It affects many women.
Hot flashes and night sweats are often highlighted as key symptoms of menopause, but it’s crucial not to overlook oral health during this time.
Dr. Thomas Sollecito, chief of oral medicine at the University of Pennsylvania, points out that hormonal changes, particularly a significant drop in estrogen levels, can negatively impact bone density, saliva production, and gum health. These changes can, in turn, affect your teeth.
Oral health experts suggest several strategies to mitigate these effects and maintain good dental health during menopause.
Menopause is defined as the absence of menstrual periods for 12 consecutive months, but dental issues can start during perimenopause when estrogen production begins to decline. Dr. Maiara Hister-Cockrell from the University of Texas Health San Antonio highlights that decreased saliva production is a major concern. Saliva plays a crucial role in oral health, as it helps keep the mouth moist and neutralizes acids.
Reduced saliva flow can lead to dry mouth, increasing the risk of oral infections, sores, and cavities. This risk is compounded for those on medications for conditions like high blood pressure or diabetes, which can also cause dry mouth.
Saliva also contains enzymes that kill bacteria and minerals that strengthen teeth. According to Dr. Sally Cram, a periodontist in Washington, D.C., a decrease in saliva means fewer of these protective elements, leading to a higher likelihood of tooth decay and potential tooth loss if not managed properly.
Additionally, decreased bone density and gum recession can exacerbate these dental issues. Weakened bone density can make teeth sockets more prone to bone loss, while receding gums can leave teeth exposed and unprotected by enamel, increasing susceptibility to cavities. Menopausal women are also at a higher risk for periodontal disease, which involves plaque and bacteria buildup under the gums, causing inflammation and gum recession.
Some women may experience “burning mouth syndrome,” characterized by a burning sensation in the mouth, tongue, palate, or lips. This can significantly impact oral comfort and health.
To combat these challenges, experts recommend maintaining excellent oral hygiene and a balanced diet. Eating calcium-rich foods, brushing twice daily with fluoride toothpaste, and flossing regularly are essential. An electric toothbrush may offer additional benefits, and regular dental check-ups are crucial. Dentists can provide personalized advice and suggest more frequent visits or specialized treatments like fluoride applications if needed.
For managing dry mouth, staying well-hydrated is vital. Drinking plenty of water and using over-the-counter dry mouth products, such as sprays and lozenges, can help. In severe cases, prescription treatments to stimulate saliva production or address burning mouth syndrome may be necessary.
Ultimately, most oral health issues during menopause can be effectively prevented with proactive care, including good daily hygiene practices and regular dental visits.
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