This is an archive article published on April 26, 2025

How poor oral health with chronic pain affects men and women differently

A research has found that women with poor oral health were more likely to suffer from higher pain scores.

oral healthPoor oral health combined with chronic pain impacts women more severely than men, leading to greater emotional, physical, and psychological burdens.(Source: Pexels)
3 min readNew DelhiApr 26, 2025 06:30 PM IST First published on: Apr 26, 2025 at 06:30 PM IST

A study by the University of Sydney found a strong link between chronic pain conditions like fibromyalgia, migraine and poor dental health in women in New Zealand.

Dr Niyati Arora, BDS, MDS, a prosthodontist at Krown Hub Dental Clinic, Pitampura, Delhi, said, “Chronic oral pain affects men and women differently due to hormonal, biological, and psychosocial factors. Women experience more pain during menstruation, pregnancy, and menopause due to hormonal fluctuations, while men have more stable hormone levels and less frequent conditions. Lower pain thresholds in women and mental health issues can result in varying outcomes.”

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Women with poor oral health were found more likely to suffer from higher pain scores: 49 per cent were more likely to suffer from migraine headaches, and 60 per cent were more likely to feel moderate to severe physical pain, according to the study.

The researchers also used genomics to study the oral microbiome of almost 160 women in New Zealand and found specific microbes associated with chronic pain.

oral health They also used genomics to study the oral microbiome of almost 160 women in New Zealand and found specific microbes associated with chronic pain.

What are the risk factors for poor oral health chronic pain in men and women?

Indianexpress.com spoke to experts to understand the link better, and how to treat risk of poor oral health with chronic pain.

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Dr Sakshi Hinduja, BDS, Aster CMI Hospital, Bengaluru, said, “Chronic pain can make oral health routines overwhelming, with fatigue, depression, medication side effects, social stigma, hormonal shifts, poor nutrition, smoking, and limited access to care contributing to oral health issues. Supporting those with chronic pain involves building sustainable habits for better oral health.”

What is the treatment for poor oral health with Chronic pain?

Shedding light on the treatment for poor oral health with chronic pain, Dr Sindhu U Muktamath, head of the department of dental science, Aster Whitefield Hospital, Bengaluru, said, “Chronic pain treatment involves professional dental care, pain management strategies, and maintaining consistent oral hygiene. Softer toothbrushes and medicinal rinses are recommended. Consultation with dentists is crucial for managing symptoms and promoting long-term oral health.”

The pathogenesis of idiopathic nociplastic pain, linked to these central sensitisation diseases, is influenced by metabolites or bacteria that cause higher pain signalling and defects in pain mechanisms.

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