Increased Risk of Tooth Loss in Postmenopausal Women With Prevalent Vertebral Fractures: An Observational Study

ABSTRACT The association between prevalent fractures and tooth loss in postmenopausal women remains unclear. Herein, we investigated the association between prevalent vertebral and nonvertebral fractures, the number of teeth present at baseline, and the number of teeth lost during follow‐up in postm...

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Main Authors: Akira Taguchi, Tomohiko Urano, Yukio Nakamura, Masataka Shiraki
Format: Article
Language:English
Published: Oxford University Press 2023-12-01
Series:JBMR Plus
Subjects:
Online Access:https://doi.org/10.1002/jbm4.10822
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author Akira Taguchi
Tomohiko Urano
Yukio Nakamura
Masataka Shiraki
author_facet Akira Taguchi
Tomohiko Urano
Yukio Nakamura
Masataka Shiraki
author_sort Akira Taguchi
collection DOAJ
description ABSTRACT The association between prevalent fractures and tooth loss in postmenopausal women remains unclear. Herein, we investigated the association between prevalent vertebral and nonvertebral fractures, the number of teeth present at baseline, and the number of teeth lost during follow‐up in postmenopausal Japanese women. This cross‐sectional study enrolled 843 participants (mean age 68.3 years). The number of teeth at follow‐up was evaluated in 655 women in this longitudinal study. The participants were divided into four groups according to their prevalent fracture status: no fractures, vertebral fractures alone, nonvertebral fractures alone, and both fracture types. After adjusting for covariates, Poisson regression analyses were performed to investigate differences in the number of teeth at baseline and that lost during the follow‐up period among the four groups. Participants with prevalent vertebral fractures alone had significantly fewer teeth at baseline than those in participants without fractures or nonvertebral fractures alone (p < 0.001 for both). Furthermore, they lost more teeth during the follow‐up period than did those with no fractures (p = 0.021) and tended to lose more teeth than did those with nonvertebral fractures alone or both prevalent fracture types. We observed no significant difference in the number of teeth lost between the participants with nonvertebral fractures alone and those with no fractures. Postmenopausal women with prevalent vertebral fractures may be at a higher risk of tooth loss. © 2023 The Authors. JBMR Plus published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research.
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spelling doaj.art-fd357283fecb4310995122d578cc14622024-08-03T02:19:01ZengOxford University PressJBMR Plus2473-40392023-12-01712n/an/a10.1002/jbm4.10822Increased Risk of Tooth Loss in Postmenopausal Women With Prevalent Vertebral Fractures: An Observational StudyAkira Taguchi0Tomohiko Urano1Yukio Nakamura2Masataka Shiraki3Department of Oral and Maxillofacial Radiology Matsumoto Dental University Shiojiri JapanDepartment of Geriatric Medicine International University of Health and Welfare School of Medicine Narita JapanDepartment of Orthopaedic Surgery Shinshu University School of Medicine Matsumoto JapanDepartment of Internal Medicine Research Institute and Practice for Involutional Diseases Azumino JapanABSTRACT The association between prevalent fractures and tooth loss in postmenopausal women remains unclear. Herein, we investigated the association between prevalent vertebral and nonvertebral fractures, the number of teeth present at baseline, and the number of teeth lost during follow‐up in postmenopausal Japanese women. This cross‐sectional study enrolled 843 participants (mean age 68.3 years). The number of teeth at follow‐up was evaluated in 655 women in this longitudinal study. The participants were divided into four groups according to their prevalent fracture status: no fractures, vertebral fractures alone, nonvertebral fractures alone, and both fracture types. After adjusting for covariates, Poisson regression analyses were performed to investigate differences in the number of teeth at baseline and that lost during the follow‐up period among the four groups. Participants with prevalent vertebral fractures alone had significantly fewer teeth at baseline than those in participants without fractures or nonvertebral fractures alone (p < 0.001 for both). Furthermore, they lost more teeth during the follow‐up period than did those with no fractures (p = 0.021) and tended to lose more teeth than did those with nonvertebral fractures alone or both prevalent fracture types. We observed no significant difference in the number of teeth lost between the participants with nonvertebral fractures alone and those with no fractures. Postmenopausal women with prevalent vertebral fractures may be at a higher risk of tooth loss. © 2023 The Authors. JBMR Plus published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research.https://doi.org/10.1002/jbm4.10822DENTAL BIOLOGYFRACTUREMENOPAUSEOSTEOPOROSISVERTEBRAE
spellingShingle Akira Taguchi
Tomohiko Urano
Yukio Nakamura
Masataka Shiraki
Increased Risk of Tooth Loss in Postmenopausal Women With Prevalent Vertebral Fractures: An Observational Study
JBMR Plus
DENTAL BIOLOGY
FRACTURE
MENOPAUSE
OSTEOPOROSIS
VERTEBRAE
title Increased Risk of Tooth Loss in Postmenopausal Women With Prevalent Vertebral Fractures: An Observational Study
title_full Increased Risk of Tooth Loss in Postmenopausal Women With Prevalent Vertebral Fractures: An Observational Study
title_fullStr Increased Risk of Tooth Loss in Postmenopausal Women With Prevalent Vertebral Fractures: An Observational Study
title_full_unstemmed Increased Risk of Tooth Loss in Postmenopausal Women With Prevalent Vertebral Fractures: An Observational Study
title_short Increased Risk of Tooth Loss in Postmenopausal Women With Prevalent Vertebral Fractures: An Observational Study
title_sort increased risk of tooth loss in postmenopausal women with prevalent vertebral fractures an observational study
topic DENTAL BIOLOGY
FRACTURE
MENOPAUSE
OSTEOPOROSIS
VERTEBRAE
url https://doi.org/10.1002/jbm4.10822
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