Advertisement
Journal of Prosthetic Dentistry

Functional and psychological evaluation of premenopausal and postmenopausal women after provision of a complete denture prosthesis

      Abstract

      Statement of problem

      Clinical studies regarding satisfaction and occlusal forces with the complete denture in relation to the menopause are sparse.

      Purpose

      The purpose of this clinical study was to compare satisfaction levels and occlusal force with complete dentures in premenopausal and postmenopausal Indian women.

      Material and methods

      Twenty premenopausal (group pre-MP) and 20 postmenopausal (group post-MP) completely edentulous participants were selected based on inclusion and exclusion criteria, and estradiol levels were measured. Complete dentures were delivered to all participants following standard fabrication and insertion protocols. Three months after denture insertion, when participants were free of postinsertion complaints, satisfaction level (by using a valid and reliable questionnaire), depression level by using the Patient Health Questionnaire, (PHQ-9) and occlusal force (with a gnathodynamometer) were measured. The obtained data of all parameters were tabulated and compared by using a statistical software program (α=.05).

      Results

      For questions pertaining to the overall satisfaction of maxillary and mandibular dentures, the 2 study groups encountered a significant difference with the premenopausal group showing significantly higher satisfaction levels (P<.001). Depression scores in the postmenopausal women group were significantly higher than those of the premenopausal women group (P<.001). A negative correlation was found between the overall satisfaction with complete dentures and depression levels in the participants indicating decreased overall satisfaction with increasing depression levels in participants (rho=-0.698). The premenopausal group recorded significantly higher estradiol levels than the postmenopausal group (P<.001). Mean occlusal force with complete dentures in the premenopausal women group was significantly higher than that of the postmenopausal women group (P<.001). A positive correlation was found between the estradiol levels and occlusal forces in the participants indicating that with decreasing estradiol levels, the occlusal forces decrease in the participants (r=0.740).

      Conclusion

      Satisfaction levels and occlusal force with complete dentures were significantly higher in premenopausal women group than in the postmenopausal group.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Prosthetic Dentistry
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • McKinlay S.M.
        • Brambilla D.J.
        • Posner J.G.
        The normal menopause transition.
        Maturitas. 1992; 14: 103-115
        • Edwards H.
        • Duchesne A.
        • Au A.S.
        • Einstein G.
        The many menopauses: searching the cognitive research literature for menopause types.
        Menopause. 2019; 26: 45-65
        • Suri V.
        • Suri V.
        Menopause and oral health.
        J Midlife Health. 2014; 5: 115-120
        • Ji M.-X.
        • Yu Q.
        Primary osteoporosis in postmenopausal women.
        Chronic Dis Transl Med. 2015; 1: 9-13
        • Rossouw J.E.
        • Anderson G.L.
        • Prentice R.L.
        • LaCroix A.Z.
        • Kooperberg C.
        • Stefanick M.L.
        • et al.
        Writing Group for the Women's Health Initiative Investigators. Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women's Health Initiative randomized controlled trial.
        JAMA. 2002; 288: 321-333
        • Seifert-Klauss V.
        • Fillenberg S.
        • Schneider H.
        • Luppa P.
        • Mueller D.
        • Kiechle M.
        Bone loss in premenopausal, premenopausal and postmenopausal women: results of a prospective observational study over 9 years.
        Climacteric. 2012; 15: 433-440
        • Zaidi M.
        • Blair H.C.
        • Iqbal J.
        • Zhu L.L.
        • Kumar T.R.
        • Zallone A.
        • et al.
        Proresorptive actions of FSH and bone loss.
        Ann. N.Y. Acad. Sci. 2007; 1116: 376-382
        • Prestwood K.M.
        • Kenny A.M.
        • Kleppinger A.
        • Kulldorff M.
        Ultralow-dose micronized 17beta-estradiol and bone density and bone metabolism in older women: a randomized controlled trial.
        JAMA. 2003; 290: 1042-1048
        • Jeffcoat M.
        The association between osteoporosis and oral bone loss.
        J Periodontol. 2005; 76: 2125-2132
        • Finkelstein J.S.
        • Brockwell S.E.
        • Mehta V.
        • Greendale G.A.
        • Sowers M.R.
        • Ettinger B.
        • et al.
        Bone mineral density changes during the menopause transition in a multiethnic cohort of women.
        J Clin Endocrinol Metab. 2008; 93: 861-868
        • Singhal S.
        • Chand P.
        • Singh B.P.
        • Singh S.V.
        • Rao J.
        • Shankar R.
        • et al.
        The effect of osteoporosis on residual ridge resorption and masticatory performance in denture wearers.
        Gerodontology. 2012; 29: 1059-1066
        • Calmels P.
        • Vico L.
        • Alexandre C.
        • Minaire P.
        Cross-sectional study of muscle strength and bone mineral density in a population of 106 women between the ages of 44 and 87 years: relationship with age and menopause.
        Eur. J. Appl. Physiol. 1995; 70: 180-186
        • Kurina L.M.
        • Gulati M.
        • Everson-Rose S.A.
        • Chung P.J.
        • Karavolos K.
        • Cohen N.J.
        • et al.
        The effect of menopause on grip and pinch strength: results from the Chicago, Illinois, site of the Study of Women’s Health Across the Nation.
        Am J Epidemiol. 2004; 160: 484-491
        • Bhat Vinaya
        • Krishna D.
        • Malli P.
        A survey to assess patient satisfaction after receiving complete denture prostheses in a.b. shetty memorial institute of dental sciences.
        J. Health Allied Sci. 2014; 04: 81-85
        • Portillo G.M.
        Oral manifestations and dental treatment in menopause.
        Med Oral. 2002; 7: 31-35
        • Paganini-Hill A.
        Hormone therapy and oral health.
        Menopause Manage. 2007; 16: 31-40
        • Steinberg B.J.
        Women’s oral health issues.
        J California Dent Assoc. 2000; 28: 663-667
        • Friedlander A.H.
        The physiology, medical management and oral implications of menopause.
        J Am Dent Assoc. 2002; 133: 73-81
        • Brinton R.D.
        • Yao J.
        • Yin F.
        • Mack W.J.
        • Cadenas E.
        Perimenopause as a neurological transition state.
        Nat Rev Endocrinol. 2015; 11: 393-405
        • Soares C.N.
        Perimenopause-related Mood Disturbance: An Update on Risk Factors and Novel Treatment Strategies Available.
        (American Psychiatric Association 157th Annual Meeting; May 1.6)Meeting Program and Abstracts. Psychopharmacology and Reproductive Transitions Symposium. 5. 2004: 1-61
        • Mahmoud Mohammed S.F.
        • Mohammed N.S.
        Effect of menopausal symptoms on psychological problems among middle-aged women.
        Egypt Nurs J. 2018; 15: 292-301
        • Hunter M.S.
        Psychological and somatic experience of the menopause: a prospective study [corrected].
        Psychosom Med. 1990; 52: 357-367
        • Xu Y.
        • Sheng H.
        • Bao Q.
        • Wang Y.
        • Lu J.
        • Ni X.
        NLRP3 inflammasome activation mediates estrogen deficiency-induced depression- and anxiety-like behavior and hippocampal inflammation in mice.
        Brain Behav Immun. 2016; 56: 175-186
        • Rybaczyk L.A.
        • Bashaw M.J.
        • Pathak D.R.
        • Moody S.M.
        • Gilders R.M.
        • Holzschu D.L.
        An overlooked connection: serotonergic mediation of estrogen-related physiology and pathology.
        BMC Women’s Health. 2005; 5: 12
        • Greeves J.P.
        • Cable N.T.
        • Reilly T.
        • Kingsland C.
        Changes in muscle strength in women following the menopause: a longitudinal assessment of the efficacy of hormone replacement therapy.
        Clin Sci (Lond). 1999; 97: 79-84
        • Owen C.P.
        Guidelines for a minimum acceptable protocol for the construction of complete dentures.
        Int J Prosthodont. 2006; 19: 467-474
        • Sato Y.
        • Hamada S.
        • Akagawa Y.
        • Tsuga K.
        A method for quantifying overall satisfaction of complete denture participants.
        J Oral Rehabil. 2000; 27: 952-957
        • Rosa L.B.
        • Bataglion C.
        • Siéssere S.
        • Palinkas M.
        • Júnior W.M.
        • Freitas O.D.
        • et al.
        Occlusal force and masticatory efficiency in individuals with different oral rehabilitations.
        Open J Stomatol. 2012; 2: 21-26
        • Garnero P.
        • Sornay-Rendu E.
        • Duboeuf F.
        • Delmas P.D.
        Markers of bone turnover predict postmenopausal forearm bone loss over 4 years: the OFELY study.
        J Bone Miner Res. 1999; 14: 1614-1621