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Evaluation of the association between osteoporosis and periodontitis in postmenopausal women: A clinical and radiographic study
BACKGROUND: This study aimed to assess the relationship between the osteoporotic condition and periodontitis in postmenopausal women. MATERIALS AND METHODS: Ninety-four women aged 50–80 years were studied in this cross-sectional study. Bone mineral density (BMD) of lumbar vertebra BMD (LBMD), total...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9338350/ https://www.ncbi.nlm.nih.gov/pubmed/35915711 |
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author | Zamani, Saba Kiany, Farin Khojastepour, Leila Zamani, Ali Emami, Zahra |
author_facet | Zamani, Saba Kiany, Farin Khojastepour, Leila Zamani, Ali Emami, Zahra |
author_sort | Zamani, Saba |
collection | PubMed |
description | BACKGROUND: This study aimed to assess the relationship between the osteoporotic condition and periodontitis in postmenopausal women. MATERIALS AND METHODS: Ninety-four women aged 50–80 years were studied in this cross-sectional study. Bone mineral density (BMD) of lumbar vertebra BMD (LBMD), total hip BMD (HBMD), and neck of femur BMD (NBMD) was assessed using standardized dual-energy X-ray absorptiometry (DXA) (normal: T-score ≥−1, osteopenic: −2.5 ≤ t-score <−1, osteoporotic: T-score <−2.5). Bleeding point index (BI), O’Leary plaque index (PI), and clinical attachment loss (CAL) were recorded. Cementoenamel junction, alveolar-crest distance (CEJ-AC) was measured from cone-beam computed tomography images. Periodontitis severity was represented by CAL and CEJ-AC distance. One-way analysis of variance followed by Post hoc Tukey was performed for examining differences among the groups for different variables. Pearson correlation coefficient® and backward regression analysis were used to investigate the effect of confounding variables on CEJ-AC as the dependent variable. Significance was considered at P < 0.05. RESULTS: Mean CEJ-AC was significantly higher in the osteoporotic and osteopenic groups compared to the normal group (P = 0.001). There was a significant positive correlation between CEJ-AC and NBMD and LBMD (P < 0.001). The associations between LBMD and CEJ-AC existed even after adjusting for confounding factors (P = 0.002). The differences in BI, PI, and CAL were not statistically different between the groups (P > 0.05). CONCLUSION: Although osteoporosis is not the main cause of periodontitis, it can indirectly affect periodontal status by increasing CEJ-AC. Early diagnosis of osteoporosis followed by early referral to a dentist for the treatment of potential existing periodontal diseases is important to avoid complications among postmenopausal women |
format | Online Article Text |
id | pubmed-9338350 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-93383502022-07-31 Evaluation of the association between osteoporosis and periodontitis in postmenopausal women: A clinical and radiographic study Zamani, Saba Kiany, Farin Khojastepour, Leila Zamani, Ali Emami, Zahra Dent Res J (Isfahan) Original Article BACKGROUND: This study aimed to assess the relationship between the osteoporotic condition and periodontitis in postmenopausal women. MATERIALS AND METHODS: Ninety-four women aged 50–80 years were studied in this cross-sectional study. Bone mineral density (BMD) of lumbar vertebra BMD (LBMD), total hip BMD (HBMD), and neck of femur BMD (NBMD) was assessed using standardized dual-energy X-ray absorptiometry (DXA) (normal: T-score ≥−1, osteopenic: −2.5 ≤ t-score <−1, osteoporotic: T-score <−2.5). Bleeding point index (BI), O’Leary plaque index (PI), and clinical attachment loss (CAL) were recorded. Cementoenamel junction, alveolar-crest distance (CEJ-AC) was measured from cone-beam computed tomography images. Periodontitis severity was represented by CAL and CEJ-AC distance. One-way analysis of variance followed by Post hoc Tukey was performed for examining differences among the groups for different variables. Pearson correlation coefficient® and backward regression analysis were used to investigate the effect of confounding variables on CEJ-AC as the dependent variable. Significance was considered at P < 0.05. RESULTS: Mean CEJ-AC was significantly higher in the osteoporotic and osteopenic groups compared to the normal group (P = 0.001). There was a significant positive correlation between CEJ-AC and NBMD and LBMD (P < 0.001). The associations between LBMD and CEJ-AC existed even after adjusting for confounding factors (P = 0.002). The differences in BI, PI, and CAL were not statistically different between the groups (P > 0.05). CONCLUSION: Although osteoporosis is not the main cause of periodontitis, it can indirectly affect periodontal status by increasing CEJ-AC. Early diagnosis of osteoporosis followed by early referral to a dentist for the treatment of potential existing periodontal diseases is important to avoid complications among postmenopausal women Wolters Kluwer - Medknow 2022-06-01 /pmc/articles/PMC9338350/ /pubmed/35915711 Text en Copyright: © 2022 Dental Research Journal https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Zamani, Saba Kiany, Farin Khojastepour, Leila Zamani, Ali Emami, Zahra Evaluation of the association between osteoporosis and periodontitis in postmenopausal women: A clinical and radiographic study |
title | Evaluation of the association between osteoporosis and periodontitis in postmenopausal women: A clinical and radiographic study |
title_full | Evaluation of the association between osteoporosis and periodontitis in postmenopausal women: A clinical and radiographic study |
title_fullStr | Evaluation of the association between osteoporosis and periodontitis in postmenopausal women: A clinical and radiographic study |
title_full_unstemmed | Evaluation of the association between osteoporosis and periodontitis in postmenopausal women: A clinical and radiographic study |
title_short | Evaluation of the association between osteoporosis and periodontitis in postmenopausal women: A clinical and radiographic study |
title_sort | evaluation of the association between osteoporosis and periodontitis in postmenopausal women: a clinical and radiographic study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9338350/ https://www.ncbi.nlm.nih.gov/pubmed/35915711 |
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