Assessment of the Bone Mineral Content in the Mandible by Dual-Energy X-Ray Absorptiometry to Evaluate Short-Term Change

Sun, Yun-Fan; An, Min Min; Wang, Jingmei; Yang, Fan; He, Lin; Dudzek, Chad; Liu, Congjin; Cunniff, Patrick C.; Liu, Xingdang; Sanchez, Thomas W.

doi:10.1016/j.jocd.2017.06.003

Cited by 3 publications

(4 citation statements)

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“…A study by Munhoz et al documented the BMD of mandible was measured by DXA in systemically healthy subjects and then found that the low BMD of mandible may be related to chronic periodontitis (13). The mandible has high bone turnover, increased blood flow, and is more sensitive to osteoclast and osteoblast activity than any other sites, however, researchers encountered difficulties working with the mandible because of its complex bone mineral distribution (10). Meanwhile, the skull is connected by irregular shapes and thickness of the bones, fibrous joints, and complex muscle relationships, which seems to rule out the possibility of analyzing a single bone (14).…”

Section: Introductionmentioning

confidence: 99%

“…Bone mineral density (BMD) measures are the optimal method for diagnosing osteoporosis and osteopenia. The World Health Organization recommends using dual energy X-ray absorptiometry (DXA) to assess the BMD of the spine, hip, and forearm (10). Apparently, osteoporosis has been associated with periodontal disease risk periodontal diseases (11).…”

Section: Introductionmentioning

confidence: 99%

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Association between skull bone mineral density and periodontitis: evidence from the National Health and Nutrition Examination Survey (2011-2014)

Jin

Song

Luo³

et al. 2022

Preprint

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Background and ObjectiveBone mineral density (BMD) and periodontitis have been the subject of many studies. However, the relationship between skull (including mandible) BMD and periodontitis has not been extensively studied. An objective of this cross-sectional study was to examine the relationship between skull BMD and periodontitis using data from the National Health and Nutrition Examination Surveys (NHANES) for 2011-2012 and 2013-2014.Materials and MethodsFrom 19,931 participants, 3,802 were screened and included with no missing values in the study. We examined the distribution of variables by grouping the skull BMD levels into quartiles. Periodontitis is defined by the Centers for Disease Control and Prevention (CDC) and the American Periodontal Association (AAP) in 2012. An interaction test was conducted using stratified and adjusted logistic regression models, and multivariate logistic regression analysis was performed, along with curve fitting and a threshold effect analysis were performed on the relationship between skull BMD and periodontitis.ResultsThe results showed a negatively relationship between skull BMD and the risk of periodontitis. Although the inflection point was found (the skull BMD= 2.89g/cm2), it was not statistically significant, indicating that the skull BMD and periodontitis are linearly related, which 1 unit increase in the skull BMD (g/cm2) was associated with a 30% (OR=0.70; CI=0.57, 0.87; p=0.0010) reduction in the risk of periodontitis events.ConclusionsPeriodontal disease may be related to low skull BMD, for those people, oral hygiene and health care should be more closely monitored. Validation of our findings will require further research.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Association between skull bone mineral density and periodontitis: evidence from the National Health and Nutrition Examination Survey (2011-2014)

Jin

Song

Luo³

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Bone mineral density (BMD) measures are the optimal method for diagnosing osteoporosis and osteopenia. The World Health Organization recommends using dual energy X-ray absorptiometry (DXA) to assess the BMD of the spine, hip, and forearm [11]. Apparently, osteoporosis has been associated with the risk of periodontal diseases [12].…”

Section: Introductionmentioning

confidence: 99%

“…A study by Munhoz et al documented the BMD of mandible was measured by DXA in systemically healthy subjects and then found that the low BMD of mandible may be related to chronic periodontitis [14]. The mandible has high bone turnover, increased blood flow, and is more sensitive to osteoclast and osteoblast activity than any other sites, however, researchers encountered difficulties working with the mandible because of its complex bone mineral distribution [11]. For example, the BMD of the anterior teeth and premolar area of the mandible is higher than that of the molar area, and even the BMD of any part of the mandible is higher than that of all parts of the maxilla [15].…”

Section: Introductionmentioning

confidence: 99%

Association between skull bone mineral density and periodontitis: Using the National Health and Nutrition Examination Survey (2011–2014)

Jin

Song

Luo³

et al. 2022

PLoS ONE

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Background and objective Bone mineral density (BMD) and periodontitis have been the subject of many studies. However, the relationship between skull (including mandible) BMD and periodontitis has not been extensively studied. An objective of this cross-sectional study was to examine the relationship between skull BMD and periodontitis using data from the National Health and Nutrition Examination Surveys (NHANES) for 2011–2012 and 2013–2014. Materials and methods From NHANES 2011–2014, 3802 participants aged 30–59 were selected. We divided the skull BMD level into quartiles to check the distribution of variables. Periodontitis was defined by the Centers for Disease Control and Prevention (CDC) and the American Association of Periodontology (AAP) in 2012. Multivariate logical regression analysis was used to explore the independent relationship between skull BMD and periodontitis. The generalized additive model (GAM), smooth curve fitting (penalty spline) and threshold effect analysis was used to evaluate dose-response relationship between skull BMD and periodontitis and the potential nonlinear relationship between skull BMD and periodontitis. Finally, subgroup analysis and interaction test were conducted to determine the role of covariates between skull BMD and periodontitis. Results The overall average skull BMD of 3802 participants was 2.24g/cm2, the average age was 43.94 years, and the prevalence of periodontitis was 41.03%. In the fully adjusted logistic regression model, skull BMD and periodontitis showed an independent negative correlation (OR 0.73, 95% CI 0.59–0.90, P = 0.0032) and a linear relationship. Compared with the lowest quartile array (Q1:1.22–1.98) of skull BMD, the highest quartile array(Q4: 2.47–3.79) had a significantly lower risk of periodontitis (OR 0.70,95% CI 0.56–0.87, P = 0.0014). Subgroup analysis showed a highly consistent negative correlation between skull BMD and periodontitis. In the interaction test, people with moderate poverty income ratio (1.57–3.62) and those who had more than 12 alcohol drinks in the past year had a lower risk of periodontitis. Conclusions This result suggested that periodontal disease can be related to low skull BMD, for those people, oral hygiene and health care should be more closely monitored. Validation of our findings will require further research.

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Direct-Acting Oral Anticoagulant/Vitamin K Antagonists: Do They Affect the Trabecular and Cortical Structure of the Mandible?

Bostan,

Özarslantürk,

Günaçar

et al. 2024

Journal of Clinical Densitometry

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Assessment of the Bone Mineral Content in the Mandible by Dual-Energy X-Ray Absorptiometry to Evaluate Short-Term Change

Cited by 3 publications

References 9 publications

Association between skull bone mineral density and periodontitis: evidence from the National Health and Nutrition Examination Survey (2011-2014)

Association between skull bone mineral density and periodontitis: evidence from the National Health and Nutrition Examination Survey (2011-2014)

Association between skull bone mineral density and periodontitis: Using the National Health and Nutrition Examination Survey (2011–2014)

Direct-Acting Oral Anticoagulant/Vitamin K Antagonists: Do They Affect the Trabecular and Cortical Structure of the Mandible?

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