Devlin Hugh
School of Dentistry, University of Manchester, UK.
Dent Clin North Am. 2012 Oct;56(4):847-61. doi: 10.1016/j.cden.2012.07.010. Epub 2012 Aug 13.
This article describes how dentists can recognize osteoporosis before fractures develop, and discusses whether osteoporosis affects tooth loss or inhibits implant osseointegration. Some success in diagnosing osteoporosis has been obtained using clinical questionnaires that attempt to identify those who have strong risk factors for the disease, and analysis of the sparse trabeculation and thinning of the mandibular cortex often seen in dental panoramic radiographs. The role of osteoporosis in periodontal disease is unclear as there are many conflicting reports, but the evidence suggests that tooth loss may be more prevalent in patients with osteoporosis.
本文描述了牙医如何在骨折发生前识别骨质疏松症，并讨论了骨质疏松症是否会影响牙齿脱落或抑制种植体骨整合。通过使用临床问卷试图识别那些具有该疾病强烈风险因素的人，以及分析牙科全景X光片中常见的下颌骨皮质小梁稀疏和变薄情况，在诊断骨质疏松症方面已取得了一些成功。骨质疏松症在牙周疾病中的作用尚不清楚，因为有许多相互矛盾的报告，但证据表明，骨质疏松症患者的牙齿脱落可能更为普遍。
