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Erschienen in: Current Osteoporosis Reports 6/2016

30.09.2016 | Craniofacial Skeleton (E Roberts, Section Editor)

Osteoporosis and Periodontitis

verfasst von: Chin-Wei (Jeff) Wang, Laurie K. McCauley

Erschienen in: Current Osteoporosis Reports | Ausgabe 6/2016

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Abstract

Osteoporosis and periodontitis are both diseases characterized by bone resorption. Osteoporosis features systemic degenerative bone loss that leads to loss of skeletal cancellous microstructure and subsequent fracture, whereas periodontitis involves local inflammatory bone loss, following an infectious breach of the alveolar cortical bone, and it may result in tooth loss. Most cross-sectional studies have confirmed the association of osteoporosis and periodontitis primarily on radiographic measurements and to a lesser degree on clinical parameters. Multiple shared risk factors include age, genetics, hormonal change, smoking, as well as calcium and vitamin D deficiency. Both diseases could also be risk factors for each other and have a mutual impact that requires concomitant management. Suggested mechanisms underlying the linkage are disruption of the homeostasis concerning bone remodeling, hormonal balance, and inflammation resolution. A mutual interventional approach is emerging with complex treatment interactions. Prevention and management of both diseases require interdisciplinary approaches and warrants future well-controlled longitudinal and interventional studies for evidence-based clinical guidelines.
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Zurück zum Zitat Huang YF, Chang CT, Liu SP, Muo CH, Tsai CH, Hong HH, et al. The impact of oral hygiene maintenance on the association between periodontitis and osteoporosis: a nationwide population-based cross sectional study. Medicine (Baltimore). 2016;95(6):e2348. This paper from a large national insurance database concludes that the risk for osteoporosis positively correlates with the severity of periodontal disease; and the risk was further increased in patients without regular periodontal maintenance treatment.CrossRefPubMedCentral Huang YF, Chang CT, Liu SP, Muo CH, Tsai CH, Hong HH, et al. The impact of oral hygiene maintenance on the association between periodontitis and osteoporosis: a nationwide population-based cross sectional study. Medicine (Baltimore). 2016;95(6):e2348. This paper from a large national insurance database concludes that the risk for osteoporosis positively correlates with the severity of periodontal disease; and the risk was further increased in patients without regular periodontal maintenance treatment.CrossRefPubMedCentral
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Zurück zum Zitat Jeffcoat MK. Safety of oral bisphosphonates: controlled studies on alveolar bone. Int J Oral Maxillofac Implants. 2006;21(3):349–53.PubMed Jeffcoat MK. Safety of oral bisphosphonates: controlled studies on alveolar bone. Int J Oral Maxillofac Implants. 2006;21(3):349–53.PubMed
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Zurück zum Zitat Reddy MS, Geurs NC, Wang IC, Liu PR, Hsu YT, Jeffcoat RL, et al. Mandibular growth following implant restoration: does Wolff’s law apply to residual ridge resorption? Int J Periodontics Restorative Dent. 2002;22(4):315–21.PubMed Reddy MS, Geurs NC, Wang IC, Liu PR, Hsu YT, Jeffcoat RL, et al. Mandibular growth following implant restoration: does Wolff’s law apply to residual ridge resorption? Int J Periodontics Restorative Dent. 2002;22(4):315–21.PubMed
Metadaten
Titel
Osteoporosis and Periodontitis
verfasst von
Chin-Wei (Jeff) Wang
Laurie K. McCauley
Publikationsdatum
30.09.2016
Verlag
Springer US
Erschienen in
Current Osteoporosis Reports / Ausgabe 6/2016
Print ISSN: 1544-1873
Elektronische ISSN: 1544-2241
DOI
https://doi.org/10.1007/s11914-016-0330-3

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