TL;DR: Hormonal changes during perimenopause may make some women more susceptible to dry mouth, gum inflammation, tooth decay, and changes in the tissues that support the teeth. Hormones are not the only factor—medications, plaque buildup, smoking, diabetes, and other health conditions may also contribute. Brushing twice daily with fluoride toothpaste, cleaning between the teeth, staying hydrated, and keeping regular dental visits can help protect oral health. Persistent dryness, bleeding, burning, pain, or loose teeth should be evaluated by a dentist or healthcare professional.
This is our most popular article, and for good reason. There are a lot of symptoms associated with perimenopause and menopause, but most women are unaware of how hormonal fluctuations may impact their oral health.
Since we first published the article in 2024, there has been more research and new data. So, we’ve updated the article. If you have any questions about your oral health during this transition in your life, please reach out to us. We’re here to help.
Women typically experience perimenopause, the phase before menopause, between their early 40s and mid-50s. This period, which can last several years, involves fluctuating hormone levels and brings physical changes. While many women are aware of common symptoms like hot flashes and mood swings, they may not realize that perimenopause can significantly impact oral health.
The hormonal changes associated with perimenopause and menopause, can lead to symptoms such as dry mouth, gum inflammation, and an increased risk of tooth decay and periodontal disease.
Dry Mouth (Xerostomia)
During perimenopause, some women report dry mouth or changes in saliva.
Recent research highlights how common dry-mouth symptoms are during the menopause transition. In a 2025 survey of more than 3,200 women, approximately 69% of perimenopausal participants met the criteria for xerostomia. ,Because dry mouth can also be associated with medications and other health conditions, persistent symptoms should be evaluated rather than automatically attributed to hormones.1
Gum Health, Gingivitis and Periodontitis
During perimenopause, studies suggest that hormonal fluctuations may lead to increased gum sensitivity and inflammation, known as gingivitis. Symptoms of gingivitis include red, swollen, and bleeding gums. If not treated, gingivitis can progress to periodontitis, a more severe form of gum disease that can result in tooth loss.2
Bone Health and Tooth Loss
Decreasing estrogen levels during perimenopause can lead to bone loss, including the bones that support the teeth since estrogen is crucial for maintaining bone density.
A study conducted in 2009 found a four-fold increased risk of losing a tooth for every 1% of whole-body bone loss. 3
Dynamic Disease or DMFT
A 2025 study found that postmenopausal women have more decayed, missing, and filled teeth (DMFT) (or what’s also referred to as “Dental caries,” one of the more common oral infections world-wide); about 3.13 teeth higher than comparison group.
The possible reason for the increase in DMFT is due to the decrease in saliva after menopause.
Saliva helps to protect your enamel against decay and oral infection, but it is estrogen dependent. So, when a woman enters perimenopause, her saliva flow decreases creating the potential for a cascade of dental issues.4
Oral Health Tips for Perimenopausal Women
- Maintain Regular Dental Visits: Schedule regular check-ups and cleanings to monitor changes in your oral health and catch potential issues early.
- Stay Hydrated: Drink plenty of water to help combat dry mouth and stimulate saliva production.
- Good Oral Hygiene: Brush at least twice a day with fluoride toothpaste, floss daily, and consider using an antimicrobial mouthwash.
- Balanced Diet: Eat a diet rich in calcium and vitamin D to support bone health. Limit sugary and acidic foods that can make tooth decay worse.
- Discuss Hormonal Therapy: If you’re experiencing severe perimenopausal symptoms, talk to your healthcare provider about hormone replacement therapy (HRT) and how it could benefit your oral health.
Take Action for Your Oral Health Today!
Our team is committed to providing personalized care to help you keep your mouth healthy. At South Bay Dental Smiles, you will receive caring dental treatment in a comfortable setting.
To schedule your appointment, please call us at (310) 792-0049 or visit our website at www.southbaydentalsmiles.com.
1 Xerostomia and oral health-related quality of life in peri- and postmenopausal women – ScienceDirect
3 https://www.ccjm.org/content/ccjom/76/8/467.full.pdf
4 Dental Caries Status in Postmenopausal Women: Systematic Review and Meta-Analysis
