Relation between Osteoporosis and Alveolar Bone Level in Postmenopausal Women (A clinical and Radiographic Study)

Authors

1 Instructor in Oral Medicine, Periodontology, Oral Diagnosis, and Dental Radiology Department, Faculty of Dental medicine for Girls, Al-Azhar University, Cairo, Egypt

2 Professor of Oral Medicine, Periodontology, Oral Diagnosis, and Dental Radiology Department, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt

3 Professor of Oral Medicine, Periodontology, Oral Diagnosis and Dental Radiology Department, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt

Abstract

Purpose: This study aimed to investigate the possible association of bone mineral density (BMD) with alveolar bone loss in women during post-menopause. Subject and Methods: 60 women after menopause between the ages of 45 and 65 were divided equally into the following three bands using a dual x-ray absorptiometry scan (DXA): Twenty participants in group I were healthy (T-score of -1). Cluster II consisted of 20 women during post-menopause with osteopenia (-1 > T-score > -2.5). 20 osteoporotic females with menopause form cohort III (T-score -2.5 or less). The cementoenamel junction and alveolar crest distance CE-JAC were measured using cone-beam computed tomography images. Results: The relationship between clinical attachment loss (CAL) and linear measures of bone loss at six locations surrounding the most damaged tooth in the maxilla and mandible was favorable in osteopenic and osteoporotic groups (weak to moderate), while negative association in the normal group (poor to mediate).‎ Conclusions: Osteoporosis and periodontal disease were correlated, with the greatest linkage in women who were in post-menopausal stage. So the oral health promotion, including routine dental examination and oral hygiene care, is very beneficial.

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