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Published in French in Tropical Dental Journal Volume 36 - December 2013 pages 56-64
Article Open access
Authors : A. Viale-Garrone, P. Tavitian, D. Tardivo, J-J Bonfil - France
Ce travail se propose d'évaluer les liens entre ménopause et état de santé bucco-dentaire par une étude transversale menée sur 202 femmes ménopausées avec ou sans hormonothérapie substitutive (THS) et non-ménopausées, d'origine socio-économique et socio-culturelle diverses et âgées de 42 à 80 ans.
Les 202 patientes ont fait l'objet d'un interrogatoire et d'un examen clinique approfondi. Les relations entre période de la ménopause et mortalité dentaire ont été déterminées par analyses bi variées et multi variées. On note alors que le nombre de dents absentes est plus faible chez les femmes issues de milieux socio–économiques favorisés, (p = 0,033). En outre, le nombre de dents absentes est fortement corrélé à la sècheresse buccale (p = 0,000). Par ailleurs, les femmes ménopausées sous hormonothérapie substitutive ont moins de dents absentes que les femmes ménopausées sans hormonothérapie substitutive, (p = 0,015). De plus, le nombre de dents absentes est significativement augmenté chez les femmes cardiaques non-diabétiques, (OR = 1,215).
Ce résultat est sensiblement identique chez les femmes cardiaques, non-diabétiques ménopausées sans THS, (OR = 1,214). Enfin, on note un lien entre évènements stressants et mortalité dentaire (p = 0,042).
This work proposes to evaluate the relationship between menopause and oral health by a cross-sectional study conducted on 202 menopausal women with or without hormone replacement therapy (HRT) and not menopausal women, with backgrounds socio-economic and socio-cultural variety and aged 42 to 80 years.
Two hundred and two patients were the subject of an interrogation and a detailed clinical examination. Relations between menopausal and dental mortality were determined by bi and multi analyses varied. The result notes that the number of missing teeth is lowest among women from backgrounds socio - economic favored (p = 0.015). In addition, the number of missing teeth is highly correlated with dry mouth (p = 0,000). On the other hand, postmenopausal women on hormone replacement therapy have less missing teeth than postmenopausal women without hormone replacement therapy, (p = 0.02). In addition, the number of missing teeth is significantly increased in non-diabetic heart women, (OR = 1,215).
This result is essentially the same in heart patient, non-diabetic postmenopausal patients without HRT, (OR = 1,214). Finally, we note a link between stressful events and dental mortality (p = 0.042).
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