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Oral Health Care And Menopause

When women enter menopause, changing hormone levels bring about a variety of symptoms and raise new oral health issues. Women and their doctors must consider the entire range of physical and emotional health implications, including their oral health.

Bone Loss and Oral Health

As natural levels of estrogen decline, women may find themselves at risk for loss of bone density. Jawbones are no different; these structures hold our teeth in place, and loss of jawbone density can lead to tooth loss.

When women lose teeth, there are other immediate considerations. One is the potential loss of nutrition, as people with fewer teeth or with problem teeth tend not to eat well. Second is the loss of confidence or self-esteem that results from any cosmetic changes to our bodies. And third, the financial cost of replacing one or more teeth can stretch even the best-planned budget.

Gum Disease and Tooth Decay

Hormonal changes also can have an impact on the health of gums and teeth. Women may find that their gums become inflamed and bleed easily, and may discover that their teeth are more cavity-prone. Both gum disease and tooth decay can result in losing teeth, another good reason to consider your oral health during this significant time of your life.

Signals of Change

Women may notice a burning sensation or dryness in their mouths. They also may discover that these changes cause food to taste different, leading to a loss of appetite. Be alert to an appetite loss that persists, particularly if you begin to lose weight.

If gums become inflamed or bleed easily, alert your dentist who will check for early signs of gum disease. A receding gum line may indicate bone loss in your jaw, so ask your dentist to examine your mouth and jaw carefully.

Preventive Medicine

Both you and your doctor should discuss prevention techniques, including calcium and vitamin D supplements, and replacement therapy for hormones. These are personal decisions that vary from woman to woman, and your doctor is best equipped to advise you.

What you can do is pay attention to your nutritional needs. Make sure you eat a wide assortment of healthy foods. Fruits and vegetables provide essential vitamins, minerals, and other nutrients. Exercise also is important to maintain your oral health and a healthy lifestyle.

Finally, keeping tabs on your emotional health as you enter menopause is important. A healthy outlook on life enables women to value themselves and seek the care required including: maintaining good oral health, seeing the doctor and dentist regularly, and focusing on healthy eating and exercise.

By Brian J. Gray, DDS, MAGD, FICO

Four Questions Your Dentist Wishes You Would Ask

The technology and treatment options for consumers of dental care have greatly improved over the last 20 years. The new dentistry now provides you with the opportunity of maintaining your natural teeth throughout your life. One of the ways this is accomplished is by referral to a dental specialist to treat specific dental problems.

When dentists refer you to a specialist, your understanding of the problem and decision for treatment is vital in determining a specialized dental plan. The plan for your dental health and your general dentist's overall goals often depend on these specialized resources.

When you are referred to a dental specialist, he or she becomes a part of your dental team. Although your specialist will give you information about the reasons for the referral and the treatment, there are also some active steps you can take to increase your participation in the dentistry treatment and healing process.

A query of dental specialists indicates that there are some questions that they would like you to ask to enhance the treatment outcomes they seek as a result of your dental plan. Answers to the following questions will often augment the information provided by your general dentist and enable you to clarify any further questions you may have about the specialized treatment you are receiving.

• What is the cause of the condition that you are treating?
• What treatment gives you the best overall outcome and how will it help you?
• What can you do after treatment to help the healing process?
• What can you do to control the condition in the future or make sure it doesn't happen again?

These four questions will help you gain insight into the disease process that led to the need for dental care treatment and the prevention and self-care measures you can incorporate into your life to avoid future problems. With this information, you can also work with your general dentist and the dental team to maintain your dental health plan.

Specialized dental care for your dental needs is one of the ways the new dentistry has brought innovations in diagnosis and treatment to benefit consumers.

By Brian DesRoches, PhD

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