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VOLUME 15 , ISSUE 1 ( January-April, 2021 ) > List of Articles

REVIEW ARTICLE

Oral Health Care and Treatment Needs in Postmenopausal Women

Citation Information : Oral Health Care and Treatment Needs in Postmenopausal Women. J Oral Health Comm Dent 2021; 15 (1):24-29.

DOI: 10.5005/jp-journals-10062-0087

License: CC BY-NC 4.0

Published Online: 01-04-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

The relationship between oral and general health is bidirectional. During menopause, there is permanent cessation of menstrual cycle with a decrease in female hormonal level. This results in changes in general health, like dryness of the vagina, hot flashes, and dermatological, psychological, and cognitive changes. The oral manifestations include xerostomia, burning mouth syndrome, and periodontal and gingival diseases. The histological similarity between the oral and the vaginal mucosa can explain the similarity in their symptoms. Aims and objectives: To review the literature regarding oral health care and treatment needs of women after menopause and to guide gynecologists, dentists, and general practitioners in the principles of treatment of women with menopause-related oral health issues. Methods: The PubMed, EBSCO, and Cochrane database were searched until June 2020 with keywords like “menopause,” “menopausal problems,” “postmenopausal health issues,” “oral health,” “periodontal problems,” “dental health,” “dental disorders,” “saliva,” “burning mouth syndrome,” “glossodynia,” “xerostomia,”and “menopause hormone therapy (MHT).” Results: Estrogen receptors are present in the periodontium and salivary glands. This may account for increased incidences of periodontal diseases, xerostomia, and burning mouth syndrome in perimenopausal and postmenopausal women, as there is a sharp decline in female steroid hormones. Xerostomia and glossodynia were the most common oral symptoms in women during and after menopause. MHT has not shown much effect in reducing oral symptoms. Conclusion: Dentists and gynecologists should work together to help perimenopausal and postmenopausal women in the reduction of their oral health problems and encourage them to maintain good oral hygiene and diet practices. There is a need for randomized controlled trials related to the role of hormone replacement therapy on oral health.

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  1. Unni J. Third consensus meeting of Indian Menopause Society (2008): A summary. J Midlife Health 2010;1(1):43-47. DOI: 10.4103/0976-7800.66987.
  2. Bansal R, Aggarwal N. Menopausal hot flashes: a concise review. J Midlife Health 2019;10(1):6–13. DOI: 10.4103/jmh.JMH_7_19.
  3. Meeta, Digumarti L, Agarwal N, et al. Clinical practice guidelines on menopause: an executive summary and recommendations. J Midlife Health 2013;4(2):77–106. DOI: 10.4103/0976-7800.115290.
  4. Sharma S. An update of menopausal hormone therapy: present perspective. Obstet Gynecol Int J 2018;9(2):124–125. DOI: 10.15406/ogij.2018.09.00316.
  5. Perlman B, Kulak D, Goldsmith LT, et al. The etiology of menopause: not just ovarian dysfunction but also a role for the central nervous system. Global Reprod Health 2018;3(2):e8. DOI: 10.1097/GRH.0000000000000008.
  6. Scardina GA, Messina P. Oral microcirculation in postmenopause: a possible correlation with periodontitis. Gerodontology 2012;29:e1045–e1051. PMID: 22212114. DOI: 10.1111/j.1741-2358.2011.00608.x.
  7. Palacios S, Stevenson JC, Schaudig K, et al. Hormone therapy for first-line management of menopausal symptoms: practical recommendations. Womens Health (Lond) 2019;15:1745506519864009. DOI: 10.1177/1745506519864009. PMID: 31378196. PMCID: PMC6683316.
  8. Gambacciani M, Cagnacci A, Lello S. Hormone replacement therapy and prevention of chronic conditions. Climacteric 2019;22(3):303–306. DOI: 10.1080/13697137.2018.1551347.
  9. Taguchi A, Sanada M, Suei Y, et al. Effect of estrogen use on tooth retention, oral bone height, and oral bone porosity in Japanese postmenopausal women. Menopause 2004;11(5):556–562. DOI: 10.1097/01.gme.0000113845.74462.bf.
  10. Vaidya R. Burning mouth syndrome at menopause: elusive etiology. J Midlife Health 2012;3(1):3–4. DOI: 10.4103/0976-7800.98809. PMID: 22923972. PMCID: PMC3425145.
  11. Araújo Lima EN, Barbosa NG, Santos ACS, et al. Comparative analysis of psychological, hormonal, and genetic factors between burning mouth syndrome and secondary oral burning. Pain Med 2016;17(9):1602–1611. PMID: 26849950. DOI: 10.1093/pm/pnv087.
  12. Rabiei M, Leili EK, Alizadeh L. Burning mouth syndrome: a comparative cross-sectional study. Contemp Clin Dent 2018;9(Suppl S2):S256–S260. DOI: 10.4103/ccd.ccd_175_18.
  13. Buencamino MC, Palomo L, Thacker HL. How menopause affects oral health, and what we can do about it. Cleve Clin J Med 2009;76(8):467–475. DOI: 10.3949/ccjm.76a.08095.
  14. Brailo V, Firić M, Vučićević Boras V, et al. Impact of reassurance on pain perception in patients with primary burning mouth syndrome. Oral Dis 2016;22(6):512–516. DOI: 10.1111/odi.12493.
  15. Lopez-Jornet P, Camacho-Alonso F, Molino-Pagan D. Prospective, randomized, double-blind, clinical evaluation of Aloe vera Barbadensis, applied in combination with a tongue protector to treat burning mouth syndrome. J Oral Pathol Med 2013;42(4):295–301. DOI: 10.1111/jop.12002.
  16. Dahiya P, Kamal R, Kumar M, et al. Burning mouth syndrome and menopause. Int J Prev Med 2013;4(1):15–20. PMID: 23411996. PMCID: PMC3570906.
  17. Mutneja P, Dhawan P, Raina A, et al. Menopause and the oral cavity. Indian J Endocrinol Metab 2012;16(4):548–551. DOI: 10.4103/2230-8210.98007.
  18. Newadkar UR. Mouth on fire: oral discomfort in postmenopausal women may be surprising!! J Midlife Health 2015;6(4):184–186. DOI: 10.4103/0976-7800.172351. PMID: 26903760. PMCID: PMC4743282.
  19. Arias-Herrera S, Bascones-Ilundian C, Bascones-Martínez A. Difference in the expression of inflammatory mediators in gingival crevicular fluid in postmenopausal patients with chronic periodontitis with and without menopausal hormone therapy. Eur J ObstetGynecol Reprod Biol X 2019;3:100021. Published 2019 Apr 18. DOI: 10.1016/j.eurox.2019.100021.
  20. Bhardwaj A, Bhardwaj SV. Effect of menopause on women's periodontium. J Midlife Health 2012;3(1):5–9. DOI: 10.4103/0976-7800.98810.
  21. Mascitelli L, Pezzetta F, Goldstein MR. Menopause, vitamin-D and oral health. Cleve Clin J Med 2009;76(11):629–630. DOI: 10.3949/ccjm.76c.11001.
  22. Deepa D, Jain G. Assessment of periodontal health status in postmenopausal women visiting dental hospital from in and around Meerut city: Cross-sectional observational study. J Midlife Health 2016;7(4):175–179. DOI: 10.4103/0976-7800.195696.
  23. Sultan N, Rao J. Association between periodontal disease and bone mineral density in postmenopausal women: A cross sectional study. Med Oral Patol Oral Cir Bucal 2011;16(3):e440–e447. DOI:10.4317/medoral.16.e440.
  24. Mascarenhas P, Gapski R, Al-Shammari K, et al. Influence of sex hormones on the periodontium. J Clin Periodontol 2003;30(8):671–681. DOI: 10.1034/j.1600-051x.2003.00055.x.
  25. Tarkkila L, Kari K, Furuholm J, et al. Periodontal disease-associated micro-organisms in peri-menopausal and post-menopausal women using or not using hormone replacement therapy. A two-year follow-up study. BMC Oral Health 2010;10:10. DOI: 10.1186/1472-6831-10-10.
  26. Tomar N, Gupta C, Kaushik M, et al. Nutrigenomics: a perio-nutrition interrelationship. J Oral Res Rev 2017;9(1):32–36. DOI: 10.4103/2249-4987.201401.
  27. Güncü GN, Tözüm TF, Cağlayan F. Effects of endogenous sex hormones on the periodontium: review of literature. Aust Dent J 2005;50(3):138–145. DOI: 10.1111/j.1834-7819.2005.tb00352.x.
  28. Prasanna JS, Sumadhura C, Karunakar P. A comparative analysis of pre- and postmenopausal females with periodontitis and its response to a non invasive clinical approach. J Menopausal Med 2017;23(3):202–209. DOI: 10.6118/jmm.2017.23.3.202. Epub 2017 Dec 29. PMID: 29354621. PMCID: PMC5770531.
  29. Agha-Hosseini F, Mirzaii-Dizgah I, Mansourian A, et al. Relationship of stimulated saliva 17beta-oestradiol and oral dryness feeling in menopause. Maturitas 2009;62(2):197–199. DOI: 10.1016/j.maturitas.2008.10.016.
  30. Agha-Hosseini F, Mirzaii-Dizgah I, Mansourian A, et al. Serum and stimulated whole saliva parathyroid hormone in menopausal women with oral dry feeling. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107(6):806–810. DOI: 10.1016/j.tripleo.2009.01.024.
  31. Mirzaii-Dizgah I, Agha-Hosseini F. Stimulated and unstimulated saliva progesterone in menopausal women with oral dryness feeling. Clin Oral Invest 2011;15(6):859–862. DOI: 10.1007/s00784-010-0449-z.
  32. Rukmini JN, Sachan R, Sibi N, et al. Effect of menopause on saliva and dental health. J Int Soc Prevent Communit Dent 2018;8(6):529–533. DOI: 10.4103/jispcd.JISPCD_68_18.
  33. Cydejko A, Kusiak A, Grzybowska ME, et al. Selected physicochemical properties of saliva in menopausal women—a pilot study. Int J Environ Res Public Health 2020;17(7):2604. DOI: 10.3390/ijerph17072604.
  34. Ferguson S, FeudjoTepie M, Taylor A, et al. The impact of persistence with bisphosphonates on health resource utilization and fracture risk in the UK: a study of patient records from the UK Clinical Practice Research Datalink. J Eval Clin Pract 2016;22(1):31–39. DOI: 10.1111/jep.12422.
  35. Fait T. Menopause hormone therapy: latest developments and clinical practice. Drugs Context 2019;8:212551. DOI: 10.7573/dic.212551.
  36. Pizzo G, Guiglia R, Licata ME, et al. Effect of hormone replacement therapy (HRT) on periodontal status of postmenopausal women. Med Sci Monit 2011;17(4):PH23–PH27. DOI: 10.12659/MSM.881700.
  37. Alves RC, Félix SA, Rodriguez-Archilla A, et al. Relationship between menopause and periodontal disease: a cross-sectional study in a Portuguese population. Int J Clin Exp Med 2015;8(7):11412–11419. PMID: 26379957. PMCID: PMC4565340.
  38. Warren MP, Shu AR, Dominguez JE. Menopause and hormone replacement. [Updated 2015 Feb 25]. In: Feingold KR, Anawalt B, Boyce A, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279050/.
  39. Steffens JP, Valenga HM, Santana LCL, et al. Role of testosterone and androgen receptor in periodontal disease progression in female rats. J Periodontol 2019;91(4):545–553. DOI: 10.1002/JPER.19-0099.
  40. Nayak G, Kamath A, Kumar P, et al. A study of quality of life among perimenopausal women in selected coastal areas of Karnataka, India. J Midlife Health 2012;3(2):71–75. DOI: 10.4103/0976-7800.104456.
  41. Shigli KA, Giri PA. Oral manifestations of menopause. J Basic Clin Reprod Sci 2015;4(1):4–8. DOI: 10.4103/2278-960X.153514.
  42. Parakh D, Garia DK, Dagli R, et al. Evaluation of the effect of menopause on saliva and dental health. Int J Oral Health Dent 2016;2(2):71–76. DOI: 10.5958/2395-499X.2016.00012.5.
  43. Siregar MFG. Menopause and the oral cavity: an oral hygiene update in Indonesia. Int J Community Med Public Health 2015;2(3):210–216. DOI: 10.18203/2394-6040.ijcmph20150474.
  44. Burkard T, Moser M, Rauch M, et al. Utilization pattern of hormone therapy in UK general practice between 1996 and 2015: a descriptive study. Menopause 2019;26(7):741–749. DOI: 10.1097/GME.0000000000001300.
  45. Nudy, M, Chinchilli, VM, Foy, AJ. A systematic review and meta-regression analysis to examine the ‘timing hypothesis’ of hormone replacement therapy on mortality, coronary heart disease, and stroke. Int J Cardiol Heart Vasc 2019;22:123–131. DOI: 10.1016/j.ijcha.2019.01.001.
  46. Mlachkova AM, Popova CL. Efficiency of nonsurgical periodontal therapy in moderate chronic periodontitis. Folia Med (Plovdiv) 2014;56(2):109–115. DOI: 10.2478/folmed-2014-0016.
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