Evaluating the possible association between systemic osteoporosis and periodontal disease progression in postmenopausal women - 20/05/19

Doi : 10.1016/j.disamonth.2018.11.001

Mohammed Saeed Ayed, MSc ^a,^⁎ , Alaa Fuad Alsharif, BDS ^b, Darshan Devang Divakar, MDS, PhD ^c, Chitra Jhugroo, BDS ^d, Bashayr Alosaimi, BDS ^e, Mohammed Mustafa, MDS ^f
^a Director of Dental Administration, Aseer region 61411, Saudi Arabia
^b Department of Oral and Maxillofacial Surgery, Training Resident, Prince Mohammed bin Abdulaziz Hospital, Riyadh 14214, Saudi Arabia
^c Dental Health Department, Dental Biomaterials Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia
^d Indian Ocean Dental College and Hospital, Arsenal, Triolet, Mauritius
^e General Dentist, Riyadh 13244, Saudi Arabia
^f Department of Conservative Dental Sciences, Division of Endodontics, College of Dentistry, Prince Sattam bin Abdulaziz University, P.O. Box:153, AlKharj 11942 Riyadh, Saudi Arabia

^⁎Corresponding author.

Abstract

To evaluate the association between systemic osteoporosis and periodontal diseases in postmenopausal women. A total of 300 women aged (50–70 years) were divided into an osteoporotic (OP) group (n = 150) and non-osteoporotic (NOP) group (n = 150) depending on BMD measured using (DXA) at the femoral neck and lumbar spine. Periodontal examination including PI, GI, PPD, and CAL was measured. A standard digital dental panoramic radiograph was taken for each patient and analyzed using specially developed software graphic program to assess the alveolar bone level and BMD. Elemental analysis of root surfaces of extracted teeth was done for detecting Ca, P, F, Mg, and K using (LIBS). Results showed the differences between both groups were not statistically significant in PI, GI, and PPD. A statistically significant difference was found between both groups in CAL, the distance between CEJ-AC and alveolar bone density. Elemental analysis of the root surfaces revealed that Ca was statistically significantly less in the OP group while the differences between both groups regarding F and P were not statistically significant. Mg and K found to be significantly more in the OP group than in the NOP group. To conclude osteoporosis is certainly a risk factor for periodontal disease and seems to plays a vital role in disease progression.

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Keywords : Bone mineral density (BMD), Osteoporosis, Periodontitis

Abbreviations : PI, GI, PPD, CAL, DXA, BMD, GCF, CEJ, Ca, P, F, K, Mg, Aa, (ICP-MS), LIBS, NIST