Osteoporotic and Periodontal Conditions in Postmenopausal Women with Periodontitis
The aim of the present study was to analyze a potential relationship between bone atrophy in the lumbar spine and the periodontal condition in post-menopausal women with periodontal problems. Thirty-eight female patients who agreed to partici-pate in this study were divided into two groups, based on...
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| Published in | Nihon Shishubyo Gakkai Kaishi (Journal of the Japanese Society of Periodontology) Vol. 39; no. 2; pp. 226 - 233 |
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| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
JAPANESE SOCIETY OF PERIODONTOLOGY
1997
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0385-0110 1880-408X |
| DOI | 10.2329/perio.39.226 |
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| Abstract | The aim of the present study was to analyze a potential relationship between bone atrophy in the lumbar spine and the periodontal condition in post-menopausal women with periodontal problems. Thirty-eight female patients who agreed to partici-pate in this study were divided into two groups, based on the radiographic analysis of the degree of bone atrophy in the lumbar spine: 18 patients without bone atrophy (group N, mean age 57.0± 1.6) and 20 patients with bone atrophy (group A, mean age 60.0± 1.5). Bone mineral density (BMD) of the lumbar spine was determined by dual energy X-ray absorptiometry. BMD values and percentage of BMD compared to peak bone mass or age-matched bone mass were 0.902± 0.029g/cm2, 105.6± 3.4%, and 83.2± 2.7% in group N, and 0.763± 0.003g/cm2, 90.8± 3.4%, and 69.2± 2.6% in group A, respectively. BMD levels in group A were significantly lower than those in group N (p< 0.05). The two groups did not differ significantly in any physical or social variables. The number of teeth present and the percentage of treated teeth were 26.0± 0.6 and 46.0± 4.2% in group N, and 23.0± 1.0 and 57.0± 5.3% in group A, respectively. The mean probing depth, the mean attachment level and the percentage of sites with bleeding on probing were 2.6± 0.2mm, 3.3± 0.2mm and 19.2± 3.9% in group N, and 2.7± 0.1mm, 3.5± 0.2mm and 30.8± 4.3% in group A, respectively. The percentage of sites with bleeding on probing in group A was significantly higher than in group N (p<0.05). The percentages of teeth with± 21%/50% alveolar bone loss were 53.1± 7.5% and 20.0± 4.7% in group N, and 65.3± 6.9% and 29.6± 5.4% in group A, respectively. Alveolar bone loss in group A was higher than that in group N. These results indicate that the degree of bone atrophy in the lumbar spine may be associated with periodontal breakdown, but further investigation is warranted. |
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| AbstractList | The aim of the present study was to analyze a potential relationship between bone atrophy in the lumbar spine and the periodontal condition in post-menopausal women with periodontal problems. Thirty-eight female patients who agreed to partici-pate in this study were divided into two groups, based on the radiographic analysis of the degree of bone atrophy in the lumbar spine: 18 patients without bone atrophy (group N, mean age 57.0± 1.6) and 20 patients with bone atrophy (group A, mean age 60.0± 1.5). Bone mineral density (BMD) of the lumbar spine was determined by dual energy X-ray absorptiometry. BMD values and percentage of BMD compared to peak bone mass or age-matched bone mass were 0.902± 0.029g/cm2, 105.6± 3.4%, and 83.2± 2.7% in group N, and 0.763± 0.003g/cm2, 90.8± 3.4%, and 69.2± 2.6% in group A, respectively. BMD levels in group A were significantly lower than those in group N (p< 0.05). The two groups did not differ significantly in any physical or social variables. The number of teeth present and the percentage of treated teeth were 26.0± 0.6 and 46.0± 4.2% in group N, and 23.0± 1.0 and 57.0± 5.3% in group A, respectively. The mean probing depth, the mean attachment level and the percentage of sites with bleeding on probing were 2.6± 0.2mm, 3.3± 0.2mm and 19.2± 3.9% in group N, and 2.7± 0.1mm, 3.5± 0.2mm and 30.8± 4.3% in group A, respectively. The percentage of sites with bleeding on probing in group A was significantly higher than in group N (p<0.05). The percentages of teeth with± 21%/50% alveolar bone loss were 53.1± 7.5% and 20.0± 4.7% in group N, and 65.3± 6.9% and 29.6± 5.4% in group A, respectively. Alveolar bone loss in group A was higher than that in group N. These results indicate that the degree of bone atrophy in the lumbar spine may be associated with periodontal breakdown, but further investigation is warranted. |
| Author | Ohshima, Yasunari Yoshinari, Nobuo Asai, Yugo Fujishiro, Haruyoshi Inagaki, Koji Nagira, Tamaki Noguchi, Toshihide Kawase, Hitoshi Poblete, Marie Grace S. |
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| References_xml | – reference: Groen, J. J., Menczel, J. and Shapiro, S.: Chronic destructive periodontal disease in patients with presenile osteoporosis. J. Periodontol., 39 (1) : 19 -23, 1968. – reference: 中村純次: 骨粗鬆症のレ線像. 慈恵医大誌, 80 (3) : 357-377, 1965. – reference: 森田陸司: DXAによる骨塩定量の現状と将来展望, 森田陸司, 骨粗鬆症と骨塩定量-DXAによる骨塩定量-, 第1版, メディカルレビュー社, 東京, 1995, 14-19. – reference: Genco, R. J.: Current view of risk factors for periodontal diseases. J. Periodontol., 67: 1041-1049, 1996. – reference: 山本逸雄, 森田陸司: 骨塩量と骨代謝マーカー, 森田陸司, 骨粗鬆症と骨塩定量-DXAによる骨塩定量-, 第1版, メディカルレビュー社, 東京, 1995, 176-182. – reference: Klemetti, E., Collin, H-L., Forss, H., Markkanen, H. and Lassila, V.: Mineral status of skeleton and advanced periodontal disease. J. Clin. Peri-odontol., 21 (3) : 184-188, 1994. – reference: Ward, V. J. and Manson J. D.: Alveolar bone loss in periodontal disease and the metacarpal index. J. Periodontol., 44 (12) : 763-769, 1973. – reference: von Wowern, N., Klausen, B. and Kollerup, G.: Osteoporosis: A risk factor in periodontal dis-ease. J. Periodontol., 65 (12) : 1134-1138, 1994. – reference: 折茂肇, 水口弘司, 井上哲郎: 内科医, 産婦人科医のための骨粗鬆症, 第1版, メディカルカルチャー, 東京, 1991, 3-8, 53-59. – reference: Inagaki, K., Fujishiro, H., Ohshima, Y., Suzuki, H., Asai, Y., Nagira, T., Murase, M., Yoshinari, N., Poblete, M. G. S., Noguchi, T., Kumazaki, E., Nagao, T., Mori, C., Hayakawa, J., Yamada, K. and Hachiya, H.: Periodontal and osteoporotic conditions in postmenopausal women. Aich-Ga-kuin Dent. Sci., 9 (1) : 33-40, 1996. – reference: 白木正孝: 骨粗鬆症の新しい診断法. 内科, 76 (5) : 821-827, 1995. – reference: 稲垣幸司, 大島康成, 鈴木秀人, 藤城治義, 柳楽たまき, 吉成伸夫, 橋本雅範, 瀧川融, 小澤晃, 野口俊英: 骨粗鬆症患者の歯周病罹患状況. 日歯周誌, 38 (2) : 220-225, 1996. – reference: Wactawski-Wende, J., Grossi, S. G., Trevisan, M., Genco, R. J., Tezal, M., Dunford, R. G., Ho, A. W., Hausmann, E. and Hreshchyshyn, M. M.: The role of osteopenia in oral bone loss and per-iodontal disease. J. Periodontol., 67: 1076-1084, 1996. – reference: 関谷喜一郎, 三木隆巳: 骨代謝マーカー. Osteopor-osis JPn., 4 (2) : 127-132, 1996. – reference: 井上哲郎: 骨粗鬆症の診断基準. 整形外科, 43 (8) : 1099-1105, 1992. – reference: 折茂肇, 杉岡洋一, 福永仁夫, 武藤芳照, 佛淵孝夫, 五来逸夫, 中村哲郎, 串田一博, 田中弘之, 猪飼哲夫: 原発性骨粗鬆症の診断基準 (1996年度改訂版). Osteoporosis Jpn., 4 (4) : 643-652, 1996. – reference: Mohammad, A. R., Jones, J. D. and Brunsvold, M. A.: Osteoporosis and periodontal disease: A review. CDA J., 22 (3) : 69-75, 1994. – reference: Solt, D. B.: The pathogenesis, oral manifesta-tions, and implications for dentistry of metabolic bone disease. Curr. Opin. Dent., 1: 783-791, 1991. – reference: Schei, O., Waerhaug, J., Lovdal, A. and Arno, A.: Alveolar bone loss as related to oral hygiene and age. J. Periodontol., 30: 7-16, 1959. – reference: 折茂肇, 杉岡洋一, 五来逸雄, 中村哲郎, 福永仁夫, 佛淵孝夫, 武藤芳照: 原発性骨粗鬆症の診断基準. 日骨代謝会誌, 13 (3) : 113-118, 1995. – reference: Belloc, N. B.: Relationship of health practices and mortality. Preventive Med., 2: 67-81, 1973. – reference: 白木正孝, 福永仁夫, 高松まり子, 白石穣, 桧垣多希子, 柏谷美紀, 高梨美鈴, 村上祐子, 大井照, 臼井アキ子, 石黒久江, 大坪美津江, 畑山善行: 骨粗鬆症と検診システム, 第1版, ライフサイエンス株式会社, 東京, 1996, 1-4, 19-22, 46, 62-77, 79-85. – reference: Genco, R. J. and Loe, H.: The role of systemic conditions and disorders in periodontal disease. Periodontol. 2000., 2: 98-116, 1993. – reference: 福永仁夫: DXAによる骨塩定量の意義と問題点, 森田陸司, 骨粗鬆症と骨塩定量DXAによる骨塩定量, 第1版, メディカルレビュー社, 東京, 1995, 22-29. – reference: Ciancio, S. G.: Medications as risk factors for periodontal disease. J. Periodontol. 67: 1055-1059, 1996. |
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