Hormones and Oral Health
Women may be more susceptible to oral health problems because of the unique hormonal changes they experience. Hormones not only affect the blood supply to the gum tissue, but also the body's response to the toxins (poisons) that result from plaque buildup. As a result of these changes, women are more prone to the development of periodontal disease at certain stages of their lives, as well as to other oral health problems.
When Are Women More at Risk for Oral Health Problems?
There are five situations in a women's life during which hormone fluctuations make them more susceptible to oral health problems – during puberty, at certain points in the monthly menstrual cycle, when using birth control pills, during pregnancy, and at menopause.
The surge in production of the female hormones estrogen and progesterone that occurs during puberty can increase the blood flow to the gums and change the way gum tissue reacts to irritants in plaque, causing the gum tissue to become red, tender, swollen, and more likely to bleed during brushing and flossing.
The monthly menstrual cycle
Due to the hormonal changes (particularly the increase in progesterone) that occur during the menstrual cycle, some women experience oral changes that can include bright red swollen gums, swollen salivary glands, development of canker sores, or bleeding gums. Menstruation gingivitis usually occurs a day or two before the start of the period and clears up shortly after the period has started.
Use of birth control pills
Women who take certain birth control pills that contain progesterone, which increases the level of that hormone in the body, may experience inflamed gum tissues due to the body's exaggerated reaction to the toxins produced from plaque. Tell your dentist if you are taking an oral contraceptive.
Hormone levels change considerably during pregnancy. An increased level of progesterone, in particular, can cause gum disease any time during the second to eighth month of pregnancy – a condition called pregnancy gingivitis. Your dentist may recommend more frequent professional cleanings during your second or early third trimester to help reduce the chance of developing gingivitis. Tell your dentist if you are pregnant.