Suresh Snophia, Kumar T S S, Saraswathy P K, Pani Shankar K H
Reader, Department of Periodontics, Thaimoogambigai Dental College, Chennai, India.
J Indian Soc Periodontol. 2010 Jan;14(1):30-4. doi: 10.4103/0972-124X.65434.
The aim of the study was to assess the relationship between bone mineral density and periodontitis in premenopausal and postmenopausal women.
Twenty women between the age group of 45-55 years were selected for this study. Ten premenopausal women with healthy periodontium constituted the control group and 10 postmenopausal women with ≥2mm of clinical attachment loss in >30% of sites constituted the study group. All patients were assessed for plaque index, probing depth and clinical attachment loss. Radiographs (six IOPA and two posterior bitewing) were taken and assessed for interproximal alveolar bone loss. The patients were scanned to assess the bone mineral density of lumbar spine (L2) and femur using dual energy X-ray absorptiometry (DEXA).
The bone mineral densities of lumbar spine (L2) and femur were significantly lower in the study group than the control group. Osteopenia of the lumbar spine and femur was observed in 60% whereas osteoporosis of lumbar spine was observed in 30% of cases in study group.
Increased proportion of osteopenia and osteoporosis cases of lumbar spine and femur in postmenopausal women with periodontitis suggests that there is association between bone mineral density and periodontitis.
本研究旨在评估绝经前和绝经后女性骨密度与牙周炎之间的关系。
本研究选取了20名年龄在45 - 55岁之间的女性。10名牙周组织健康的绝经前女性组成对照组,10名在超过30%的位点临床附着丧失≥2mm的绝经后女性组成研究组。对所有患者进行菌斑指数、探诊深度和临床附着丧失的评估。拍摄根尖片(六张上颌根尖片和两张后牙咬合翼片)并评估邻面牙槽骨丧失情况。使用双能X线吸收法(DEXA)对患者进行扫描以评估腰椎(L2)和股骨的骨密度。
研究组腰椎(L2)和股骨的骨密度显著低于对照组。研究组中60%的患者腰椎和股骨存在骨质减少,30%的患者腰椎存在骨质疏松。
患有牙周炎的绝经后女性腰椎和股骨骨质减少及骨质疏松病例比例增加,提示骨密度与牙周炎之间存在关联。