Perbandingan Skor Gingival Index antara Pengguna Kontrasepsi Metode Suntik dan Oral

Erryn Yuli Chairiani, Ega Lucida Chandra Kumala, Rudhanton Sidharta, Malianawati Fauzia

Abstract


Latar belakang:  Penggunaan kontrasepsi hormonal, baik oral maupun suntik, telah dikaitkan dengan peningkatan skor Gingival Index dan risiko penyakit periodontal. Meskipun masing-masing metode telah diteliti secara terpisah, studi yang membandingkan langsung efek keduanya terhadap inflamasi gingiva masih terbatas..Tujuan:  Penelitian ini bertujuan untuk mengetahui perbandingan skor Gingival Index antara pengguna kontrasepsi metode suntik dan oral. Metode:  Desain penelitian yang digunakan adalah analitik observasional dengan pendekatan cross-sectional menggunakan kelompok kontrol. Penelitian dilaksanakan di wilayah kerja mahasiswa klinik di RSUB. Pengambilan data dilaksanakan selama ± 1,5 bulan.  Data kemudian dianalisis dengan uji statistika Kruskal Wallis. Hasil : Hasil menunjukkan adanya perbedaan skor Gingival Index antara kelompok pengguna kontrasepsi hormonal dan kelompok kontrol, namun tidak terdapat perbedaan signifikan antara metode oral dan suntik. Hal ini diduga karena keduanya bekerja melalui mekanisme hormonal yang serupa dengan cara mempengaruhi kadar estrogen dan progesteron yang dapat memperburuk respons inflamasi terhadap plak. Kesimpulan: Berdasarkan temuan dari penelitian yang telah dilakukan, dapat disimpulkan bahwa tidak ada perbedaan skor Gingival Index antara pengguna kontrasepsi suntik dan oral.


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References


  1. Hindriyawati W, Tatik T, Lestari RT. Studi Diskriptif Pengguna Metode Kontrasepsi Modern. J Ilmu Kebidanan. 2021;9(2):59–68.
  2. Nurullah FA. Perkembangan Metode Kontrasepsi di Indonesia. Cermin Dunia Kedokteran. 2021;48(3):166–72.
  3. Newman MG, Takei H, Klokkevold PR, Carranza FA. Newman and Carranza’s Clinical Periodontology. Philadelphia: Elsevier Health Sciences; 2018.
  4. Rathee M, Jain P. Gingivitis [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 [updated 2023 Mar 27; cited 2025 May 17]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557422/
  5. Tilakaratne A, Soory M, Ranasinghe AW, Corea SMX, Ekanayake SL, De Silva M. Effects of hormonal contraceptives on the periodontium in a population of rural Sri Lankan women. J Clin Periodontol. 2000;27(10):753–7.
  6. Smadi L, Zakaryia A. The association between the use of new oral contraceptive pills and periodontal health: a matched case–control study. J Int Oral Health. 2018;10(3):127–31.
  7. Dominguez RS, Ferraz BFR, Greghi SLA, Rezende MLRD, Passanezi E, Sant’Ana ACP. Influence of combined oral contraceptives on the periodontal condition. J Appl Oral Sci. 2012;20:253–9.
  8. Mullally BH, Coulter WA, Hutchinson JD, Clarke HA. Current oral contraceptive status and periodontitis in young adults. J Periodontol. 2007;78(6):1031–6.
  9. Taichman LS, Sohn W, Kolenic G, Sowers M. Depot Medroxyprogesterone Acetate use and periodontal health in 15- to 44-year-old US females. J Periodontol. 2012;83(8):1008–17.
  10. Tetan-el D, Adam AM, Jubhari EH. Gingival diseases: plaque induced and non-plaque induced. Makassar Dent J. 2021;10(1):88–95.
  11. Sonar PV, Mahale S, Kadam P, Chaudhari D. Gingival keratinization. Int J Curr Res. 2018;10(3):69059–63.
  12. Kawahara K, Shimazu A. Expression and intracellular localization of progesterone receptors in cultured human gingival fibroblasts. J Periodontal Res. 2003;38(3):242–6.
  13. Nakmode DD, Singh B, Abdella S, Song Y, Garg S. Long-acting parenteral formulations of hydrophilic drugs, proteins, and peptide therapeutics: mechanisms, challenges, and therapeutic benefits with a focus on technologies. Drug Deliv Transl Res. 2024;1–25.
  14. Markou E, Eleana B, Lazaros T, Antonios K. The influence of sex steroid hormones on gingiva of women. Open Dent J. 2009;3:114.
  15. Prachi S, Jitender S, Rahul C, Jitendra K, Priyanka M, Disha S. Impact of oral contraceptives on periodontal health. Afr Health Sci. 2019;19(1):1795–800.
  16. Pankhurst CL, Waite IM, Hicks KA, Allen Y, Harkness RD. The influence of oral contraceptive therapy on the periodontium—Duration of drug therapy. J Periodontol. 1981;52(10):617–20.
  17. Mealey BL, Moritz AJ. Hormonal influences: effects of diabetes mellitus and endogenous female sex steroid hormones on the periodontium. Periodontol 2000. 2003;32(1):59–81.
  18. Mistry S, Bhowmick D. Oral contraceptive pill induced periodontal endocrinopathies and its management: a case report. Eur J Dent. 2012;6(3):324–9.
  19. Ricciotti E, FitzGerald GA. Prostaglandins and inflammation. Arterioscler Thromb Vasc Biol. 2011;31(5):986–1000.
  20. Palanisamy S. The impact of estrogen on periodontal tissue integrity and inflammation—a mini review. Front Dent Med. 2025;6:1455755.
  21. Ptasiewicz M, Grywalska E, Mertowska P, Korona-Głowniak I, Poniewierska-Baran A, Niedźwiedzka-Rystwej P, et al. Armed to the teeth—the oral mucosa immunity system and microbiota. Int J Mol Sci. 2022;23(2):882.
  22. Sathish AK, Varghese J, Fernandes AJ. The impact of sex hormones on the periodontium during a woman’s lifetime: a concise-review update. Curr Oral Health Rep. 2022;9(4):146–56.




DOI: https://doi.org/10.18860/jim.v10i1.34311

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