Menopause and oral health: how teeth change with hormonal decline

Menopause and oral health: how teeth change with hormonal decline

Dott. Giuseppe Di Maio

Menopause and Oral Health: How Hormonal Changes Affect Teeth and Gums

Hormonal changes that accompany menopause affect not only the body and mood but also the health of teeth and gums. Many women, in addition to hot flashes, weight fluctuations, and fatigue, begin to experience symptoms such as dry mouth, gum discomfort, and even tooth loss.

Why does menopause affect dental health?

During menopause, the female body undergoes a significant reduction in estrogen, hormones that play a crucial role in the health of bones and soft tissues, including the jawbone and gums.

Consequences of hormonal deficiency on the mouth

  • Jaw osteoporosis: decreased bone density can cause resorption of the alveolar bone, the structure that supports the teeth

  • Tooth loss: bone weakness and dental instability can lead to tooth loss and the need for prostheses or implants

  • Inflamed and bleeding gums: the oral environment becomes more vulnerable to bacteria and inflammation, increasing the risk of periodontitis

  • Dry mouth and bad breath: saliva production decreases in both quality and quantity, reducing its natural antibacterial effect

Oral symptoms of menopause: what to watch for

Here are some warning signs not to ignore:

  • Dry mouth and burning sensation

  • Bleeding gums

  • Altered taste perception

  • Difficulty closing the mouth properly

  • Widespread dental pain

  • Bad breath

If these symptoms appear, it is essential to intervene early to preserve long-term oral health.

How to prevent dental problems during menopause

Prevention plays a key role in managing oral symptoms related to menopause. Here are some effective, recommended strategies:

Regular check-ups
Dental visits at least twice a year help detect early gum or bone problems.

Daily oral hygiene

  • Brush teeth after every meal

  • Use dental floss

  • Clean the tongue as well

  • If necessary, use antibacterial mouth rinses

Diet and supplements

  • Follow a diet rich in calcium and vitamin D

  • Consult your doctor about the use of specific supplements

Monitoring bone health
Have tests to check bone density and osteoporosis risk, in collaboration with your gynecologist or primary care physician.

Menopause is a natural stage of life, but it also requires special attention to oral health. With regular dental check-ups, good oral hygiene habits, and open communication with your dentist, it is possible to maintain healthy teeth and strong gums well beyond the age of 50.

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