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Association between osteoporosis and periodontitis

Author: N.A.AL-RAWI.
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2007 Volume: 20 Issue: 1 Pages: 32-36
Publisher: Al-Mustansyriah University الجامعة المستنصرية


Background: Systemic bone loss has been proposed as a risk factor for periodontal disease however the relationship between these two diseases is still not clear. Objective: The aim of this prospective study was to assess the relationship between systemic bone mineral density , periodontal disease and status of smoking. Patients & Methods: The study population included 125 patients with osteoporosis, 110 of they were with periodontal disease and 15 without, 110 patients with moderate, advanced periodontitis. Aged 50-75 year (mean + SD: 65+7.1 years ). Skeletal bone density was assessed by plain x-ray of the femur , and the ant-post-view of the lumber spine. Periodontal disease severity was represented by application of community Periodontal Index (CPI). Three indicators of periodontal status were used for this assessment, gingival bleeding, calculus, and periodontal pockets (WHO, 1997). Results: Moderate osteoporosis was the most frequent grade in all patients. Periodontitis was noted in 88% of patients with osteoporosis, and 12% were non-periodontitis. Significant correlation was observed between osteoporosis severity and periodontitis.Conclusions: Skeletal bone mineral density is related to interproximal alveolar bone loss or to a less extent, to clinical attachment loss. Keywords: osteoporosis, etiology; bone density; smoking; risk factors; osteopenia; postmenopausal; periodontal diseases/etiology.

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