Association between osteoporosis and periodontal disease among postmenopausal Indian women

Abstract

Skeletal BMD is related to clinical attachment loss, bleeding, and gingivitis, which suggests that there is an association between osteoporosis and periodontal diseases.

Patients with chronic periodontitis present increased risk for osteoporosis: A population‐based cohort study in Taiwan

“…Existing data regarding the relationship between periodontal bone loss and osteoporosis are still inconclusive. The majority of studies evaluating the effect of systemic bone mineral density on periodontal bone loss found that low bone mineral density was significantly associated with an increase in loss of alveolar bone height and periodontal destruction, whereas other studies found no association . The controversial conclusion from these studies might be due to the differences in experimental designs, definitions of periodontitis and osteoporosis, as well as the different sample sizes.…”

Relationship Between Oral Health and Clinical Osteoporosis Among Hospitalized Patients with and Without Diabetes

“…Kalinowski et al found a higher Fracture Risk Assessment Tool (FRAX) probability for fracture among patients with more severe periodontitis among men and women aged 40-89 years [18]. Another study by Richa et al found increased clinical attachment loss, bleeding, and gingivitis (all measures of PD) among postmenopausal women with OP compared to those without OP [15]. In a study examining PD in DM patients, deMiguel-Infante et al found significant associations between missing teeth, OP, and a higher risk for PD [16].…”

“…Inflammation, in addition to being associated with poorer glycemic control and increased risk for cardiovascular disease, is also associated with OP and increased fracture risk [9][10][11][12]. Furthermore, there is a known association between OP and PD [13][14][15][16]. PD, OP, and DM all share common risk factors like older age, inflammation, tobacco use, and stress but could also directly interact with one another.…”

Could treating periodontitis prevent osteoporosis? An update of the last decade

“…Other researches have exhibited statistical significance in additional periodontal indices, concerning the inflammatory response of gingiva. Richa et al discovered that osteoporotic postmenopausal women suffer from more extensive gingival bleeding and dental plaque accumulation than those with normal BMD 46 . An other interesting parameter is the direct correlation between the severity of osteoporosis (usually measured through BMD) and the severity of chronic periodontitis.…”