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Women's Hormones and Dental Health: Understanding the Relationship

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The hormone levels in women vary throughout their lifetimes and make them confront various dental health issues. Read the article to know the link between them.

Medically reviewed by

Dr. Osheen Kour

Published At October 6, 2023
Reviewed AtDecember 27, 2023

What Is the Connection Between Women’s Hormones and Oral Health?

Due to the different hormonal changes that women go through throughout their lifetimes, they may be more sensitive to oral or dental health problems. These hormonal changes may affect the body's response to toxins created by plaque buildup and the blood flow to the gum tissue. As a result, women are more likely to have periodontal disease and other oral health issues at particular phases in their lives.

What Are the Causes and Signs of Hormonal Changes in Women That Affect Their Oral Health?

Fluctuating hormone levels make people more vulnerable to oral health problems, highlighting the significance of routine dental care and hygiene practices to preserve optimal oral health throughout a woman's life. The five life periods during which women face hormone-related oral health concerns are as follows:

1. Puberty - In a young woman's life, puberty is crucial when hormonal changes can influence dental health. The synthesis of estrogen and progesterone increases, which results in increased blood flow to the gums. The sensitivity of the gum tissue to bacterial plaque may be altered by this hormonal effect, making it more prone to inflammation. As a result, gum tissue could become irritated, sensitive, and inflamed, and it might bleed more easily while brushing and flossing. This increased susceptibility highlights the significance of meticulous dental hygiene habits throughout adolescence to avoid gum problems and preserve excellent oral health throughout this formative stage of life. Therefore, routine dental exams and preventative actions are essential to address these hormonal changes.

2. Menstrual Cycle or Periods - Hormonal changes, notably the elevation in progesterone during the monthly menstrual cycle, might cause some women to experience visible oral alterations. These alterations include bright red, swollen gums, enlarged salivary glands, canker sores (round sores with yellow or white center and red border) appearing, or gum bleeding. Menstruation gingivitis is a disorder that occurs a day or two prior to the start of menstruation and usually goes away shortly. Women should practice good oral hygiene during this period to lessen discomfort and preserve their overall dental health, even though it is typically a transient problem. Therefore, routine dental care can help in the effective management of these oral variations caused by menstruation.

3. Usage of Oral Contraceptives -

  • Progesterone-containing oral contraceptives may cause women to develop inflamed gum tissues because their bodies may overreact to the poisons created by plaque formation. Within the first few months of using these birth control tablets the gum changes are usually the most noticeable. Notably, newer contraceptive tablets in the market often include lower hormone concentrations, which might lessen the inflammatory reaction of the gums to dental plaque.

  • Also, people should let their dentists know if they use oral contraceptives. This notification is crucial because some drugs, such as antibiotics, that a dentist could recommend, may reduce the efficacy of oral contraceptives. A complete list of all the medications, a patient is taking, including names and doses, should always be given to their dentist. However, if the dental care program includes prescription medicine, this information is essential for optimal treatment planning.

4. TMJ and Hormone Relationship - Researchers have analyzed why women are more likely than males to get temporomandibular disorders (TMD) and whether there may be a hormonal connection. Recent studies show a link between TMD, birth control medications, and decreased natural estrogen. In this situation, alterations in the temporomandibular joint's bone structure have been witnessed. Additionally, the combination of joint tightness brought on by TMD and low amounts of natural estrogen may increase inflammation. Osteoarthritis of the temporomandibular joint may occur in certain people due to this inflammation. These findings offer insight into the processes behind the development and progression of TMD, particularly in females, by highlighting the intricate interaction between hormonal variables and the illness.

5. Pregnancy - Significant hormonal changes during pregnancy, including a noticeable rise in progesterone levels. This hormonal fluctuation makes people more susceptible to gingivitis caused by bacterial plaque, which is most prevalent from the second to the eighth month of pregnancy. This disorder, sometimes known as ‘pregnancy gingivitis,’ is characterized by swollen and readily bleeding gums. Dentists frequently advise more regular professional cleanings to handle this problem, usually in the second or early third trimester. The risk of developing gingivitis may be reduced, and dental health may be preserved throughout pregnancy with these cleanings. To safeguard the health of the expecting mother and the baby, diligent oral hygiene practices, including routine dental examinations, become essential.

6. Menopause - Different oral alterations may be caused by menopause, which is impacted by aging, drugs, and hormonal changes. Taste changes, tongue-burning sensations, increased sensitivity to hot and cold meals, and decreased salivary flow resulting in dry mouth may be present. These oral problems associated with menopause serve as a reminder of the need for complete dental care and routine checkups to address the particular dental problem that may develop at this time of life. Some of these problems include:

  • Dry Mouth - It is frequently a result of decreased saliva production, and can cause periodontal disease because it impairs the mouth's natural ability to remove plaque and neutralize acids. This problem may worsen by several frequently administered prescription and over-the-counter drugs for older persons.

  • Bone Loss - Women are more vulnerable to osteoporosis, which causes bone loss, and periodontitis, an infection of the gum tissues caused by the decline in estrogen levels after menopause. Osteoporosis-related jawbone loss can lead to tooth loss. Furthermore, receding gums may be an indication of deteriorating jawbones and expose more tooth surfaces, increasing the risk of tooth decay. To manage these oral and general health issues associated with menopause, maintaining bone health and getting frequent dental exams are essential.

  • Hormone Therapy - After menopause, hormone treatment may help postmenopausal women maintain oral health. The prevention of bone loss, not only in the overall skeletal structure but also in the jawbones, is one of the main advantages of this therapy. Therefore, hormone replacement treatment may help postmenopausal women prevent tooth loss.

Conclusion

The oral health of women is significantly influenced by hormones at different phases of life. Women aware of the effects of hormonal changes might take preventive measures to protect their dental health. Therefore, to handle the special dental issues that hormonal shifts might bring, consistent oral hygiene practices, routine dental examinations, and open communication with healthcare professionals are crucial. Women may maintain good oral health at every stage of their lives by being aware and proactive.

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Dr. Ashwini Kumar

Dentistry

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