Correlation of periodontal status and bone mineral density in postmenopausal women: A digital radiographic and quantitative ultrasound study

Vishwanath, Shashidhar; Kumar, Veerendra; Kumar, Sheela; Shashikumar, Pratibha; Shashikumar, Y; Patel, Punit Vaibhav

doi:10.4103/0970-9290.84303

Cited by 24 publications

(4 citation statements)

References 27 publications

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“…With the advent of ultrasound, it is now possible to measure bone density with a small, portable ultrasound unit designed exclusively for bone density testing. 14,[16][17][18] Distribution of participants in the present study is in line with other cross sectional studies by Al Habashneh et al 19 where 400 participants were included and by Aspalli et al, 20 which included 200 subjects and other cross sectional studies, where in only selected 50 periodontitis patients by Ryan et al 21 and 18 osteoporotic and 16 nonosteoporotic postmenopausal Taiwanese women were selected by Wactawski-Wende. 22 In the present study, the prevalence of periodontal disease in osteoporotic subjects were 20 (9.09%) healthy, 70 (31.81%) were with gingivitis, 120 (54.5%) were with periodontitis and 10 (4.5%) were edentulous patients.…”

Section: Discussionsupporting

confidence: 81%

Evaluation of the Prevalence and Severity of Periodontal Diseases between Osteoporotic and Nonosteoporotic Subjects: A Cross-sectional Comparative Study

Manjunath¹,

Rakhewar

Nahar

et al. 2019

The Journal of Contemporary Dental Practice

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Aim: To evaluate the prevalence and severity of periodontal diseases between osteoporotic and nonosteoporotic subjects. Materials and methods: The study population included 140 subjects (70 osteoporotic and 70 nonosteoporotic) age group of 35-70 years. Skeletal (calcaneal) bone mineral density (BMD) was measured by quantitative ultrasound technique (QUS) for T score values. Periodontal status was examined by plaque index (PI), bleeding index, probing depth (PD) and clinical attachment level. Digital panoramic and intraoral periapical radiographs (IOPA) were taken with fixed reference point for evaluation of bone interdental alveolar bone loss (ABL). The recorded data for T score, interdental ABL and periodontal status were subjected to statistical analysis for correlation and regression procedure. Results: The prevalence of the periodontal diseases, in osteoporotic group 120 (54.5%) were with periodontitis and in nonosteoporotic group 100 (50%) were with periodontitis. Correlation of T score with age, PI, gingival index (GI), probing pocket depth (PPD), clinical attachment loss (CAL), and ABL in nonosteoporotic group was found statistically not significant. The age was (r = −0.052) indicating positive association with weak correlation, The PI is (r 0.060) indicating positive association, the GI was (r = −0.053) indicating negative association with weak correlation, the PPD was (r = 0.070) indicating positive association with weak correlation, the CAL was (r = 0.133) indicating positive association with weak correlation, ABL was (r 0.027) indicating positive association with weak correlation. Conclusion: Calcaneal BMD was related to ABL and, to a less extent, to CAL, implicating osteoporotic subjects are at high risk indicator for periodontal diseases. Clinical significance: Even though the pathogenesis of periodontitis and osteoporosis differs; these diseases have several common risk factors. Both may have a additive impact on patients, which requires concomitant medical and dental management which mandates simultaneous diagnosis of both.

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Section: Discussionsupporting

confidence: 81%

Evaluation of the Prevalence and Severity of Periodontal Diseases between Osteoporotic and Nonosteoporotic Subjects: A Cross-sectional Comparative Study

Manjunath¹,

Rakhewar

Nahar

et al. 2019

The Journal of Contemporary Dental Practice

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“…However, a couple of studies have suggested an association between systemic osteoporosis and periodontal disease1718. Vishwanath et al 201119 showed weak but negative association between BMD and periodontal status. In contrast to the above findings, Pepelassi et al 201220 found higher bleeding scores in osteoporotic patients than in patients with normal bone mineral density.…”

Section: Discussionmentioning

confidence: 97%

Oestrogen receptor Rsa I gene polymorphism in osteoporosis periodontitis patients with or without dental fluorosis

Priyanka¹,

Vandana²

2019

Indian J Med Res

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Background & objectives: There is a paucity of information on association between dental fluorosis, osteoporosis and periodontitis. The aim of this pilot study was to evaluate oestrogen receptor (ER) Rsa 1 gene polymorphism in osteoporosis periodontitis patients with and without dental fluorosis. Methods: Twenty one primary osteoporotic patients suffering from periodontitis with dental fluorosis and 20 primary osteoporotic patients suffering from periodontitis without dental fluorosis participated in this study. Periodontitis was diagnosed based on age, gender T-scores using clinical parameters such as plaque scores, gingival bleeding scores and probing pocket depth, clinical attachment level (CAL) and severity of dental fluorosis. DNA was genotyped at the RsaI RFLP (in exon 5) inside the ER gene to study ER Rsa I gene polymorphism in osteoporosis periodontitis patients with and without dental fluorosis. Results: Patients with dental fluorosis had higher degree of osteoporosis than those without fluorosis. CAL was significantly higher ( P <0.05) in those with dental fluorosis compared with those without. Rr heterozygote (21.95%) was observed in patients without fluorosis whereas RR mutant homozygote was absent in both the groups. Rr wild homozygote type was seen more in the patients with fluorosis (51.21%). Significant differences were found in distribution of these genotypes between patients with and without dental fluorosis. Interpretation & conclusions: This preliminary study showed the presence of ER I gene polymorphism in osteoporosis periodontitis patients without dental fluorosis. Further studies with large sample size are needed to confirm the association shown in this preliminary study.

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“…While it is still controversial whether osteoporosis has a detrimental effect on the jawbones, growing evidence from pre-clinical and clinical studies seems to suggest a correlation between bone density measured at different systemic skeletal sites and at the jawbones, [266][267][268][269][270][271][272][273][274][275] and that osteoporosis is associated with a reduced bone quality and increased cortical porosity in the jaws. [276][277][278][279][280][281] As such, a review has suggested that osteoporotic bone should be regarded as equivalent to Type IV according to Lekholm and Zarb 282 classification and that clinicians may consider a longer healing period for implant osseointegration before prostheses insertion in patients with osteoporosis.…”

Section: Osteoporosismentioning

confidence: 99%

Bone regeneration in implant dentistry: Which are the factors affecting the clinical outcome?

Donos,

Akcali,

Padhye

et al. 2023

Periodontology 2000

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The key factors that are needed for bone regeneration to take place include cells (osteoprogenitor and immune‐inflammatory cells), a scaffold (blood clot) that facilitates the deposition of the bone matrix, signaling molecules, blood supply, and mechanical stability. However, even when these principles are met, the overall amount of regenerated bone, its stability over time and the incidence of complications may significantly vary. This manuscript provides a critical review on the main local and systemic factors that may have an impact on bone regeneration, trying to focus, whenever possible, on bone regeneration simultaneous to implant placement to treat bone dehiscence/fenestration defects or for bone contouring. In the future, it is likely that bone tissue engineering will change our approach to bone regeneration in implant dentistry by replacing the current biomaterials with osteoinductive scaffolds combined with cells and mechanical/soluble factors and by employing immunomodulatory materials that can both modulate the immune response and control other bone regeneration processes such as osteogenesis, osteoclastogenesis, or inflammation. However, there are currently important knowledge gaps on the biology of osseous formation and on the factors that can influence it that require further investigation. It is recommended that future studies should combine traditional clinical and radiographic assessments with non‐invasive imaging and with patient‐reported outcome measures. We also envisage that the integration of multi‐omics approaches will help uncover the mechanisms responsible for the variability in regenerative outcomes observed in clinical practice.

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Correlation of periodontal status and bone mineral density in postmenopausal women: A digital radiographic and quantitative ultrasound study

Abstract: Calcaneal BMD was related to alveolar bone loss and, to a lesser extent, to clinical attachment loss, implicating postmenopausal bone loss as a risk indicator for periodontal disease in postmenopausal women.

Cited by 24 publications

References 27 publications

Evaluation of the Prevalence and Severity of Periodontal Diseases between Osteoporotic and Nonosteoporotic Subjects: A Cross-sectional Comparative Study

Evaluation of the Prevalence and Severity of Periodontal Diseases between Osteoporotic and Nonosteoporotic Subjects: A Cross-sectional Comparative Study

Oestrogen receptor Rsa I gene polymorphism in osteoporosis periodontitis patients with or without dental fluorosis

Bone regeneration in implant dentistry: Which are the factors affecting the clinical outcome?

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