the menopausal patient will have a decrease in what production?
ESTROGEN
t/f there is a risk of cardiovascular disease, osteoporosis, and alzheimers increase with a menopausal woman
true
what is the severe thinning and weakening of normal bone called?
osteoporosis
what is ERT?
estrogen replacement therapy
what reduces the risk of hip fracture-greatest long-term users but may be lost after hormone is stopped?
ERT
what are nonhormonal oral bisphosphonates? 3
fosamax
acteonel
boniva
what are nonhormonal selective estrogen receptor modulators?
raloxifene (Evista)
what is HRT?
hormonal replacement therapy
ADEs of HRT are the formation of _____ _____ (from HRT and raloxifene), ______ BP (less common), smokers lead to _______, long term estrogen/progestin = increased risk for ____ _____, low risk dev of ______ (oral bisphosphonates), and increased risk for _____.
blood clots
increased
stroke
breast cancer
ONJ
dementia
t/f xerostomia and dental caries are oral changes seen in menopause
true
what is the decreased unstimulated and stimulated submandibular and sublingual salivary flow compared with premenopausal women?
xerostomia
why do dental caries increase with menopausal women due to increased age?
because of unfavorable microbial and xerostomic conditions
what is BMS?
burning mouth syndrome
is burning mouth syndrome an oral consideration for menopausal women?
yes
what are 3 (systomatic triad) clinical features of BMS?
oral mucosal pain
dysguesia
xerostomia
what is a treatment option for BMS?
long term therapy of clonazepam and capsaicin
what is it called when there is a presence of metallic or medicinal taste in the mouth?
hypoguesia
what is exacerbated during menopause because of reduction in saliva production and atrophic gingivitis?
taste alterations
what is the tx for taste alterations?
it can't be reversed
perio disease, osteoporosis in the jaw, and tooth loss are associated with oral changes of what?
menopause
the role of osteoporosis in _____ _____ ____ is unclear in menopause
clincal attachment loss
what might be useful for identifying postmenopausal women for low BMD (bone mineral density) or osteoporosis?
a pano
tooth loss risk is lower in women with ____
HRT
what is the most common cause of death among postmenopausal women?
coronary artery disease
cardiovascular disease is an _______ between inflammation and the formation of _________
assocation
atherosclerosis
what can a menopausal woman take for management of osteoporosis?
bisphosphonate therapy
what should you do if a postmenopausal woman is taking bisphosphonate?
be alert for comoplications
ask about osteonecrosis
t/f for menopause and osteoporosis, there is a tendency for pyogenic granuloma
false! there is no risk
t/f radiographs may indicate referral
true
estrogen taken alone increases risk of what?
uterine cancer
what are three drugs taken for treatment of osteoporosis?
estrogen
bisphosphonates
raloxifene
long term use of estrogen/progestin therapy cuase what?
increased risk for breast cancer
deficiency of estrogen in a menopausal pt is a risk factor for what? 2
