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Postmenopausal estrogen replacement and tooth retention.

E A Krall1, B Dawson-Hughes, M T Hannan

  • 1Department of Health Policy and Health Services Research, Boston University Goldman School of Dental Medicine, Boston, Massachusetts, USA.

Compendium of Continuing Education in Dentistry. (Jamesburg, N.J. : 1995). Supplement
|July 2, 2002
PubMed
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Postmenopausal hormone replacement therapy (HRT) is associated with better tooth retention in elderly women. Longer HRT use correlates with fewer instances of tooth loss and reduced risk of edentulism.

Area of Science:

  • Gerontology
  • Oral Health
  • Endocrinology

Background:

  • Alveolar bone loss is a primary cause of tooth loss.
  • Skeletal bone health may influence tooth retention.
  • Postmenopausal hormone therapy is a potential factor in maintaining bone density.

Purpose of the Study:

  • To investigate the association between postmenopausal hormone replacement therapy (HRT) and tooth retention.
  • To determine if HRT duration impacts the number of teeth retained in elderly women.

Main Methods:

  • A cohort of 488 elderly women (72-95 years) from the Framingham Heart Study was analyzed.
  • Data collected between 1948 and 1995 included HRT use and dental status.
  • Statistical analysis assessed the relationship between HRT duration and tooth retention.

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Main Results:

  • An association was found between HRT duration and the total number of teeth retained.
  • HRT use was linked to retention of incisors, canines, and premolars, but not molars.
  • Each additional year of HRT use reduced the odds of being edentulous by 6%.

Conclusions:

  • Postmenopausal hormone replacement therapy appears to protect against tooth loss.
  • HRT may reduce the risk of edentulism in elderly women.
  • Further research into HRT's role in oral health is warranted.