Longitudinal Study of Periodontal Disease and Edentulism With Rates of Bone Loss in Older Women

Famili, Pouran; Cauley, Jane A.; Suzuki, Jon B.; Weyant, Robert J.

doi:10.1902/jop.2005.76.1.11

Cited by 84 publications

(67 citation statements)

References 11 publications

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“…Recent studies suggest that estrogen deficiency can place post-menopausal women at higher risk for severe periodontal disease and tooth loss. In addition, hormonal changes in older women may result in oral discomfort including dry mouth, pain and burning sensations in the gingiva and altered taste (13).…”

Section: Introductionmentioning

confidence: 99%

Assessment of Oral Hygiene in Adults

Skorupka¹,

Kokot²,

Nowakowska-Zajdel³

et al. 2012

Cent Eur J Public Health

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SUMMARYObjective: The aim of the research was to assess the oral hygiene habits in the elderly group of study population of Southern Poland. Methods: The study was conducted in dental services in two selected cities in Southern Poland. The group of subjects consisted of 664 respondents (272 men, 392 women) aged 65 to 81 years. Oral hygiene was measured with the author's anonymous questionnaire consisting of twenty questions. Questions related to information on personal history and general health, comorbidities, dietary habits, alcohol consumption, smoking, taking drugs and the state of oral hygiene practices as frequency of visits to the dentist and the number of own teeth.Results: The majority of the subjects had higher n = 240 (36.1%) and secondary n = 219 (33%) education and were predominantly n = 590 (89%) professionally inactive (retirees or pensioners). No significant differences were found between the groups: women and men. But there were differences in technologies used, the examined men significantly often used computer in comparison with the women's group. In total, 19.6% had own natural teeth only, 45.0% own teeth and dentures, 30.0% dentures only, and 5.4% neither teeth nor dentures. Majority of subjects brush their teeth or dentures only 1-2 times a day (80%) and visit the dentist less than once in 2 years or once a year (75%). Women significantly more often stated use of a toothbrush and taking care of oral hygiene and compared to men, they declared higher number of own teeth.Conclusion: People aged over 65 neglect hygiene and oral care. Women pay more attention to oral hygiene and they have more own teeth than men. The most frequent cause of oral hygiene neglect in the elderly could be gender, the socio-economic conditions, behaviour habits and lack of sufficient health education. The dentist may need to consult with the patient's GP the development of the appropriate personalised treatment plan for the elderly. Young dentists need to be educated in order to provide appropriate dental care to the elderly.

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Section: Introductionmentioning

confidence: 99%

Assessment of Oral Hygiene in Adults

Skorupka¹,

Kokot²,

Nowakowska-Zajdel³

et al. 2012

Cent Eur J Public Health

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“…Through this, the body of evidence regarding associations with periodontal infection can be expanded, for example in relation to the topic presented here, i.e. osteoporosis and periodontitis, which still presents great controversy 4,[13][14][15][16][17][18] .…”

Section: Discussionmentioning

confidence: 99%

Criteria for Radiographic Diagnosis of Periodontitis in Epidemiological Studies

Filho

Passos‐Soares

Brandão

et al. 2017

Rev. Saúde Col. UEFS

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Objective: This study aimed to compare four radiographic methods for interpreting the periodontitis in epidemiological studies on associations with systemic conditions.Methods: A database from a case-control study evaluating the association between osteoporosis and periodontitis was used to compare four different radiographic criteria (RC) with the clinical criteria (CC) for interpreting the presence of periodontal disease (PD): RC-1, one tooth; RC-2, at least two teeth; RC-3, at least three teeth; RC-4, at least four teeth, with one or more sites on the mesial or distal face presenting bone loss ≥ 3 mm, in relation to the cement-enamel junction. PD frequency and diagnostic values were calculated, along with the main association measurements (odds ratios), for the two criteria presenting highest specificity.Results: PD frequency varied according to the RC used, from 76.6% to 95.6%. RC-4 and RC-3 presented the highest specificity (30.5% and 21.0%, respectively). The sensitivity was 100% for all criteria tested. The unadjusted and adjusted odds ratios for RC-3 and RC-4 ranged from 1.13 to 1.52, without statistical significance.Conclusions: The findings showed that PD frequency may be influenced by different RCs, as well as indicating variation in the strength of the association between osteoporosis and periodontitis.

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“…Quanto aos resultados encontrados relacionando doença periodontal, perda dental e valores de DOM, estudo longitudinal que acompanhou por dois anos 398 mulheres 23 não encontrou diferença significativa. Entretanto, em outro estudo, quando avaliados os valores da DOM da região de cálcis, associação positiva foi encontrada na comparação com a ausência dental 24 . Portanto, sendo a doença periodontal comum na população e sabidamente relacionada a doenças sistêmicas, uma via de mão dupla, fazem-se necessários estudos cada vez mais profundos para a melhor compreensão de sua patogênese e conseqüentemente do desenvolvimento de novos caminhos para o controle da doença.…”

Section: Densitometria óSsea Mineralunclassified

Menopausa: fator de risco para doença periodontal?

Pallos

Ceschin²,

Victor

et al. 2006

Rev. Bras. Ginecol. Obstet.

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Objetivo: verificar se existe relação entre os parâmetros periodontais e os níveis de estrógeno e densitometria óssea mineral (DOM). Métodos: foram avaliadas 46 mulheres na pós-menopausa entre 44 e 68 anos de idade (52,2±4,8) e 15 mulheres como grupo controle entre 35 e 54 anos de idade (44,7±7,5). Parâmetros periodontais como profundidade à sondagem (PS), perda de inserção clínica (PIC) e dentes ausentes (DA) foram comparados com os níveis de estrógeno (suficiente e deficiente) e DOM em normais, osteopênicas e osteoporóticas. Os dados foram comparados pela diferença das médias entre os grupos e analisados pelo teste de Aspin-Welch. Resultados: as médias dos parâmetros de PS, PIC e DA, quando associados ao grau da DOM em normais (2,1±0,5; 2,9±1,4 e 10,6±5,0), osteopênicas (2,3±0,7; 3,0±1,1 e 12,8±5,1) e osteoporóticas (2,4±0,6; 2,7±0,9 e 14,3±5,7), não mostraram diferenças significativas (p>0,05). Foi encontrada diferença significante entre o grupo controle e nas mulheres menopausadas para PIC e DA. Quando comparados com os níveis de estrógeno os resultados demonstraram igualdade para os parâmetros periodontais. Conclusões: apesar de alguns estudos demonstrarem correlação positiva da doença periodontal com osteoporose e com os níveis de estrogênio, na população de mulheres menopausadas estes dados não foram confirmados neste estudo. PALAVRAS-CHAVE:Periodontite; Menopausa; Densitometria; Estrógeno ABSTRACT Purpose: to verify if there is a relationship between the clinical periodontal parameters and estrogen levels and bone mineral density (BMD). Methods: forty-six post-menopausal women aged 44 to 68 years (52.2±4.8) and 15 women aged 35 to 54 years (44.7±7.5) were evaluated. Periodontal parameters like probing depth (PD), clinical attachment loss (CAL), and missing teeth (MT) were compared with estrogen levels (sufficient and insufficient) and BMD (normal, osteopenic and osteoporotic). Data of the mean difference between the groups were compared by the Aspin-Welch test. Results: the means of PD, CAL and MT, when associated with the normal (2.1±0.5; 2.9±1.4 and 10.6±5.0), osteopenic (2.3±0.7; 3.0±1.1 and 12.8±5.1) and osteoporotic BMD (2.4±0.6; 2.7±0.9 and 14.3±5.7), did not show statistical difference (p>0.05). A significant difference was found between the control group and postmenopausal women for CAL and MT. When compared with the estrogen levels the results did not show a difference regarding the periodontal parameters. Conclusion: although some studies showed a positive correlation with osteoporosis and estrogen level, in this population of menopausal women these findings were not confirmed.

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Longitudinal Study of Periodontal Disease and Edentulism With Rates of Bone Loss in Older Women

Cited by 84 publications

References 11 publications

Assessment of Oral Hygiene in Adults

Assessment of Oral Hygiene in Adults

Criteria for Radiographic Diagnosis of Periodontitis in Epidemiological Studies

Menopausa: fator de risco para doença periodontal?

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