Dental and radiographic findings as predictors of osteoporosis in postmenopausal women

Abstract

Tooth loss, an increased clinical attachment level, reduced density on digital periapical radiographs and an eroded appearance of the inferior mandibular cortex in panoramic radiographs are associated with low-skeletal bone mineral density.

Radiodensitometric and DXA analyses for the measurement of bone mineral density after systemic alendronate therapy

“…25 The measurement of BMD by radiographic densitometry has been performed in a number of studies, and its efficacy has been confirmed. 1,4,7,26 Radiographic densitometry may be considered as a minimally invasive and convenient method for diagnosing osteoporosis. 1 According to Erdogan et al, 1 the radiological parameters can facilitate the establishment of a definite diagnosis of osteoporosis.…”

“…The sodium alendronate (n = 15) and control (n = 10) tibias were arranged symmetrically on extraoral radiographic films (Kodak  Min-R S, Kodak Eastman Co., Rochester, USA) together with an aluminum stepwedge with 8 steps (NDT Mart Inc., Covington, USA), ranging from 2 to 16 mm, which served as a reference for densitometric analysis. Radiographic densitometry was performed based on the studies by Issa et al 7 and Erdogan et al 1 The tube of the x-ray unit (Weber x-ray unit; The Weber Dental Mfg. Co., Canton, USA) was placed perpendicular to the film, and a single radiographic exposure was made with exposure parameters of 10 mA, 60 kV, 0.6 seconds and 40 cm focus-film distance.…”

“…Special attention has been directed towards osteoporosis, which is one of the major health problems that affects postmenopausal women due to decreased estrogen levels secondary to the loss of ovarian function. 1,2 The trabecular bone is compromised as a result of excessive resorption, 3 and bone mass is reduced, thus increasing bone fragility and the risk of fractures. 4 The complications of osteoporosis and other bone disorders may be prevented by early detection of the pathology 1 and establishment of an adequate therapy, which justifies the large number of experiments addressing disease progression and drug efficacy.…”

“…1,2 The trabecular bone is compromised as a result of excessive resorption, 3 and bone mass is reduced, thus increasing bone fragility and the risk of fractures. 4 The complications of osteoporosis and other bone disorders may be prevented by early detection of the pathology 1 and establishment of an adequate therapy, which justifies the large number of experiments addressing disease progression and drug efficacy. Several studies have suggested a relationship between osteoporosis and oral diseases and have emphasized the potential utility of dentists issuing early warnings about Declaration of Interests: The authors certify that they have no commercial or associative interest that represents a conflict of interest in connection with the manuscript.…”

“…6 Bone densitometry facilitates the early diagnosis of metabolic bone diseases associated with intense bone resorption, such as osteopenic and osteoporotic conditions, and this method can be used to monitor treatment efficacy, thereby significantly decreasing the incidence of pathological fractures. 7 Some non-invasive imaging technologies, such as magnetic resonance imaging (MRI), ultrasound, computed tomography (CT), dual-energy x-ray absorptiometry (DXA) 8 and radiographic densitometry, 1 have been employed in medical diagnosis for different purposes. Furthermore, periapical and panoramic radiography techniques, which are commonly used in dental practice, could also be useful for the detection of bone disorders.…”