J Darcey1, H Devlin2, D Lai3,4, T Walsh5, H Southern6, E Marjanovic7, K Horner8. 1. Speciality Registrar and Honorary Lecturer in Restorative Dentistry, University of Manchester. 2. Professor in Restorative Dentistry, University of Manchester. 3. Clinical Teaching Fellow, School of Dentistry University of Manchester. 4. Specialty Dentist, University Dental Hospitals of Manchester. 5. Senior Lecturer in Evidence Based Dentistry, University of Manchester. 6. Dental Hygienist, Bolton. 7. Research Associate, Institute of Inflammation and Repair, Faculty of Medical and Human Sciences, University of Manchester. 8. Professor of Oral and Maxillofacial Imaging, University of Manchester.
Abstract
BACKGROUND: There is evidence to suggest osteoporosis may result in premature tooth loss. The pathology behind this relationship is poorly understood. A correlation with osteoporosis and greater susceptibility to periodontal disease has been suggested. OBJECTIVES: To investigate the association between osteoporosis and periodontal disease, accounting for the effect of confounding variables of age, smoking status and oral hygiene.Setting Three hundred and fifty-nine postmenopausal women aged 45-70 years were recruited from the Greater Manchester area between March 2008 and June 2010.Subjects and methods Data were collected on osteoporosis status, smoking status, pocket probing depths, suppuration, plaque, bleeding and calculus indices. Dental panoramic tomographs were taken and periodontal bone support assessed on all teeth. Data were analysed using SPSS software (version 20). RESULTS: Complete data were available for 348 patients. Twenty-six percent (91) of individuals were osteoporotic. Logistic regression was used. The relationship between osteoporosis status and moderate to severe periodontal disease of both molar teeth and the whole mouth was not significant (p = 0.088 and p = 0.296 respectively). CONCLUSIONS: Osteoporosis is not a causal factor in the development of moderate to severe chronic periodontitis.
BACKGROUND: There is evidence to suggest osteoporosis may result in premature tooth loss. The pathology behind this relationship is poorly understood. A correlation with osteoporosis and greater susceptibility to periodontal disease has been suggested. OBJECTIVES: To investigate the association between osteoporosis and periodontal disease, accounting for the effect of confounding variables of age, smoking status and oral hygiene.Setting Three hundred and fifty-nine postmenopausal women aged 45-70 years were recruited from the Greater Manchester area between March 2008 and June 2010.Subjects and methods Data were collected on osteoporosis status, smoking status, pocket probing depths, suppuration, plaque, bleeding and calculus indices. Dental panoramic tomographs were taken and periodontal bone support assessed on all teeth. Data were analysed using SPSS software (version 20). RESULTS: Complete data were available for 348 patients. Twenty-six percent (91) of individuals were osteoporotic. Logistic regression was used. The relationship between osteoporosis status and moderate to severe periodontal disease of both molar teeth and the whole mouth was not significant (p = 0.088 and p = 0.296 respectively). CONCLUSIONS:Osteoporosis is not a causal factor in the development of moderate to severe chronic periodontitis.
Authors: Panagiota Dokou; Ioannis K Karoussis; George Papavasiliou; Phophi Kamposiora; Theophilos P Vrahopoulos; John A Vrotsos Journal: Open Dent J Date: 2016-10-31