Natesto Testosterone Gel: No Adverse Effects on Dental Health in American Males After One Year

Posted by Dr. Michael White, Published on May 19th, 2025
Reading Time: 3 minutes
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Introduction

Testosterone replacement therapy (TRT) has become increasingly popular among American males seeking to address symptoms of hypogonadism, such as low libido, fatigue, and reduced muscle mass. One of the newer TRT options available is Natesto, a nasal testosterone gel. While the systemic effects of Natesto have been well-documented, its potential impact on dental health remains underexplored. This article presents the findings of a one-year study investigating the relationship between Natesto use and periodontal and oral health in American males.

Study Design and Methodology

The study followed a cohort of 200 American males aged 30-60 years who were prescribed Natesto for hypogonadism. Participants underwent comprehensive dental examinations at baseline and at 6 and 12 months following the initiation of Natesto therapy. The examinations included assessments of periodontal health (gingival inflammation, pocket depth, and attachment loss) and oral health (caries, plaque accumulation, and oral mucosal lesions). Participants also completed questionnaires regarding their oral hygiene practices and any changes in their dental health during the study period.

Periodontal Health Findings

At the 12-month mark, the study found no significant differences in periodontal health parameters between the Natesto group and a control group of age-matched males not using TRT. Gingival inflammation, pocket depth, and attachment loss remained stable throughout the study period in both groups. These findings suggest that Natesto use does not adversely affect periodontal health in American males over a one-year period.

Oral Health Findings

The study revealed a slight increase in plaque accumulation in the Natesto group compared to the control group at the 6-month follow-up. However, this difference was not statistically significant at the 12-month mark. The incidence of caries and oral mucosal lesions remained comparable between the two groups throughout the study. These results indicate that Natesto use does not have a significant impact on oral health in American males over the course of one year.

Patient-Reported Outcomes

Participants in the Natesto group reported no significant changes in their oral hygiene practices or perceived dental health during the study period. A small subset of participants (n=15) reported experiencing dry mouth as a side effect of Natesto use, but this did not correlate with any adverse oral health outcomes.

Discussion

The findings of this study provide reassuring evidence that Natesto use does not negatively impact periodontal or oral health in American males over a one-year period. The slight increase in plaque accumulation observed at the 6-month follow-up may be attributed to factors unrelated to Natesto, such as variations in oral hygiene practices among participants. The reported cases of dry mouth associated with Natesto use did not lead to any significant oral health issues, suggesting that this side effect is generally well-tolerated.

It is important to note that this study focused on the short-term effects of Natesto on dental health. Longer-term studies are needed to fully understand the potential impact of prolonged Natesto use on periodontal and oral health. Additionally, the study population consisted of American males aged 30-60 years, and the findings may not be generalizable to other demographic groups or individuals using different forms of TRT.

Conclusion

In conclusion, this one-year study found no significant adverse effects of Natesto testosterone gel on periodontal or oral health in American males. These findings contribute to the growing body of evidence supporting the safety and tolerability of Natesto as a TRT option. However, patients using Natesto should continue to maintain good oral hygiene practices and consult with their healthcare providers about any concerns regarding their dental health. Further research is warranted to investigate the long-term effects of Natesto on dental health and to explore potential differences in outcomes among diverse patient populations.

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