Women are periodontally healthier than men, but why don't they have more teeth than men?

Meisel, Peter; Reifenberger, Jenni; Haase, Romy; Nauck, Matthias; Bandt, Christoph; Kocher, Thomas

doi:10.1097/gme.0b013e31811ece0a

Cited by 70 publications

(63 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A rapid decrease in the number of remaining teeth is observed in post-menopausal women, regardless of good oral care, compared with men. 12 As some studies have reported, dentition status may influence the MCW. 13,14 However, further adjustment for the number of teeth remaining did not change the odds ratios of having low spine BMD or spinal osteoporosis estimated using DXA among the MCW quartiles in our recent study.…”

Section: Discussionmentioning

confidence: 99%

Detecting young Japanese adults with undetected low skeletal bone density using panoramic radiographs

Taguchi

Sugino²,

Miki³

et al. 2011

Dentomaxillofacial Radiology

View full text Add to dashboard Cite

Objective: The cortical width below the mental foramen of the mandible determined from panoramic radiographs is a useful screening tool for identifying elderly individuals with a low skeletal bone mineral density (BMD). However, whether the mandible cortical width (MCW) is useful for identifying a low skeletal BMD in men and women of 40 years or younger is not known. Methods: The BMD of the calcaneus was measured by ultrasonography bone densitometry in 158 men and 76 women aged 18-36 years. A logistic regression analysis adjusted for age was used to calculate the odds ratios and 95% confidence interval (CI) of having a low calcaneal BMD, according to the quartiles of the MCW. The areas under the receiver operator characteristic curve (AUC) for identifying participants with a low calcaneal BMD using the MCW were assessed to evaluate the diagnostic efficacy of the MCW. Results: In men, the adjusted odds ratios of a low calcaneal BMD associated with the second, third and lowest quartiles of MCW were 5.66 (95% CI, 0.61-52.23), 5.43 (95% CI, 0.59-50.18) and 33.22 (95% CI, 3.97-276.94), respectively, compared with the highest quartile, while no significant trend in the adjusted odds ratios was observed in women. The AUC for identifying participants with a low calcaneal BMD based on the MCW was 0.796 (95% CI, 0.702-0.890) in men and 0.593 (95% CI, 0.398-0.788) in women. Conclusion: MCW determined from panoramic radiographs can be used to identify undetected low calcaneus BMD in young adult men, but not in young adult women. Dentomaxillofacial Radiology (2011) 40, 154-159.

show abstract

Section: Discussionmentioning

confidence: 99%

Detecting young Japanese adults with undetected low skeletal bone density using panoramic radiographs

Taguchi

Sugino²,

Miki³

et al. 2011

Dentomaxillofacial Radiology

View full text Add to dashboard Cite

show abstract

“…Thus, the results give evidence of distinct responses between men and women in the metabolic pathways connecting obesity and tooth loss. Besides their impact on fat metabolism and fat distribution, protective effects of estrogens may be relevant to alveolar bone loss and tooth loss (Meisel et al, 2008). In patients with periodontitis and concomitant postmenopausal osteoporosis, a lack of this hormone may be deleterious (Lerner, 2006).…”

Section: Discussionmentioning

confidence: 99%

“…Attitudes toward and biology of oral health are very different between men and women, resulting in a dimorphism in susceptibility to periodontitis (Meisel et al, 2008;Shiau and Reynolds, 2010;Russell et al, 2013). Thus, the results give evidence of distinct responses between men and women in the metabolic pathways connecting obesity and tooth loss.…”

Section: Discussionmentioning

confidence: 99%

Sex Differences of Tooth Loss and Obesity on Systemic Markers of Inflammation

Meisel

Holtfreter

Völzke³

et al. 2014

J Dent Res

View full text Add to dashboard Cite

Sex-specific differences in the incidence of periodontitis and tooth loss may be related to different phenotypes of obesity and their associations with low-grade inflammation. The aim of this study was to evaluate associations of adiposity and lowgrade inflammation with tooth loss in men and women. Follow-up data of 2,714 participants from the cohort of Study of Health in Pomerania were analyzed for anthropometric measures, periodontitis, tooth loss, C-reactive protein (CRP), and interleukin 6. Regression analyses were used to estimate the effect of obesity on tooth loss within sex strata. During the follow-up period, men lost more teeth in relation to their obesity status than did women. In contrast, there was a steeper increase in CRP levels across obesity levels in women as compared to men. Incidence rate ratio (IRR) of tooth loss associated with elevated CRP, however, was higher in men (IRR = 1.50; 95% confidence interval [CI]: 1.27, 1.77) than women (IRR = 1.18; 95% CI: 1.02, 1.37). Negative binomial regression with number of lost teeth as outcome revealed dose-response dependencies on body mass index and waist-to-hip ratio. Adjusted for covariates, the IRR of tooth loss associated with the third tertile of waist-to-hip ratio was 1.37 (95% CI: 1.04, 1.80) and 1.53 (95% CI: 1.14, 2.05) in men and women, respectively. Tooth loss related to CRP cutoff of 2 mg/L was significant in men (IRR = 1.33; 95% CI: 1.07, 1.66; p = .006) but not in women (IRR = 0.92; 95% CI: 0.73, 1.17; p = .689). This study suggests that both adiposity and subclinical inflammation affect tooth loss, with distinct differences between men and women. Obesity as a risk factor of tooth loss is particularly related to CRP in men but not in women.

show abstract

“…Postmenopausal women who undergo estrogen replacement therapy had less tooth and oral bone loss than postmenopausal women who are not undergoing hormone estrogen replacement therapy. Meisel et al [3] randomly selected participants who were evaluated to test different hypotheses that could explain the paradox between periodontal health and number of teeth present among men and women. Diagnostic periodontal parameters, attachment loss, and number of teeth were determined.…”

Section: The Role Of Female Hormonesmentioning

confidence: 99%

“…In a comparison between men above 50 years of age, and postmenopausal women with and without HRT, it was found that only women who didn't take estrogen after menopause have fewer teeth than men. The use of hormonal therapy supplements reduced the urinary deoxypyridinoline excretion and the extent of attachment loss, thus associated with the increase in number of teeth [3].…”

Section: Introductionmentioning

confidence: 99%

Oral Manifestations of Menopause

Alzoubi¹

2017

JDHODT

View full text Add to dashboard Cite

Women are periodontally healthier than men, but why don't they have more teeth than men?

Abstract: The apparent paradox of having fewer teeth despite better periodontal health in women compared with men is related to an increased bone turnover rate and socioeconomic conditions such as low education and low social status. Periodontal health is even worse if these factors are combined.

Cited by 70 publications

References 27 publications

Detecting young Japanese adults with undetected low skeletal bone density using panoramic radiographs

Detecting young Japanese adults with undetected low skeletal bone density using panoramic radiographs

Sex Differences of Tooth Loss and Obesity on Systemic Markers of Inflammation

Oral Manifestations of Menopause

Contact Info

Product

Resources

About