It acts by decreasing the release of FSH and LH from the pituitary and increasing the DNA and RNA in target tissues. There are also no contraindications to routine dental treatment. Patients taking estrogen replacement therapy medications may have varied vascular and mucosal responses to the drugs. There may be an increase in vascularity resulting in gingivitis, increased bleeding or incidences of pyogenic granuloma as seen in the picture at right. Diseases of the thyroid gland fall into two categories underactive or hypothyroid and overactive or hyperthyroid.
Hyperthyroidism is usually a result of a tumor in the thyroid gland.
It results in an overactive thyroid with increased metabolic rate. Patients with hyperthyroidism often have characteristic protrusion of the eyes. The two medications in the TOP 40 list are both used to treat hypothyroidism. This is often the result of autoimmune disorders. The medications replace or supplement the lowered levels of thyroid hormone in the body.