, but they show a pathway in which periodontal health is influenced by salivary changes."[3]
"Patients with maladaptive coping strategies have more advanced disease and poor response to non-surgical treatment, whereas positive correlation was observed in reduction of dental plaque and gingival bleeding in patients having an active coping. Furthermore, the cellular immune response plays a vital role in wound healing. Not only does it protect the wound site from infection, it also prepares the wound for healing and regulates its repair. Cytokines such as IL-1, IL-8, and TNF are extremely important in recruiting phagocytic cells to clear away the damaged tissue and to regulate the rebuilding by fibroblasts and epithelial cells. A decrease in expression in any of these cytokines could theoretically impair wound healing. Stress could suppress certain aspects of the cellular immune response such as mitogen stimulation, antibody and cytokine production, and NK cell activity. Furthermore, since stress deregulates inflammatory and immune response, stress can alter the course of oral wound healing and affect the management of other oral diseases, e.g., periodontitis."[3]
1 - Oral manifestations of thyroid disorders and its management
2 - A clinical case report of Hashimoto's thyroiditis and its impact on the treatment of chronic periodontitis Patil B S, Giri G R - Niger J Clin Pract
3 - Stress and periodontal disease: The link and logic!!
Could it be due to stress hormones? Anyone know of any research on this topic? I couldn't find Barnes or anyone else speaking on this issue, but I have found case studies of treating with thyroid hormone reducing swelling and bleeding.
"Patients with long standing hypothyroidism may have increased subcutaneous mucopolysaccharides due to decrease in the degradation of these substances. The presence of excess subcutaneous mucopolysaccharides may decrease the ability of small blood vessels to constrict when cut and may result in increased bleeding from infiltrated tissues, including mucosa and skin."[1]
"The common oral findings in hypothyroidism include the characteristic macroglossia, dysgeusia, delayed eruption, poor periodontal health, altered tooth morphology and delayed wound healing"[1]
"The oral manifestations of thyrotoxicosis, includes increased susceptibility to caries, periodontal disease, enlargement of extraglandular thyroid tissue (mainly in the lateral posterior tongue), maxillary or mandibular osteoporosis, accelerated dental eruption"[1]
"The pathogenesis in Hashimoto's thyroiditis is lymphocytic infiltration into the glands and production of auto-antibodies directed toward thymoglobulin and thyroid peroxidase. Oral findings include macroglossia dysguesia, delayed root resumption, decreased salivary gland secretion, poor periodontal health, delayed wound healing, and osteoarthritis of the temporomandibular joint (TMJ). "[2]
"It is assumed that both increase and decrease in salivary flow, induced by emotional disturbance, may affect the periodontium adversely. Emotional distress may also produce changes in saliva pH and chemical composition like IgA secretion. These relationships between salivary physiology and psychological status do not necessarily demonstrate causation of periodontal disease, but they show a pathway in which periodontal health is influenced by salivary changes."[3]
"Patients with maladaptive coping strategies have more advanced disease and poor response to non-surgical treatment, whereas positive correlation was observed in reduction of dental plaque and gingival bleeding in patients having an active coping. Furthermore, the cellular immune response plays a vital role in wound healing. Not only does it protect the wound site from infection, it also prepares the wound for healing and regulates its repair. Cytokines such as IL-1, IL-8, and TNF are extremely important in recruiting phagocytic cells to clear away the damaged tissue and to regulate the rebuilding by fibroblasts and epithelial cells. A decrease in expression in any of these cytokines could theoretically impair wound healing. Stress could suppress certain aspects of the cellular immune response such as mitogen stimulation, antibody and cytokine production, and NK cell activity. Furthermore, since stress deregulates inflammatory and immune response, stress can alter the course of oral wound healing and affect the management of other oral diseases, e.g., periodontitis."[3]
1 - Oral manifestations of thyroid disorders and its management
2 - A clinical case report of Hashimoto's thyroiditis and its impact on the treatment of chronic periodontitis Patil B S, Giri G R - Niger J Clin Pract
3 - Stress and periodontal disease: The link and logic!!