Oral Health Alterations Associated With Menopause: A Comparative Analysis of Pre- and Post-Menopausal Women.
DOI:
https://doi.org/10.37506/9n63as32Keywords:
Menopause, oral health, xerostomia, oral diseases, psychological symptoms, tooth lossAbstract
Background: Menopause is a natural physiological transition characterized by a decline in estrogen and progesterone levels, which can influence both systemic and oral health. The presence of estrogen receptors in oral tissues renders them susceptible to hormonal fluctuations, leading to various oral complaints. However, these manifestations are often under-recognized in clinical practice. The present study aimed to evaluate and compare oral health alterations, including oral and psychological symptoms, dental status, periodontal health, and clinical findings, between premenopausal and postmenopausal women.
Materials and Methods: A cross-sectional comparative study was conducted among 200 women, comprising 100 premenopausal and 100 postmenopausal participants. Data were collected using a structured questionnaire covering demographic details, oral and psychological symptoms, and oral hygiene practices. Clinical examination assessed dental status, periodontal condition, and oral mucosal changes. Statistical analysis was performed using descriptive statistics and Chi-square test, with p < 0.05 considered statistically significant.
Results: Postmenopausal women demonstrated a significantly higher prevalence of oral symptoms such as xerostomia (48% vs. 18%), burning mouth sensation (20% vs. 2%), altered taste (45% vs. 19%), halitosis (38% vs. 12%), orofacial pain (43% vs. 6%), and dysphagia (40% vs. 5%) (p < 0.05). Psychological symptoms including depression, anxiety, sleep disturbances, and memory impairment were also more frequent. Furthermore, postmenopausal women exhibited reduced dentition, increased prosthetic needs, poorer oral hygiene practices, and higher occurrence of mucosal conditions.
Conclusion: Postmenopausal women experience significantly greater oral and psychological health alterations compared to premenopausal women, highlighting the importance of targeted preventive and therapeutic oral healthcare strategies during menopause.
References
1. Chand P, Dutt P, Jurel SK, Dasgupta S, Gautham H,
Shetye AG. Assessment of effect of menopause on oral
health and its awareness in population visiting dental
OPD: a hospital-based study. Int J Community Med
Public Health. 2023;10:3189-95.
2. Ekanayake CD, Atapattu P, Dissanayake M,
Akmeemana S, Perera H, Gunaratne MD, et al. Health
issues of postmenopausal women in Sri Lanka: A
community-based pilot study. J Mid-life Health.
2025;16:272-7.
3. Pal S. A community-based comparative study on
menopausal health issues of urban and rural women
of Tripura, North-East India. Indian J Physiol Allied
Sci. 2023;75:12-18.
4. Khan S, Shukla MK, Priya N, Ansari MA. Health
seeking behaviour among post-menopausal women:
A knowledge, attitude and practices study. Int J
Community Med Public Health. 2016;3:1777-82.
5. Shobhana M, Chandran JR, Aggarwal N, Sharma
S, Jankiram R, Soni A, et al. Incidence of hot flashes
among peri- and post-menopausal women in India:
A clinico-demographic analysis. J Mid-life Health.
2025;16:32-7.
6. Chand P, Dutt P, Jurel SK, Dasgupta S, Gautham H,
Shetye AG. Assessment of effect of menopause on oral
health and its awareness in population visiting dental
OPD: a hospital-based study. Int J Community Med
Public Health. 2023;10:3189-95.
7. Hussein MJ, Salman FD, Hussein SR. Comparison of
pre- and post-menopausal women’s oral health status
in Erbil city. Acta Sci Med Sci. 2023;7:03-09.
8. Singh N, Verma SK, Sharma NK, Gupta V, Jha AK,
Priyank H. Comparative evaluation of periodontal
health status of pre and postmenopausal females. J
Educ Health Promot. 2023;12:211.
9. Katage G, Dhawale PV, Kamble A. Silent bone loss:
Estimating osteoporosis risk among postmenopausal
Indian women using a self-assessment tool. J Mid-life
Health. 2025;16:295-300.
10. Shrivastava S. Menopause and oral health: Clinical
implications and preventive strategies. J Midlife
Health. 2024;15:135-41.
11. Singh P, Vyas S, Vallabh V, Nautiyal R, Srivastava A,
Semwal J. A study to assess the prevalence and factors
affecting menopausal symptoms among middleaged
females in the Garhwal region of Uttarakhand. J
Midlife Health. 2023;14(4):237-245.
12. Buencamino MCA, Palomo L, Thacker HL. How
menopause affects oral health, and what we can
do about it. Cleveland Clinic Journal of Medicine.
2009;76(8):467-75.
13. Gautam DK, Vikas J, Amrinder T, Rambhika T, Bhanu
K. Evaluating dental awareness and periodontal
health status in different socioeconomic groups in the
population of Sundernagar, Himachal Pradesh, India.
J Int Soc Prev Community Dent. 2012 ;2(2):53–57.
14. Dutt P, Chaudhary SR, Kumar. Oral health and
menopause: A comprehensive review on current
knowledge and associated dental management. Ann
Med Health Sci Res. 2013;3(3):320–323.
15. Kogo M, Inoue M, Shirasuna K. Oral symptoms in
postmenopausal women. J Oral Rehabil. 2003;30(6):563-
568.
16. Minicucci EM, Pires RBC, Vieira RA, Miot HA, Sposto
MR. Assessing the impact of menopause on salivary
flow and xerostomia. Aust Dent J. 2013;58:230–4.
17. Labunet A, Objelean A, Kui A, Rusu L, Vigu A, Sava S.
Oral manifestations in menopause: a scoping review.
Medicina (Kaunas). 2025;61(5):837.
18. Meurman JH, Tarkkila L, Tiitinen A. The menopause
and oral health. Maturitas 2009;63(1):56-62.
19. Yakar N, Turedi A, Emingil G, Şahin C, Kose T,
Silbereisen A et al. Oral health and emotional
wellbeing in premenopausal and postmenopausal
women: a crosssectional cohort study. BMC Womens
Health. 2021;21:338.
20. Areal-Quecuty V, Segura-Egea JJ, Simón-Soro A,
León-López M, Cantiga-Silva C, Martín-González J
et al . Dental caries status in postmenopausal women:
systematic review and meta-analysis. J Clin Med.
2025;14:1837.
21. Hariri R, Alzoubi EE. Oral manifestations of
menopause. J Dent Health Oral Disord Ther.
2017;7(4):306-309.
22. Palanisamy S. The impact of estrogen on periodontal
tissue integrity and inflammation—a mini review.
Front Dent Med. 2025;19;6:1455755.
23. Jayusman PA, Nasruddin NS, Baharin B, Ibrahim
NI, Ahmad Hairi H, Shuid AN. Overview on
postmenopausal osteoporosis and periodontitis: the
therapeutic potential of phytoestrogens against alveolar
bone loss. Front Pharmacol. 2023;23;14:1120457.
24. Muneshwar SS, Ashwinirani SR, Gole AA, Suragimath
G. Oral manifestation in postmenopausal women
of Maharashtra, Western region. J Midlife Health.
2023;14:28-33.
25. Rajpal N, Patel S, Pathak JR, Swain N, Bhor K.
Prevalence of Oral Manifestations in Menopausal and
Postmenopausal Women: A Systematic Review and
Meta-Analysis. J Orofac Sci. 2025;17:40-50
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