Natesto Testosterone Gel: One-Year Impact on Dental Health in American Males

Written by Dr. Jonathan Peterson, Updated on May 16th, 2025

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Introduction

Testosterone replacement therapy (TRT) has become a common treatment for hypogonadism in men, with various formulations available, including gels like Natesto. While the benefits of TRT on general health and well-being are well-documented, the impact on oral and periodontal health remains understudied. This article delves into a year-long study conducted on American males using Natesto testosterone gel, focusing on its effects on dental health.

Study Design and Methodology

The study involved 200 American males aged between 30 and 65 years diagnosed with hypogonadism and prescribed Natesto testosterone gel. Participants underwent comprehensive dental examinations at the start of the study and at three, six, and twelve months. The examinations included assessments of periodontal health, dental caries, oral soft tissues, and salivary flow rates. Participants were also required to maintain regular oral hygiene practices and report any changes in their dental care routine.

Periodontal Health Outcomes

After one year of using Natesto testosterone gel, the study found no significant changes in periodontal health among the participants. The gingival index, plaque index, and probing depths remained stable throughout the study period. This suggests that Natesto does not adversely affect periodontal health in American males. However, it is crucial for individuals to continue practicing good oral hygiene to maintain periodontal health.

Dental Caries and Oral Health

The study also examined the incidence of dental caries and overall oral health. There was a slight increase in the number of new caries reported over the year, but this was not statistically significant. The oral soft tissues, including the mucosa, tongue, and palate, showed no signs of adverse effects from the testosterone gel. Salivary flow rates remained within normal limits, indicating that Natesto does not impact saliva production, which is essential for oral health.

Potential Mechanisms and Considerations

Testosterone can influence various bodily functions, including metabolism and inflammation. The lack of significant impact on periodontal health and oral tissues may be due to the localized application of Natesto, which minimizes systemic effects. However, it is important for healthcare providers to consider the potential for individual variability in response to testosterone therapy and monitor dental health accordingly.

Implications for Clinical Practice

The findings of this study provide reassurance for American males using Natesto testosterone gel as part of their TRT. Clinicians can inform patients that the gel is unlikely to negatively affect their periodontal and oral health. Nonetheless, regular dental check-ups and adherence to good oral hygiene practices remain essential. Patients should be encouraged to report any changes in their oral health to their healthcare providers.

Limitations and Future Research

While this study provides valuable insights, it is not without limitations. The sample size, although adequate, may not fully represent the diversity of American males using Natesto. Future research should include larger and more diverse populations to confirm these findings. Additionally, long-term studies beyond one year could provide further understanding of the effects of Natesto on dental health.

Conclusion

In conclusion, the use of Natesto testosterone gel over one year did not significantly impact periodontal health or overall oral health in American males. This study supports the safety of Natesto in terms of dental health, but emphasizes the importance of maintaining good oral hygiene practices. Continued research and monitoring are essential to ensure the long-term oral health of individuals undergoing testosterone replacement therapy.

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