F64.0
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Arm 1/2: Participants scheduled to receive gender-affirming hormone therapy, periodontally healthy. Arm 3/4: Cisgender women (control group for trans female-to-male group) or cisgender men (control group for trans male-to-female group), age- and sex-matched to the experimental group, periodontally healthy, not receiving hormone therapy (including hormonal contraceptives)
Exclusion criteria
Exclusion criteria: minors, smokers, use of medications that may affect periodontal health or healing (e.g., anticoagulants, drugs that may cause gingival hyperplasia such as immunosuppressants, calcium channel blockers, antiepileptics, as well as antiresorptive agents), diabetes mellitus, obesity (BMI =30), other oral mucosal diseases (e.g., lichenoid conditions), use of hormonal contraceptives, pregnancy, breastfeeding, active orthodontic treatment, and use of chlorhexidine-containing mouthwash within the last 4 weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Gingival inflammation (T0–T6): Papillary bleeding index according to Saxer and Mühlemann 1975 (PBI), periodontal status (probing depths [PD], recessions [REC], clinical attachment level [CAL], bleeding on probing according to Ainamo and Bay 1975 [BOP]), periodontal inflamed surface area according to Nesse et al. 2008 (PISA). Hormone levels of estrogen/testosterone in serum (T0–T6) | — |
Secondary
| Measure | Time frame |
|---|---|
| Plaque index according to Silness and Löe 1963 (PI) DMFT index, sum of decayed, missing, and filled teeth (Klein/Palmer 1938) OHIP-G-5 score (questionnaire on oral health-related quality of life) Patient-centered outcomes (study-specific questionnaire) Blood pressure Pulse Body weight / height / BMI Blood parameters: creatinine, cholesterol, triglycerides, LDL, HDL, AST (GOT), ALT (GPT), estradiol, testosterone, sex hormone-binding globulin (SHBG), proBNP, creatine kinase, complete blood count Microbiological parameters: oral microbiota from saliva and supragingival plaque samples | — |
Countries
Germany
Contacts
Klinik für Zahnerhaltungskunde und Parodontologie, Universitätsklinikum Freiburg