Women's Dental Health
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Do women need to be more careful with their oral health?
Women's oral health depends on their different stages of life. For many women,
these changes are directly related to surges in sex hormone levels, such as in
puberty, menstruation, pregnancy, lactation and menopause. Women are also more
likely to be diagnosed with TMJ, Myofacial pain, eating disorders, and Sjogren's
Syndrome (dry mouth).
What types of conditions will my dentist watch for?
As a woman, you need to adhere to good oral hygiene. Make sure to brush with
fluoride toothpaste at least twice a day and after each meal when possible, and
floss thoroughly each day. To help avoid problems, your dentist may request to
see you more frequently during hormonal surges.
Puberty-The surge in hormones that occurs during puberty may cause swollen gums, especially
during menstruation. Herpes-type lesions and ulcers also can develop. Girls may
experience sensitive gums that react more to irritants. Thesurge in hormones that occurs during puberty may cause swollen gums, especially
during menstruation. Herpes-type lesions and ulcers also can develop. Girls may
experience sensitive gums that react more to irritants.
Oral Contraceptives-Oral contraceptives act similarly to pregnancy because they contain progesterone
or estrogen. Therefore gingivitis may occur with long-term use. Use of certain
antibiotics while taking an oral contraceptive can decrease its effectiveness.
Women who use birth control pills are twice as likely to develop dry sockets
and should consult their dentist before scheduling major dental procedures.
Pregnancy-Pregnant women have a risk for increased inflammation of the gums because of
the surge in estrogen and progesterone. If the plaque isn't removed, it can cause
gingivitis: red, swollen, tender gums that are more likely to bleed. And, women
with periodontal disease may be at risk for pre-term, low-birth weight babies.
They are also at risk for developing pregnancy tumors: inflammatory, benign growths
that develop when swollen gums become irritated. Usually these tumors shrink soon
after the pregnancy is over.
If a women experiences morning sickness, it is important to neutralize the acid
caused by vomiting which causes tooth erosion. Patients can use a paste made of
baking soda and water, rubbing it on the teeth. After 30 seconds, rinse off the
paste, then brush and floss. If this is not possible, rinse with water.
Menopause-During menopause, some women can experience a dry mouth, burning sensations,
and changes in taste. Gums can even become sore and sensitive. Hormonal replacement
therapy may cause gums to bleed, swell, and become red.
Other Factors-Diet pills and certain medications (over-the-counter and prescription) can decrease
salivary flow, which puts patients at risk for cavities, gum disease, and discomfort.
Patients with eating disorders, such as bulimia (self-induced vomiting), can't
hide their symptoms from their dentists because the episodes of bingeing and purging
cause erosion on the backside of the upper front teeth. (An additional sign is
sores that appear at the corners of the mouth.). Smoking also creates a higher
risk for periodontal disease.
How will my dentist know if I have a problem?
Keep your dentist informed if you experience changes in your oral health or if
you are approaching a different life stage. Also, visiting your dentist regularly
will help him or her see any physical changes in your mouth. Your dentist should
complete a thorough medical history to determine if you are at a higher risk for
problems.
Sources: Barbara A. Rich, DDS, FAGD; Academy of General Dentistry; "H" is for
Hormones, " Journal of the Indiana Dental Association; "For women only," RDH Magazine,
"Women's oral health awareness and care-seeking characteristics: A pilot study,"
JADA.
This information was compiled for you by the Academy of General Dentistry. Your
dentist cares about long-term dental health for you and your family and demonstrates
that concern by belonging to the Academy of General Dentistry. As one of the 35,000
general dentists in the United States and Canada who are members of the Academy,
your dentist participates in an ongoing program of professional development and
continuing education to remain current with advances in the profession and to
provide quality patient treatment. Visit the AGD's website at www.agd.org. You
have permission to photocopy this page and distribute it to your patients.
AGD IMPACT June 1999
Posted June 4, 1999 [TCJ]
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