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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Dental Research Journal |
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| Online Access: | http://www.drjjournal.net/article.asp?issn=1735-3327;year=2022;volume=19;issue=1;spage=41;epage=41;aulast=Zamani |
| _version_ | 1818047022422294528 |
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| author | Saba Zamani Farin Kiany Leila Khojastepour Ali Zamani Zahra Emami |
| author_facet | Saba Zamani Farin Kiany Leila Khojastepour Ali Zamani Zahra Emami |
| author_sort | Saba Zamani |
| collection | DOAJ |
| 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 |
| first_indexed | 2024-12-10T09:59:11Z |
| format | Article |
| id | doaj.art-dff244f2f7d54a99b2e37d7b27d8d9e0 |
| institution | Directory Open Access Journal |
| issn | 1735-3327 2008-0255 |
| language | English |
| last_indexed | 2024-12-10T09:59:11Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Dental Research Journal |
| spelling | doaj.art-dff244f2f7d54a99b2e37d7b27d8d9e02022-12-22T01:53:24ZengWolters Kluwer Medknow PublicationsDental Research Journal1735-33272008-02552022-01-01191414110.4103/1735-3327.346399Evaluation of the association between osteoporosis and periodontitis in postmenopausal women: A clinical and radiographic studySaba ZamaniFarin KianyLeila KhojastepourAli ZamaniZahra EmamiBackground: 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 womenhttp://www.drjjournal.net/article.asp?issn=1735-3327;year=2022;volume=19;issue=1;spage=41;epage=41;aulast=Zamanialveolar bone losscone-beam computed tomographyosteoporosisperiodontitispostmenopause |
| spellingShingle | Saba Zamani Farin Kiany Leila Khojastepour Ali Zamani Zahra Emami Evaluation of the association between osteoporosis and periodontitis in postmenopausal women: A clinical and radiographic study Dental Research Journal alveolar bone loss cone-beam computed tomography osteoporosis periodontitis postmenopause |
| 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 | alveolar bone loss cone-beam computed tomography osteoporosis periodontitis postmenopause |
| url | http://www.drjjournal.net/article.asp?issn=1735-3327;year=2022;volume=19;issue=1;spage=41;epage=41;aulast=Zamani |
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