Selected aspects of oral cavity diseases in menopausal women

Petkowicz, Beata; Jakub, Piotrkowicz; Szeszko, Łukasz; Banakiewicz, Katarzyna; Zieliński, Paweł

doi:10.5114/pm.2013.37855

Cited by 5 publications

(14 citation statements)

References 13 publications

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“…The deficiency of oestrogen and qualitative bone changes caused by menopause are probably the factors that hugely increase the risk of dental implant rejection [ 12 ]. Hormone replacement therapy substantially modifies the regenerative abilities of bone tissues, which may affect implant success rates in postmenopausal women.…”

Section: Discussionmentioning

confidence: 99%

Effects of selected factors on the osseointegration of dental implants

Koszuta¹,

Grafka²,

Koszuta³

et al. 2015

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IntroductionOsseointegration of dental implants with the maxillary and/or mandibular bone is the basis for implant prosthetic treatment. The aim of the study was to assess the influence of the patients’ gender, age, and in the case of women, their menopausal status (before menopause/after menopause/during hormone replacement therapy) on the osseointegration of dental implants.Material and methodsThe study evaluated the bone loss after implant loading and the success rate of the procedure in 71 women and 30 men. In the postmenopausal group, 20 (28.1%) women were receiving hormone replacement therapy. The implants used in the treatment of the studied patients were the two-phase dental implants. The extent of bone loss was estimated by comparing the post-implantation radiographs and the post-loading ones.ResultsThe implantation procedure was entirely successful in 81 patients (80.2%). The patients’ age, gender and menopausal status did not significantly affect the implantation procedure success rate or bone loss (p > 0.05). A correlation between bone loss and hormone replacement therapy (p = 0.002) was found.ConclusionsThe hormone replacement therapy contributes to a greater peri-implant bone loss. The patients receiving hormone replacement therapy who consider replacement of missing teeth with implants should be informed about a greater risk of osseointegration failure, which may affect the success of implant therapy.

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Section: Discussionmentioning

confidence: 99%

Effects of selected factors on the osseointegration of dental implants

Koszuta¹,

Grafka²,

Koszuta³

et al. 2015

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“…Among them, women in menopausal age are an important group with specific medical conditions and needs. The undesirable symptoms reported by patients during this period are the result of a number of systemic processes occurring in the woman's body as a consequence of the decrease in estrogenic hormone concentration due to discontinued endocrinological activity of the ovaries [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

“…Therefore changes in estrogenic hormone levels may have a direct impact on the oral cavity in terms of effects within both the oral mucosa itself and its microflora, as well as the amount of saliva secreted by the salivary glands, and as a consequence may adversely affect teeth and periodontal tissues, resulting in an increased risk of caries and periodontal disease. Estrogen deficiency also affects the maturation process of the oral mucosal epithelium and can lead to its thinning and atrophy, making it more susceptible to local mechanical injuries and causing a change in pain tolerance and problems in the use of removable prosthetic restorations [2][3][4][5][6]. Because of atrophic changes in the oral mucosa, menopausal women can often develop a series of persistent diseases, like burning mouth syndrome, lichen Wilsoni, idiopathic neuropathy, and increased tendency to develop candidiasis due to increased colonization of microorganisms in patients with reduced salivation [4].…”

Section: Introductionmentioning

confidence: 99%

“…Estrogen deficiency also affects the maturation process of the oral mucosal epithelium and can lead to its thinning and atrophy, making it more susceptible to local mechanical injuries and causing a change in pain tolerance and problems in the use of removable prosthetic restorations [2][3][4][5][6]. Because of atrophic changes in the oral mucosa, menopausal women can often develop a series of persistent diseases, like burning mouth syndrome, lichen Wilsoni, idiopathic neuropathy, and increased tendency to develop candidiasis due to increased colonization of microorganisms in patients with reduced salivation [4]. Moreover, during the menopausal period, not only the amount of secreted saliva, but also its compositionmay change [5,9].…”

Section: Introductionmentioning

confidence: 99%

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Selected Physicochemical Properties of Saliva in Menopausal Women—A Pilot Study

Cydejko

Kusiak

Grzybowska

et al. 2020

IJERPH

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The aim of this study was to estimate differences in selected physicochemical properties of saliva between menopausal and premenopausal women. Methods: The study population consisted of 9 menopausal women and 15 women of the control group. Laboratory tests included the determination of pH saliva, salivary flow rate, and concentrations of lactoferrin, lysozyme, immunoglobulin A, and ionized calcium. Results: Among menopausal women, statistically significant differences were observed in values of salivary flow rate and lysozyme and ionized calcium concentrations; however, no statistically significant differences for pH and concentrations of lactoferrin and immunoglobulin A were found. The salivary flow rate in the study group was significantly lower compared to that in premenopausal women. In relation to lysozyme, statistically significant differences were found between control group and menopausal women to the disadvantage of the latter. However, the concentration of ionized calcium in the saliva of menopausal women was distinctly higher than in the saliva of the control group. Conclusion: The saliva of menopausal women appeared significantly different from that of the control group. Differences in physicochemical parameters such as salivary flow rate and lysozyme and ionized calcium concentrations were observed. These differences in saliva properties observed in menopause can potentially affect the oral environment of women in this particular period, possibly increasing the risk of some pathological changes in the oral cavity and consequently indicating the need to take special care of this group of female patients in order to help them maintain proper oral health. Dentists and gynecologists should be aware of the problems associated with menopause and need to provide these women complete health care, including dental care as an integral part.

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“…An estrogen deficiency also affects the maturation process of the oral mucosal epithelium. It can lead to its thinning and atrophy, making it more susceptible to local mechanical injuries, causing a change in pain tolerance and problems in using removable prosthetic restorations [ 2 , 6 , 14 , 15 , 18 ]. Mucosal epithelium during the menopausal period is more vulnerable to infections, Candidiasis , burning mouth syndrome, oral lichen planus (OLP), or idiopathic neuropathy [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Changes in the Oral Cavity in Menopausal Women—A Narrative Review

Ciesielska

Kusiak

Ossowska

et al. 2021

IJERPH

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Oral health awareness during the menopausal period is essential to minimize the inevitable inconveniences which may occur due to hormonal changes. The decrease in estrogen hormone concentration impacts the oral mucosa in a similar way to the vaginal mucosa due to the presence of estrogen receptors in both of these structures. An estrogen deficiency also affects the maturation process of the oral mucosal epithelium and can lead to its thinning and atrophy, making it more susceptible to local mechanical injuries, causing a change in pain tolerance and problems in the use of removable prosthetic restorations. Mucosal epithelium during the menopausal period is more vulnerable to infections, candidiasis, burning mouth syndrome, oral lichen planus (OLP), or idiopathic neuropathy. Moreover, salivary glands are also hormone-dependent which leads to changes in saliva secretion and its consistency. In consequence, it may affect teeth and periodontal tissues, resulting in an increased risk of caries and periodontal disease in menopausal women. Due to the large variety of complaints and symptoms occurring in the oral cavity, menopausal women constitute a significant group of patients who should receive special preventive and therapeutic care from doctors and dentists in this particular period.

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Selected aspects of oral cavity diseases in menopausal women

Cited by 5 publications

References 13 publications

Effects of selected factors on the osseointegration of dental implants

Effects of selected factors on the osseointegration of dental implants

Selected Physicochemical Properties of Saliva in Menopausal Women—A Pilot Study

Changes in the Oral Cavity in Menopausal Women—A Narrative Review

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