The Relationship between Osteoporosis and Periodontal Status

Authors

  • Thaniya Bohwongprasert Lerdsin Hospital

Keywords:

Osteoporosis, Periodontitis, Community periodontal index (CPI)

Abstract

Background: Osteoporosis and periodontitis have been taken into account in relation to relevance. Because both are common conditions in middle-aged and elderly people, which is identical in terms of bone mass destruction. Therefore, understanding the relationship of both conditions may lead to new knowledge in proper care for both groups of patients. Objective: To study the relationship between periodontal status and the severity of osteoporosis in patients in care program to prevent refracture of the orthopedic department of Lerdsin Hospital. Methods: This research was a descriptive prospective research. 64 patients were measured bone mineral density (BMD) by the x-ray bone densitometer, in a femoral neck, vertebral spine and total body for assess osteoporosis severity and assess periodontal status by measured by the Community Periodontal Index (CPI) (WHO, 1997). Then, all data are analyzed with Spearman's rank correlation coefficient. Results: According to studies, it had been found that There were 64 patients aged between 51-103 years (average 76.3±9.4 years). Community periodontal index (CPI) showed that CPI = 1 (bleeding gums) accounted for 15.6%, CPI = 2 (with calculus deposit) accounted for 48.4%. CPI = 3 (with periodontal pocket depth = 4-5 mm.), Representing 21.9% and CPI = 4 (periodontal pocket depth ≥6 mm.), Representing 14.1%. All patients will receive Bone Mineral Density (BMD) measurements. It was found that the periodontal condition was significantly related to BMD measured only from the femoral neck (p < .05). Conclusions: There is a correlation between bone mineral density (BMD) only in the femoral neck with different levels of community periodontal index (CPI). According to the data, the researcher has suggestions for the care of hip fracture patients as a symbol of multidisciplinary. Because there is a possibility of correlation between osteoporosis and periodontitis.

References

Borrell LN, Papapanou PN. Analytical epidemiology of periodontitis. J Clin Periodontol 2005;32 (Suppl 6):132-58.

Grossi SG, Zambon JJ, Ho AW, Koch G, Dunford RG, Machtei EE, et al. Assessment of risk for periodontal disease. I. Risk indicators for attachment loss. J Periodontol 1994;65(3):260-7.

Ellis KJ, Shypailo RJ. Bone mineral and body composition measurements: cross-calibration of pencil-beam and fan-beam dual-energy X-ray absorptiometers. J Bone Miner Res 1998;13(10):1613-8.

Nguyen TV, Sambrook PN, Eisman JA. Sources of variability in bone mineral density measurements: implications for study design and analysis of bone loss. J Bone Miner Res 1997;12(1):124-35.

Kim JW, Kong KA, Kim HY, Lee HS, Kim SJ, Lee SH, et al. The association between bone mineral density and periodontitis in Korean adults (KNHANES 2008-2010). Oral Dis 2014;20(6):609-15.

Gomes-Filho IS, Passos Jde S, Cruz SS, Vianna MI, Cerqueira Ede M, Oliveira DC, et al. The association between postmenopausal osteoporosis and periodontal disease. J Periodontol 2007;78(9):1731-40.

Payne JB, Reinhardt RA, Nummikoski PV, Patil KD. Longitudinal alveolar bone loss in postmenopausal osteoporotic/osteopenic women. Osteoporos Int 1999;10(1):34-40.

Sultan N, Rao J. Association between periodontal disease and bone mineral density in postmenopausal women: a cross sectional study. Med Oral Patol Oral Cir Bucal 2011;16(3):e440-7.

Takahashi O, Yoshihara A, Nakamura K, Miyazaki H. Association between periodontitis and systemic bone mineral density in Japanese community-dwelling postmenopausal women. J Dent 2012;40(4):304-11.

World Health Organization. Assessment of fracture rick and its implication to screening for postmenopausal ostecporosis: Technical report series 843. Geneva: WHO; 1994.

Choi JK, Kim YT, Kweon HI, Park EC, Choi SH, Lee JH. Effect of periodontitis on the development of osteoporosis: results from a nationwide population-based cohort study (2003-2013). BMC Women Health 2017;17(1):1-8.

Tezal M, Wactawski-Wende J, Grossi SG, Ho AW, Dunford R, Genco RJ. The relationship between bone mineral density and periodontitis in postmenopausal women. J Periodontol 2000;71(9):1492-8.

Wang CJ, McCauley LK. Osteoporosis and periodontitis. Curr Osteoporos Rep 2016;14(6):284-91.

Esfahanian V, Shamami MS, Shamami MS. Relationship between osteoporosis and periodontal disease: review of the literature. J Dent (Tehran) 2012;9(4):256-64.

Downloads

Published

17-03-2025

How to Cite

1.
Bohwongprasert T. The Relationship between Osteoporosis and Periodontal Status. J DMS [internet]. 2025 Mar. 17 [cited 2025 Mar. 19];50(1):76-83. available from: https://he02.tci-thaijo.org/index.php/JDMS/article/view/270028

Issue

Section

Original Article