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Periodontal Disease and Osteoporosis

Periodontal disease is characterized by a progressive loss of supportive gingival tissue in the gums and jawbone.  It is the number one cause of tooth loss among adults in the developed world.  Periodontal disease occurs when toxins found in oral plaque inflame and irritate the soft tissues surrounding the teeth.  If left untreated, bacteria colonies initially cause the systematic destruction of gum tissue, and then proceed to destroy the underlying bone tissue.

Osteoporosis is a common metabolic bone disease which frequently occurs in postmenopausal women, and occurs less frequently in men.  Osteoporosis is characterized by bone fragility, low bone mass and a decrease in bone mineral density.  Many studies have explored and identified a connection between periodontal disease and osteoporosis.

A study conducted at the University of New York at Buffalo in 1995 concluded that post-menopausal women who suffered from osteoporosis were 86% more likely to also develop periodontal disease.

Reasons for the Connection

Though studies are still being conducted in order to further assess the extent of the relationship between osteoporosis and periodontal disease, the researchers have thus far made the following connections:

  • Estrogen deficiency – Estrogen deficiency accompanies menopause and also speeds up the progression of oral bone loss.  The lack of estrogen accelerates the rate of attachment loss (fibers and tissues which keep the teeth stable are destroyed).

  • Low mineral bone density – This is thought to be one of several causes of osteoporosis, and the inflammation from periodontal disease makes weakened bones more prone to break down.  This is why periodontitis can be more progressive in patients with osteoporosis.

Diagnosis and Treatment

Osteoporosis and periodontal disease are much less dangerous if they are diagnosed in the early stages.  Once a diagnosis has been made, the dentist will generally work with the patient’s doctor to ensure that both diseases are effectively controlled.

Here are some methods commonly used to diagnose and treat the diseases:

  • Routine dental X-rays – X-rays can be effectively used to screen for bone loss in the upper and lower jaw, and the dentist can provide interventions for preventing and treating periodontal disease.  It is believed that minimizing periodontal disease will help treat osteoporosis.

  • Estrogen supplements – Providing post-menopausal women with estrogen supplements lowers the rate of attachment loss and also lowers gingival inflammation, which in turn protects the teeth from periodontal disease.

  • Assessment of risk factors – Dentists and doctors are able to closely monitor the patients that are at an increased risk of developing both diseases by assessing family history, medical history, X-ray results, current medications and modifiable risk factors.  Tobacco use, obesity, poor diet and estrogen deficiency can all be managed using a combination of education, support and prescription medications.

If you have any questions about periodontal disease and its connection with osteoporosis, please contact our practice.

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Do you fear going to the dentist? If you do, this is the place for you. Elite Dental is where you want to go not only because they offer sedation, but because they have the most up to date service and are always learning more. At Elite Dental you are treated as a person, not just a number by Dr. Johnson and Dr. Chaney. They have the most caring staff I have ever had the pleasure to meet, right down to the front desk. At Elite Dental you feel so relax and comfortable. I would recommend Elite Dental to anyone.

Joanne Newell

You simply cannot beat Elite Dental! Dr. Chaney and the Elite staff are top of the line. They take very intentional steps to get to know the individual needs of their patients and develop a plan that works for you! They are excellent communicators and take a personal interest in each individual. Their facilities and care are the very best you will find!

Kenny Cobble

If you are looking for a dentist, you will not be able to beat Elite Dental. Dr. Chaney and the staff work to get to know you and your dental needs. They will work with you to determine what is best for you. They don't try to over-sell you, but they will go through everything with you and lay out multiple options for you, along with the pluses and minuses of each. You are treated like a friend, not just a patient or a number.

They are very professional and do a wonderful job. They do everything they can to make you comfortable and at ease. I feel really blessed that I found them.

Kenneth Lamb

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