Hormonal Replacement Therapy and Dentistry
HRT or Hormone Replacement Therapy at menopause, can decrease the incidence
of tooth loss in women. Recent studies by the National Institute of Dental
and Craniofacial Research in Bethesda, MD. , found that approximately
32% of women in the United States between the ages of 65 to 69 years old
had no teeth at all. In another study conducted by the American Dental
Association, found that 25% of women were mistaken or unsure of the importance
of minerals and its effects on helping their overall dental health.
Although HRT is not recommended in women who have had breast cancer,
undiagnosed vaginal bleeding, active liver disease, uncontrolled high
blood pressure or active thrombophlebitis, physicians may indicate this
therapy in post menopausal women who are otherwise healthy.
Estrogen replacement therapy can help reduce the risk of tooth loss
probably because it aids in protecting against bone mineral density of
the jawbone. In studies conducted at the Brigham and Women's Hospital
in association with the Harvard Medical School in Boston, they found
that there was almost a 25% decrease in tooth loss when HRT was used. Those who used HRT for nine or more years had retained approximately 4
more teeth than those who had not used this type of therapy.
Women who are interested in HRT should see their physician for a complete
physical examination, including mammogram, pelvic exam and Pap smear. Blood tests will also be indicated to check liver function studies and
lipid profile.
References:
Observer ( American College of Physicians ) 1993 Mar,13(5):13
Women's Health Advocate Newsletter 1995 Aug; 2(6):1,8
Compendium of Continuing Education in Dentistry Supplement
No.22 1998
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