Relationships Between Longitudinal Changes in Radiographic Alveolar Bone Height and Probing Depth Measurements: Data From Postmenopausal Women

Pilgram, Thomas K.; Hildebolt, Charles F.; Yokoyama-Crothers, Naoko; Dotson, Mary; Cohen, S.; Hauser, J.; Kardaris, E.

doi:10.1902/jop.1999.70.8.829

Cited by 26 publications

(20 citation statements)

References 12 publications

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“…However, the clinical significance of HRT in periodontal health is not well established. HRT was associated with a reduction of alveolar bone loss [6,25,27,28], but a number of studies failed to find an inverse correlation between alveolar bone density and severity of periodontal disease [48–51]. Furthermore, some authors failed to demonstrate any beneficial effect of HRT on alveolar bone density/height [52,53].…”

Section: Discussionmentioning

confidence: 99%

Effect of hormone replacement therapy (HRT) on periodontal status of postmenopausal women

et al. 2011

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SummaryBackgroundThe risks/benefits balance of hormone replacement therapy (HRT) is controversial. The aim of this study was to assess the periodontal status of a postmenopausal women group receiving HRT and to determine the effects of HRT on clinical measures of periodontal disease.Material/MethodsNinety-one postmenopausal women, 52 taking HRT (HRT+) and 39 not taking HRT (HRT−), completed the study. Clinical parameters measured included visible supragingival plaque, probing pocket depth (PD) and clinical attachment level (CAL). Gingival status was recorded as gingival bleeding on probing (BOP). Previous oral contraceptive use and current and past smoking status were also assessed.ResultsData indicated that PD and CAL were not significantly different between HRT+ patients and HRT− patients (P=0.8067 and P=0.1627, respectively). The HRT+ group exhibited significantly lower visible plaque levels compared to the control group (P<0.0001). The percentage of gingival sites with positive BOP was significantly lower in the HRT+ group compared to the HRT− group (34.85% vs. 65.15%; P=0.0007). Plaque accumulation was also tested in ANCOVA as a possible explanatory variable for the differences observed in gingival bleeding. The ANCOVA showed no significant differences in gingival bleeding between HRT+ and HRT− women (P=0.4677). No significant differences in past smoking status and oral contraceptive use were detected between HRT+ and HRT− women (P=0.9999 and P=0.0845, respectively).ConclusionsThese findings indicated that long-term HRT was not associated with relevant effects on periodontal status and clinical measures of periodontal disease, thus suggesting that HRT may not confer protection against periodontitis in postmenopausal women.

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Section: Discussionmentioning

confidence: 99%

Effect of hormone replacement therapy (HRT) on periodontal status of postmenopausal women

et al. 2011

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“…The association between clinical (soft tissue) measurements and alveolar bone loss has been explored in untreated patients with chronic periodontitis (CP) 4‐6 and in the absence of CP 7 . In a study of postmenopausal females in the absence of periodontal disease, changes in ABH and changes in CAL were only weakly associated based on site‐level data over a 2‐year follow‐up period 7 . In untreated, general populations with CP, CALs and baseline crestal bone height were significantly correlated, but changes in these measures over a 1‐year period beyond a defined threshold did not demonstrate good agreement 6 .…”

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confidence: 99%

“…A small study of patients with untreated destructive periodontal disease monitored for 1 year suggested that significant AL preceded oral bone loss 4 . The association between oral bone loss and clinical periodontal measures, such as CAL, appears to be complex, and there is some suggestion that there may be a time lag between changes in oral radiographic measures and changes in clinical periodontal measures 7 . However, the temporal association between clinical and radiographic CP measurements during periodontal maintenance has not been explored.…”

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confidence: 99%

The Association Between Clinical and Radiographic Periodontitis Measurements During Periodontal Maintenance

Payne

Nummikoski

Thompson

et al. 2013

Journal of Periodontology

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Background To examine the association between clinical and radiographic periodontitis measurements during two years of periodontal maintenance. Methods Secondary analyses were performed from a two-year, double-blind, placebo-controlled, randomized clinical trial evaluating the efficacy and safety of subantimicrobial dose doxycycline (SDD) in 128 postmenopausal osteopenic women with moderate to severe chronic periodontitis. Relative clinical attachment level (RCAL) and probing depth (PD) measures were made. Posterior vertical bite-wings were taken for alveolar bone density (ABD) and alveolar bone height (ABH) measurements. Generalized estimating equations were used to model associations. Results One-year ABD changes and one-year RCAL/PD changes did not predict two-year ABH changes and ABH/ABD changes, respectively. Baseline RCAL and PD were positively associated with baseline ABH loss (p<0.0001) and baseline probing depths were associated with subsequent ABD and ABH loss (p<0.05 for each). Among placebo (but not SDD) participants, RCAL changes were associated with concurrent ABD loss (p=0.027) when considering one- and two-year changes combined. The odds of ABH loss were higher among sites with concurrent one-year ABD loss versus no change (OR=3.15, p<0.0001) or concurrent PD increases versus no change (OR=1.88, p=0.0025) when considering one- and two-year changes combined. Conclusions In postmenopausal osteopenic women undergoing periodontal maintenance, baseline PD was associated with subsequent ABD and ABH loss. Although no longitudinal change preceded another measurement change, changes in probing depths and relative clinical attachment levels appeared to reflect changes in the underlying alveolar bone over time.

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“…However, a parallel relationship between them may be limited to a small group of the elderly since a few elderly people had severe alveolar bone resorption. Age-related alveolar bone loss is shown,17–23 but disruption of the lamina dura was independent of the alveolar bone resorption in the canine and first molar. Moreover, decline in the presence of a lamina dura may be caused by atrophy since the lamina dura seemed to be fully developed from the tooth bud to eruption, and disruption of the lamina dura began around 20 years of age.…”

Section: Discussionmentioning

confidence: 94%

“…In humans age-related alveolar bone loss has also been reported 17–23. The rate of bone loss increases between the ages of 33 and 57–68 years17 and between 65 and 75 years,20 in the incisors,18 in subjects with chronic obstructive pulmonary disease,21 and with systemic changes,23 although age-related alterations in the periodontium may not inevitably be manifested with the loss of alveolar bone 24…”

Section: Introductionmentioning

confidence: 99%

Age-related disruption of the lamina dura: Evidence in the mandibular horizontal incompletely impacted third molar

Yamaoka

Takahashi²,

Ishihama³

et al. 2009

CIA

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Changes in the lamina dura are associated with dental diseases around the root of the tooth and with systemic diseases; however, the lamina dura below the crown of horizontal, incompletely impacted third molars has not been studied. Using orthopantomography, we studied the age of subjects with and without the lamina dura in 419 subjects. The participants were between the ages of 21 and 89 years. Mean age in men with the lamina dura was 30.29 ± 9.92 and without the lamina dura was 47.64 ± 16.32 (P < 0.0001), and in women with a lamina dura it was 29.65 ± 8.19 and without a lamina dura 41.97 ± 11.07 (P < 0.0001). To study the effect of aging, the relationship between the lamina dura and dental status was assessed in subjects over the age of 31 years. Alveolar bone resorption in the canine and the first molar of the ipsilateral mandible in subjects without the lamina dura was not significantly higher than in those with the lamina dura. There were no significant differences in the number of teeth lost, except in men, the number of treated teeth and the number of decayed teeth differed between groups. Disruption of the lamina dura was related to age, but with no alveolar bone resorption in the mandible.

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Relationships Between Longitudinal Changes in Radiographic Alveolar Bone Height and Probing Depth Measurements: Data From Postmenopausal Women

Cited by 26 publications

References 12 publications

Effect of hormone replacement therapy (HRT) on periodontal status of postmenopausal women

Effect of hormone replacement therapy (HRT) on periodontal status of postmenopausal women

The Association Between Clinical and Radiographic Periodontitis Measurements During Periodontal Maintenance

Age-related disruption of the lamina dura: Evidence in the mandibular horizontal incompletely impacted third molar

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