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Resumen de The Effects of Anabolic Androgenic Steroid Abuse on Gingival Tissues

Gulsah Seydaoglu, Onur Özçelik, Mehmet Cenk Haytaç

  • The Effects of Anabolic Androgenic Steroid Abuse on Gingival Tissues Onur Ozcelik,* M. Cenk Haytac,* and Gulsah Seydaoglu† *Department of Periodontology, Faculty of Dentistry, Cukurova University, Adana, Turkey.

    †Department of Biostatistics, Faculty of Medicine, Cukurova University.

    Correspondence: Dr. Onur Ozcelik, Department of Periodontology, Faculty of Dentistry, Cukurova University, Balcali 01330 Adana, Turkey. Fax: 90-322-3387331; e-mail: oozcelik@cu.edu.tr.

    Background: Anabolic androgenic steroid (AAS) is the familiar name for synthetic derivatives of the male sex hormone, testosterone. A large number of young adults abuse AAS to enhance performance and physical appearance. The aim of this study was to evaluate the effects of AAS abuse on the gingival tissues in a group of bodybuilders and weight lifters.

    Methods: The test group was composed of 24 athletes aged between 17 and 29 years who had been using AAS for >1 year. All subjects were clinically examined for plaque levels (plaque index), gingival inflammation (gingival index), and gingival enlargement. The results were compared to a control group of 20 bodybuilders who had never used AAS drugs and who matched for age, educational level, and oral habits according to the data obtained from the test group.

    Results: Although there were no statistical differences between the plaque index (P >0.05) and gingival index (P >0.05) scores of the study group and the control group, the AAS abusers had statistically higher scores of gingival thickness, extent of gingival encroachment, and total gingival enlargement scores (P <0.001 each) compared to non-users.

    Conclusions: The results of this study have revealed that the prolonged use of AAS is closely associated with significant levels of gingival enlargement. Because recreational abuse and abuse in non-competitive sports seem to increase despite legislation, dentists and periodontists should be familiar with the adverse effects of these synthetic derivatives of testosterone on the gingival tissues.

    KEYWORDS: Dihydrotestosterone, drugs, gingiva, steroid/side effects, testosterone Cited by María Isabel Brusca, Fernando Verdugo, Celeste Amighini, Olatz Albaina and María D. Moragues. (2014) Anabolic steroids affect human periodontal health and microbiota. Clinical Oral Investigations 18, 1579-1586.

    Online publication date: 1-Jul-2014.

    CrossRef Angelo Mariotti and Michael Mawhinney. (2013) Endocrinology of sex steroid hormones and cell dynamics in the periodontium. Periodontology 2000 61, 69-88.

    Online publication date: 1-Feb-2013.

    CrossRef Hua-Hong Chien and Thomas C. Hart. (2013) Do X-linked diseases affect periodontal health?. Periodontology 2000 61, 266-278.

    Online publication date: 1-Feb-2013.

    CrossRef M. Cenk Haytac, Onur Ozcelik and Angelo Mariotti. (2013) Periodontal disease in men. Periodontology 2000 61, 252-265.

    Online publication date: 1-Feb-2013.

    CrossRef Joao P. Steffens, Leila S. Coimbra, Pablo D. Ramalho-Lucas, Carlos Rossa Jr. and Luis C. Spolidorio. (2012) The Effect of Supra- and Subphysiologic Testosterone Levels on Ligature-Induced Bone Loss in Rats — A Radiographic and Histologic Pilot Study. Journal of Periodontology 83:11, 1432-1439.

    Online publication date: 1-Nov-2012.

    Abstract | Full Text | PDF (1229 KB) | PDF Plus (694 KB) Ahmad Soolari, Ehsan Soolari and Nicholas D. Shumaker. (2011) Palatal Tissue Enlargement After Subepithelial Connective Tissue Graft Harvest Associated With Anabolic Steroid Abuse. Clinical Advances in Periodontics 1:1, 23-28.

    Online publication date: 1-May-2011.

    Abstract | Full Text | PDF (1389 KB) | PDF Plus (655 KB) Jennifer Walker and Brian Adams. (2009) Cutaneous manifestations of anabolic-androgenic steroid use in athletes. International Journal of Dermatology 48:10.1111/ijd.2009.48.issue-10, 1044-1048.

    Online publication date: 1-Oct-2009.


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