0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editor's Correspondence |

Periodontitis in Estrogen-Deficient Women—Reply

Roberto Civitelli, MD; Charles Hildebolt, PhD, DDS
Arch Intern Med. 2002;162(22):2635. doi:.
Text Size: A A A
Published online

Extract

In reply

Dr Daniell raises an important issue for postmenopausal women, namely, the role of estrogen deficiency as a risk for periodontal disease and subsequent tooth loss and the use of H/ERT to prevent gum deterioration after menopause. As outlined by Dr Daniell, the evidence linking estrogen deficiency to risk of soft tissue disease is based on observational studies or findings in small-sized cohorts. We agree that to unambiguously establish the extent to which H/ERT is effective in preventing soft tissue deterioration, a placebo-controlled, randomized trial is needed. Such a study would not, however, be easy to design and implement because it would require leaving subjects with active periodontal disease untreated—an unethical proposition. Our study was deliberately designed to exclude patients with moderate or advanced periodontal disease to specifically address the complementary issue (ie, the extent to which H/ERT would improve alveolar bone independent of local disease).1 Our results demonstrate that the effect of estrogen is clinically significant, and it seems likely that the same benefits would occur in subjects with active disease.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
News from the IADR. Dent Update 2014 Jul-Aug;41(6):481-2.
Jobs
brightcove.createExperiences();