DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20150474

Menopause and the oral cavity: an oral hygiene update in Indonesia

Muhammad Fidel Ganis Siregar

Abstract


Menopause is cessation of menstrual period due to reduced estrogen and progesterone level. Menopause is diagnosed when a woman stops menstruating for at least 1 year. After menopause, women are more susceptible to periodontal diseases. Menopausal women complaining dry mouth should first of all determine salivary gland functions. Adequate salivary function should still maintain oral health. A complete history should be taken in cases of a burning mouth in post-menopausal women, several underlying causes may include psychological disorders, blood glucose, thyroid, and nutritional deficiency associated systemic disorders, and use of ACE inhibitors. In the absence of oral abnormalities, an alternate diagnosis may be Burning Mouth Syndrome. This review gives a general view on cases treated in Indonesia in which such conditions are treated based on the Indonesian Menopause Society (PERMI) guidelines for dental and oral disorders. The Indonesian national consensus concerning this matter necessitates the use of Hormonal therapy after taking a complete history, performing a physical examination, and obtaining patient informed consents. Although usually the domain of dentists, inter specialist cooperation should be encouraged.


Keywords


Menopause, Dry mouth, Burning mouth, Hormonal therapy

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References


Burger HG, Dudley EC, Robertson DM & Dennerstein L. Hormonal changes in the menopause transition. The Endocrine Soc. 2002:257-75.

Goodman NF, Cobin RH, Ginzburg SB, Katz IA & Woode DE. American association of clinical endocrinologists medical guidelines for a clinical practice for the diagnosis and treatment of menopause. AACE guidelines. 2011;17(6):1-25.

Nelson HD. Menopause. Lancet. 2008;371:760-70.

Santosh P, Nidhi S, Sumita K, Farzan R, Bharati D, Ashok KP. Oral findings in postmenopausal women attending dental hospital in western part of India. J Clin Exp Dent. 2013;5(1):e8-12.

Loos BG, John RP, Laine ML. Identification of genetic risk factors for periodontitis and possible mechanisms of action. J Clin Periodontol. 2005;6: 159-79.

Farronato G, Maspero C, Folegatti C, Giannini L. Menopause: changes in the mouth cavity and preventive strategies. J Women’s Health Care. 2012;1:1

Reinhardt RA, Payne JB, Maze CA, Patil KD, Gallagher SJ, et al. Influence of estrogen and osteopenia/osteoporosis on clinical periodontitis in postmenopausal women. J Periodontol. 1999;70:823-8.

Muda JM. Pengaruh status menopause terhadap burning mouth syndrome.Universitas Diponegoro 2012.

Balan U, Gonsalves N, Jose M, Girish KL. Symptomatic changes of oral mucosa during normal hormonal turnover in healthy young menstruating women. J Contemp Dent Pract. 2012;13(2):178-81.

Dural S, Gungor M, Berna L. Evaluation of the Effect of Menopause on Saliva and Dental Health. Hacettepe Dihekimlii Fakültesi Dergisi. 2006;30:15-8.

Saluja P, Shetty V, Dave A, Arora M, Hans V & Madan A. Comparative evaluation of the effects of menstruation, pregnancy, and menopause on salivary flow rate, pH, and gustatory function. J Clin Diagnostic Res. 2014;8(10):81-5.

Bercovici B, Gron S, Pisanty S. Vaginal and oral cytology of the menopause. A comparative study. Acta Cytol. 1985;29:805-9.

Chesnut 3rd CH. The relationship between skeletal and oral bone mineral density an overview. Ann Periodontol. 2001;6:193-6.

Alves RC, Felix SA, Archilla AR. Is menopause associated with an increased risk of tooth loss in patients with periodontitis? Rev Port Estomatol Med Dent Cir Maxilofac. 2013;54(4):210-6.

Casamassimo PS. Maternal oral health. Dent Clin North Am. 2001;45:469-78,v-vi.

Bullon P, Chandler L, Segura Egea JJ, Perez Cano R, Martinez Sahuquillo A. Osteocalcin in serum, saliva and gingival crevicular fluid: their relation with periodontal treatment outcome in postmenopausal women. Med Oral Patol Oral Cir Bucal. 2007;12:E193-7.

Lopez BC, Perez GS, Soriano YJ. Dental consideration in pregnancy and menopause. J Clin Exp Dent. 2011;3(2):135-44.

Shen EC, Gau CH, Hsieh YD, Chang CY, Fu E. Periodontal status in post-menopausal osteoporosis: a preliminary clinical study in Taiwanese women. J Chin Med Assoc. 2004;67(8):389-93.

Melkumyan TC, Khasanova LE, Kamilov KP. Periodontal status of postmenopausal women. Int J BioMed. 2014;4(2):104-6.

Metthews DC. Periodontal medicine: a new paradigm. J Can Dent Assoc. 2000;66(9):488-91.

Buencamino MCA. How menopause affects oral health, and what we can do about it, Internal Diagnostic Department, E13, Cleveland Clinic, 2013.

North American Menopause Society. Menopause Practice: A Clinician’s Guide. 3rd ed; 2007.

Shapira L, Wilensky A, Kinane DF. Effect of genetic variability on the inflammatory response to periodontal infection. J Clin Periodontol. 2005;6:72-86

American Dental Association Council on Access, Prevention and Interprofessional Relations. Women’s Oral Health Issues. November 2006.

Friedlander AH. The physiology, medical management and oral implications of menopause. J Am Dent Assoc. 2002;133:73-81.

Perkumpulan Menopause Indonesia. Panduan Pencegahan dan Tatalaksana Menopause dan Osteoporosis secara Interdisiplin: Alur tatalaksana gangguan gigi dan mulut, Departemen Obstetri & Ginekologi FKUI/RSUPN Dr Cipto Mangunkusumo, 2012.

Wardropa RW, Hailes J, Burger H, Reade PC. Oral discomfort at menopause. Oral Surg Oral Med Oral Pathol. 1989;67:535-40.

Lopez BC, Perez MG, Soriano YJ. Dental considerations in pregnancy and menopause, J Clin Exp Dent. 2011;3:e135-44.

Krall EA, Garcia RI, Dawson-Hughes B. Increased risk of tooth loss is related to bone loss at the whole body, hip and spine. Calcif Tissue Int. 1996;59:433-7.

Lafaurie G, Fedele S, Lopez RM, Wolff A, Streitzel F, et al. Biotechnological advances in neuro-electro-stimulation for the treatment of hyposalivation and xerostomia. Med Oral Patol Oral Cir Bucal. 2009;1:14(2):76-80.

Strietzel F, Lafaurie GI, Mendoza GR, Alsjbeg I, Pejda S, Vuletic, et al. Efficacy and safety of an intraoral electrostimulation device for xerostomia relief: A multicenter, randomized trial. Arthritis & Rheumatism. 2011;63(1):180-90.

Mutneja P, Dhawan P, Raina A, Sharma G. Menopause and the oral cavity. Indian J Endocr Metab. 2012;16:548-51.

Portillo GM. Oral manifestations and dental treatment in menopause. Med Oral. 2002;7:31-5

Bruno G. Hormone Replacement Therapy: Risk & Dietary supplement alternatives. Huntington College of Health Sciences.

Bluming AZ, Tavris C. Hormone replacement therapy: real concerns and false alarms. The Cancer J. 2009;15(2):95-107.

Buencamino MCA. How menopause affects oral health, and what we can do about it, Internal Diagnostic Department, E13, Cleveland Clinic, 2013.