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印度女性牙齿松动度与全身骨矿物质密度及牙周状况的相关性

Correlation of tooth mobility with systemic bone mineral density and periodontal status in Indian women.

作者信息

Singh Anuradha, Sharma Rajinder K, Tewari Shikha, Narula Satish C

机构信息

Department of Periodontics and Oral Implantology, Government Dental College, Rohtak, Haryana, India.

出版信息

J Oral Sci. 2012;54(2):177-82. doi: 10.2334/josnusd.54.177.

Abstract

Imbalanced bone remodelling associated with osteopaenic or osteoporotic conditions can lead to a net bone loss throughout the skeleton, including the oral cavity, possibly leading to tooth mobility. This study investigated possible associations between systemic bone mineral density and both tooth mobility and periodontal status in peri-menopausal women. Subjects comprised 119 dentate, peri-menopausal Indian women between 40 and 54 years old. Clinical parameters recorded were systemic bone mineral density (BMD), tooth mobility in terms of Periotest value (PTV score), clinical attachment loss (CAL), pocket depth (PD), plaque index (PI) and sulcular bleeding index (SBI). Statistical analysis was performed to assess correlations between PTV score and T-score. PTV score correlated significantly (P < 0.05) with T-score, PD and CAL. The partial correlation coefficient between PTV score and T-score after adjusting for confounders was -0.3676 (P < 0.05). Results of one-way analysis of variance showed a significant difference between mean PTV scores for osteoporotic, osteopaenic and normal patients. In this population of peri-menopausal women, systemic bone mineral density represented an independent factor associated with tooth mobility.

摘要

与骨质减少或骨质疏松症相关的骨重塑失衡会导致包括口腔在内的整个骨骼出现净骨丢失,这可能会导致牙齿松动。本研究调查了围绝经期女性全身骨矿物质密度与牙齿松动及牙周状况之间可能存在的关联。研究对象包括119名年龄在40至54岁之间的有牙的围绝经期印度女性。记录的临床参数包括全身骨矿物质密度(BMD)、根据牙周测试值(PTV评分)得出的牙齿松动度、临床附着丧失(CAL)、牙周袋深度(PD)、菌斑指数(PI)和龈沟出血指数(SBI)。进行统计分析以评估PTV评分与T评分之间的相关性。PTV评分与T评分、PD和CAL显著相关(P < 0.05)。在调整混杂因素后,PTV评分与T评分之间的偏相关系数为-0.3676(P < 0.05)。单因素方差分析结果显示,骨质疏松症患者、骨质减少患者和正常患者的平均PTV评分之间存在显著差异。在这群围绝经期女性中,全身骨矿物质密度是与牙齿松动相关的一个独立因素。

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