Evidence map›Paper›PMID 39917660›Full record

ReviewFrontiers in dental medicine2024

Unveiling sex-disparities and the impact of gender-affirming hormone therapy on periodontal health.

Cristina Cunha Villar, Mariane Cristina Sloniak, Josiane Betim de Assis, Renata Cassiano Porto, Giuseppe Alexandre Romito

Registry-linked trialAbstract readReview
In one paragraph

Review in Frontiers in dental medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07394400 (A Comprehensive Assessment of the Impact of Gender-Affirming Hormone Therapy on Cardiovascular Risk, Metabolic Health, and Mood Disorders in Transgender Individuals.), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07394400 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Comprehensive Assessment of the Impact of Gender-Affirming Hormone Therapy on Cardiovascular Risk, Metabolic Health, and Mood Disorders in Transgender Individuals.

Typeobservational_patient_registrySponsorMilagros Rocha BarajasRan2026 to 2029Enrolled94ConditionsTransgender Individuals
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Cristina Cunha VillarDiscipline of Periodontics, Department of Stomatology, University of São Paulo School of Dentistry, São Paulo, Brazil.
Mariane Cristina SloniakDiscipline of Periodontics, Department of Stomatology, University of São Paulo School of Dentistry, São Paulo, Brazil.
Josiane Betim de AssisDepartment of Immunology, Institute of Biomedical Science, University of São Paulo, São Paulo, Brazil.
Renata Cassiano PortoDiscipline of Periodontics, Department of Stomatology, University of São Paulo School of Dentistry, São Paulo, Brazil.
Giuseppe Alexandre RomitoDiscipline of Periodontics, Department of Stomatology, University of São Paulo School of Dentistry, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: As personalized medicine advances, the need to explore periodontal health across different sexes and gender identities becomes crucial. This narrative review addresses the gap in understanding how biological sex and gender-affirming hormone therapy (GAHT) influence periodontitis risk. Results: Research has uncovered significant sex-based immunological disparities driven by X and Y chromosome gene expression and sex-hormones, which may influence susceptibility to periodontitis. Additionally, preliminary findings suggest that GAHT, particularly testosterone therapy in transgender men, could exacerbate pro-inflammatory cytokine production and alter immune cell responses, which may exacerbate inflammatory pathways crucial in the progression of periodontitis. Conversely, the effects of estrogen therapy in transgender women, although less extensively studied, suggest modifications in B cell functionality. These observations highlight the complex role of GAHT in modulating immune responses that are central to the development and exacerbation of periodontal disease. Discussion: The review highlights a complex interaction between sex hormones, gene expression patterns, immune responses, and periodontitis risk. While cisgender males show increased susceptibility to periodontitis that could be linked to specific immune pathways, GAHT appears to modify these pathways in transgender individuals, potentially altering their risk and disease progression patterns. Conclusion: There is a critical need for more focused research on the direct impacts of GAHT on periodontal health. Understanding the nuances of immune modulation by GAHT will aid in crafting personalized periodontal care for transgender individuals, aligning with the broader goals of inclusive and effective healthcare.

Indexed as

biological sexgender-affirming caregonadal steroid hormonesimmunityperiodontitis

Identifiers

PMID39917660
PMCPMC11797946

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.