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绝经后女性的牙周疾病及其与骨质疏松症的关系

[Periodontal disease in women in post-menopause and its relationship with osteoporosis].

作者信息

Bertulucci Lívia de Almeida Barros, Pereira Flavia Maria Barros Guimarães, de Oliveira Ana Emília Figueiredo, Brito Luciane Maria Oliveira, Lopes Fernanda Ferreira

机构信息

Universidade Federal do Maranhão - UFMA, São Luís, MA, Brasil.

出版信息

Rev Bras Ginecol Obstet. 2012 Dec;34(12):563-7. doi: 10.1590/s0100-72032012001200006.

Abstract

PURPOSE

To investigate the relationship between periodontitis and osteoporosis, using a case-control study about periodontal status of postmenopausal women.

METHODS

A total of 99 postmenopausal women were divided into three groups: normal bone (Gn, n=45), osteopenia (Gpenia, n=31) and osteoporosis (Gporosis, n=23). The categorization of bone mass was measured by dual energy absorptiometry with X-rays in the lumbar spine (L2 - L4), by assessing bone mineral density. Clinical attachment level (CAL), gingival bleeding index (GI), plaque index (PI), and probing depth (PD) were determined in all participants by a single examiner. The data were submitted to BioEstat 2.0 software through parametric analysis of variance (ANOVA) and the Bonferroni test, with the level of significance set at 5%.

RESULTS

Women with osteoporosis presented the highest percentage of periodontal disease, with higher average CAL (2.6±0.4 mm) and PD (2.8±0.6 mm), GI (72.8±25.9 mm) and PI (72.9±24.2 mm). Statistical analysis revealed a significant difference in periodontal situation between Gn and Gporosis (p=0,01) and between Gpenia and Gporosis (p=0,03).

CONCLUSION

Osteoporosis may have an influence on periodontal condition, based on the relation between periodontitis and osteoporosis in postmenopausal women.

摘要

目的

通过一项关于绝经后女性牙周状况的病例对照研究,探讨牙周炎与骨质疏松症之间的关系。

方法

总共99名绝经后女性被分为三组:骨量正常组(Gn,n = 45)、骨量减少组(Gpenia,n = 31)和骨质疏松组(Gporosis,n = 23)。通过腰椎(L2 - L4)双能X线吸收法测量骨量分类,评估骨矿物质密度。由一名检查者测定所有参与者的临床附着水平(CAL)、牙龈出血指数(GI)、菌斑指数(PI)和探诊深度(PD)。数据通过方差参数分析(ANOVA)和Bonferroni检验提交至BioEstat 2.0软件,显著性水平设定为5%。

结果

骨质疏松女性的牙周疾病百分比最高,平均CAL(2.6±0.4毫米)、PD(2.8±0.6毫米)、GI(72.8±25.9毫米)和PI(72.9±24.2毫米)更高。统计分析显示,Gn组和Gporosis组之间(p = 0.01)以及Gpenia组和Gporosis组之间(p = 0.03)的牙周状况存在显著差异。

结论

基于绝经后女性牙周炎与骨质疏松症之间的关系,骨质疏松症可能对牙周状况有影响。

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