Which one of the following statements is true regarding potential contributory factors to periodontal health?

The statement regarding medication prescribed for epilepsy causing gingival hyperplasia is accurate and highlights an important aspect of periodontal health. Certain antiepileptic medications, particularly phenytoin (Dilantin), are known to cause an overgrowth of gum tissue, resulting in gingival hyperplasia. This condition can complicate oral hygiene, making it more difficult for patients to maintain healthy gums. As a result, individuals taking these medications may be at a heightened risk for periodontal disease due to the effects of the hyperplasia on their ability to keep their teeth and gums clean.

The other statements do not accurately reflect the relationship between the factors mentioned and periodontal health. Hormonal changes during puberty can actually increase susceptibility to periodontal issues due to increased blood flow and sensitivity in the gums. While nicotine does affect gum health negatively, it primarily contributes to the progression of periodontal disease rather than directly causing gingival bleeding. Lastly, non-fluoride toothpastes can be associated with other oral health issues but are not directly linked to the development of periodontal disease in the same way that medications for epilepsy are related to hyperplasia.

Understanding these connections is vital for dental professionals to provide comprehensive care and advice to their patients regarding factors that influence periodontal health.