Non-surgical management of periodontitis influenced by polycystic ovarian syndrome (PCOS): A case report

Abstract

Polycystic ovary syndrome (PCOS) and periodontal disease are linked through hormonal imbalances and systemic inflammation. Hormones like estrogen and progesterone, which are elevated in PCOS, affect periodontal tissues by promoting inflammation and altering the oral microbiota. PCOS patients are more prone to periodontitis due to these hormonal changes, which increase gingival inflammation even in the absence of bacterial plaque. Both conditions share common inflammatory pathways, with PCOS contributing to low-grade systemic inflammation and insulin resistance, further exacerbating periodontal disease. This case report highlights the bidirectional relationship between PCOS and periodontitis, emphasizing the importance of non-surgical management approaches in treating these conditions.