Correlation of tooth mobility with systemic bone mineral density and periodontal status in Indian women

Abstract

Imbalanced bone remodelling associated with osteopaenic or osteoporotic conditions can lead to a net bone loss throughout the skeleton, including the oral cavity, possibly leading to tooth mobility. This study investigated possible associations between systemic bone mineral density and both tooth mobility and periodontal status in peri-menopausal women. Subjects comprised 119 dentate, perimenopausal Indian women between 40 and 54 years old. Clinical parameters recorded were systemic bone mineral density (BMD), tooth mobility in terms of Periotest value (PTV score), clinical attachment loss (CAL), pocket depth (PD), plaque index (PI) and sulcular bleeding index (SBI). Statistical analysis was performed to assess correlations between PTV score and T-score. PTV score correlated significantly (P < 0.05) with T-score, PD and CAL. The partial correlation coefficient between PTV score and T-score after adjusting for confounders was -0.3676 (P < 0.05). Results of one-way analysis of variance showed a significant difference between mean PTV scores for osteoporotic, osteopaenic and normal patients. In this population of peri-menopausal women, systemic bone mineral density represented an independent factor associated with tooth mobility. (J Oral Sci 54, 177-182, 2012)

Association between osteoporosis and periodontal disease among postmenopausal Indian women

“…Most of the participants in the osteoporotic group were aged 50–60 years, whereas in the non‐osteoporotic group, most of the participants were aged 45–50 years. This is in line with most studies where the age range of postmenopausal women participants was found to be between 45 and 78 years …”

“…This is in line with most studies where the age range of postmenopausal women participants was found to be between 45 and 78 years. 4,5,7,[16][17][18][19][20][21][22][23][24][25] At menopause, 2-3% loss of cortical bone and 4-8% loss of trabecular bone occurs per year, respectively. The first 5-10 years after menopause are associated with a period of estrogen depletion and consequent rapid bone loss.…”

A Osteoporose Pode Agravar a Doença Periodontal?: Uma Revisão De Literatura

“…A maioria dos estudos analisados encontraram uma relação estatisticamente significante entre a doença periodontal e a osteoporose (5,6,8,(18)(19)(20)(21)(22)(23)(24)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36) mas outros não encontraram nenhuma relação entre estas doenças. (7,9,25,38) Entretanto, a interpretação dos resultados publicados é difícil, pois os estudos possuem diferentes metodologias o que limita a comparação entre eles e o conhecimento atual não é suficiente para uma conclusão definitiva.…”

“…Vishwanath et al (33) Um recente estudo realizado por Bertulucci et al (34) com 99 mulheres na pós-menopausa mos-trou que o grupo com osteoporose apresentou maior NIC, PS, IG e IP. Singh et al (35) em um estudo com 119 mulheres concluiram que há uma correlação significativa entre a DMO e a mobilidade dentária, mesmo após os possíveis fatores de confundimento.No recente estudo de Gomes-Filho, (36) os resultados mostram que a osteoporose pode afetar o periodonto, visto que a recorrência da doença periodontal após o tratamento foi mais frequente em indivíduos com osteoporose.…”

Impact of extracorporeal shockwave therapy on tooth mobility in adult orthodontic patients: a randomized single‐center placebo‐controlled clinical trial

“…, Singh et al. ). In traumatology, TM is assessed regularly when monitoring splint therapy and for diagnosing tooth ankylosis (Mackie et al.…”