Evidence map›Paper›PMID 42339991›Full record

ReviewArquivos brasileiros de cardiologia2026

The Silent Shift of Menopause: The Intersection between Salivary Glands, Oral Cavity Status, and Cardiovascular Health.

Silvia Vanessa Lourenço, Giovanna Piacenza Florezi, Cibele Pelissari, Flavio Carneiro Hojaij, José Pinhata Otoch, José Antonio Franchini Ramires

Abstract readReview
In one paragraph

Review in Arquivos brasileiros de cardiologia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Silvia Vanessa LourençoDepartamento de Cirurgia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP - Brasil.
Giovanna Piacenza FloreziDepartamento de Cirurgia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP - Brasil.ORCID http://orcid.org/0000-0002-5328-0937
Cibele PelissariDepartamento de Cirurgia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP - Brasil.
Flavio Carneiro HojaijDepartamento de Cirurgia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP - Brasil.
José Pinhata OtochDepartamento de Cirurgia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP - Brasil.
José Antonio Franchini RamiresDepartamento Cardiopulmonar, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP - Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMenopause represents a major biological transition in a woman's life, defined by the cessation of ovarian function and a marked decline in estrogen levels. Although its systemic consequences, including osteoporosis and increased cardiovascular risk, are well established, its impact on oral health remains insufficiently recognized by both medical and dental professionals.

objectiveTo examine the influence of menopause on women's oral health, emphasizing key pathophysiological mechanisms, clinical manifestations, and interdisciplinary strategies for prevention and management.

methodsA narrative review was conducted using articles retrieved from the PubMed database published between 2000 and 2025. The following keywords were used: "menopause," "oral health," "hormonal changes," "cardiovascular disease," "xerostomia," "salivary glands," "periodontitis," and "postmenopausal women."

resultsHormonal changes during menopause are associated with a range of oral manifestations, including xerostomia, burning mouth syndrome, periodontal disease, and taste alterations. Estrogen deficiency appears to contribute to reduced salivary flow, mucosal atrophy, and an increased inflammatory response in periodontal tissues. Emerging evidence also suggests an association between oral health during menopause and cardiovascular disease, among other systemic conditions. However, important knowledge gaps persist regarding clinical management and interdisciplinary care for menopausal women.

conclusionOral health during menopause reflects a complex interplay of hormonal, systemic, and behavioral factors. Because of increasing life expectancy worldwide, oral health education and research programs should prioritize this topic. Strengthening awareness and fostering multidisciplinary collaboration are essential to improving health outcomes in midlife women.

Indexed as

Cardiovascular DiseasesMenopauseMouthOral HealthSalivary GlandsFemaleHumansRisk Factors

Identifiers

PMID42339991
PMCPMC13399042

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.