Menopause can do a doozy on your teeth — here’s what to do



Estrogen plays a major role in maintaining the health of your oral tissues. When levels drop, your mouth can feel the impact.
“During menopause, the decline in estrogen can lead to significant changes in the oral cavity, including dry mouth (xerostomia), burning tongue (glossodynia), increased gum sensitivity and changes in taste,” says Dr. Somi Javaid, a board-certified OB/GYN and founder of HerMD.
Hormonal shifts can also raise your risk of gum inflammation, gingivitis and periodontal disease.
Saliva production is another issue. “Saliva is essential for neutralizing acids, washing away bacteria and preventing tooth decay,” says Dr. Pia Lieb, a cosmetic dentist at Cosmetic Dentistry Center NYC. “Without enough saliva, you’re more vulnerable to cavities, infections, and even trouble speaking or swallowing.”
Menopause can also increase your risk of osteoporosis, which can affect the jawbone and potentially lead to tooth loss or complications with dental implants.
Now for the good news: You don’t have to kiss the health of your teeth goodbye just because you’re in perimenopause or menopause. According to our experts, you can do several things to prevent declining oral health during this time of life. Below, some of the most effective tactics:
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To help you maintain your oral hygiene during menopause, I rounded up popular products that seamlessly integrate into your teeth cleaning routine. All of the products below have either been recommended by experts in previous reporting and/or have high ratings.
One of our favorite electric toothbrushes, this model from Philips Sonicare has an ergonomic handle, up to two weeks’ worth of battery life on a full charge and a two-minute timer to help you brush for the recommended time. It also has a pressure sensor that alerts you if you are brushing too hard.
This floss is an NBC Select Wellness Award winner, thanks in part to the fact that it’s made from recycled polyester, vegan wax and coconut oil and allows you to reach the back of your mouth while also soothing gums, according to the brand. NBC Select editor Jordan Bowman likes that it is on the thicker side because it easily grabs plaque or food scraps from in between his teeth.
Some people prefer to use a water flosser over regular floss. We’ve recommended this model previously because it is one of the most popular models on the market. You can adjust the pressure settings and select between two modes — floss and massage. It also comes with four tips: standard precision, orthodontic, pik pocket and plaque seeker.
This mouthwash is free of alcohol and can strengthen enamel, prevent cavities and freshen breath, according to the brand. The minty taste is not overwhelming and it contains fluoride to further protect teeth.
Place one of these melts on your gum line and leave it be for 10 seconds as it dissolves. It will act as a saliva substitute to hydrate a dry mouth. You get 40 sugar-free melts in a pack and they have a mild mint flavor. One melt will relieve dry mouth symptoms for up to a few hours.
At NBC Select, we work with experts with specialized knowledge and authority based on relevant training and/or experience. We also ensure all expert advice and recommendations are made independently and without undisclosed financial conflicts of interest.
I am a contributor at NBC Select and a journalist who regularly covers beauty, home and lifestyle topics. For this story, I interviewed two experts on menopause and its effects on oral health.
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