Experts share tips on maintaining oral health during menopause and beyond
Menopause is widely associated with hot flashes and night sweats, but another lesser-known issue may arise during this time—dental problems. According to experts, hormonal changes during menopause, particularly a drop in estrogen, can negatively impact teeth and gums. Fortunately, there are ways to protect your mouth and maintain oral health through menopause.
“I’m not sure that people are aware of this,” said Dr. Thomas Sollecito, Chief of Oral Medicine at the University of Pennsylvania, highlighting the need for greater awareness of the connection between menopause and dental health.
The Effects of Menopause on Oral Health
As women transition through perimenopause and menopause, their ovaries gradually produce less estrogen. This can lead to decreased bone density and reduced saliva production, both of which can have serious implications for oral health.
Saliva, which Dr. Sollecito called “one of the most important fluids in our body,” helps keep the mouth healthy by washing away food particles, neutralizing acids, and providing essential minerals. A decrease in saliva, or dry mouth, can lead to an increased risk of oral soreness, yeast infections, and cavities.
Dr. Maiara Hister-Cockrell, a dentist at the University of Texas Health San Antonio, explained that the risks are even higher for women taking medications for high blood pressure or diabetes, as these can also contribute to dry mouth.
“Those bacteria are proliferating, and you’re more prone to get tooth decay,” said Dr. Sally Cram, a periodontist in Washington, D.C., and spokesperson for the American Dental Association. If left unchecked, this can lead to tooth loss.
Bone Density and Gum Health
The drop in estrogen levels can also cause a reduction in bone density, including in the jaw, which supports the teeth. “If the socket that holds the tooth is less dense, it’s more vulnerable to bone loss,” said Dr. Sollecito. Additionally, receding gums can leave teeth exposed and more susceptible to cavities.
Menopausal women are also more prone to developing periodontal disease, a condition where plaque and bacteria build up under the gums. “Gum tissue starts to get red and swollen,” explained Dr. Cram. “It bleeds and starts pulling away from the teeth, creating deeper crevices that are harder to keep clean.”
Some women may also experience “burning mouth syndrome,” characterized by a burning sensation that affects the tongue, palate, and lips. “As you could well imagine, this could all really spiral out of control,” added Dr. Sollecito.
How to Protect Your Oral Health During Menopause
The good news is that these dental issues are preventable with proper care. Experts emphasize the importance of maintaining good oral hygiene and nutrition. “An electric toothbrush can be more helpful than manual toothbrushing,” said Dr. Cram. She also recommends brushing twice daily with fluoride toothpaste, flossing regularly, and seeing a dentist for regular checkups.
Diet also plays a critical role in oral health during menopause. Women are encouraged to eat a balanced diet low in sweets and high in calcium-rich foods to support both dental and bone health.
Addressing Dry Mouth and Other Issues
Hydration is key when dealing with dry mouth. “None of us really probably drink enough water throughout the day,” Dr. Cram pointed out. Over-the-counter dry mouth sprays, lozenges, and rinses can help manage the condition, and in severe cases, dentists may prescribe medications to increase saliva production. Prescription treatments are also available for those suffering from burning mouth syndrome.
“The bottom line,” said Dr. Cram, “is most oral conditions and problems during menopause are totally preventable” through consistent dental care and paying attention to your mouth’s changing needs.
By staying informed and proactive, women can protect their oral health during menopause and enjoy a healthier smile throughout this transition.
Dr. Jeffrey Montoya Sumague, DMD
Dr. Jeffrey Montoya Sumague, DMD, FPFA, a distinguished Doctor of Dental Medicine, combines clinical excellence with a passion for community engagement. A graduate of Centro Escolar University in Manila, Dr. Sumague specializes in Orthodontics, Cosmetic Dentistry, and Craniocervical Craniosacral TMJ. His leadership is evident through his role as past President of the Philippine Dental Association San Pablo City Chapter and as a dedicated member of JCI 7 Lakes.
Beyond his dental practice, Dr. Sumague is a multifaceted individual. As a Fellow of the Pierre Fauchard Academy and a Professor at Centro Escolar University, he remains committed to advancing the field of dentistry. His ability to connect with audiences is showcased through his work as a social media influencer, radio DJ/anchor for J101.5 FM Big Radio, and former correspondent for Isyu Balita. He now contributes to Tutubi News Magazine, sharing his diverse perspectives with a wider audience.
