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Osteoporosis and periodontitis in older subjects participating in the Swedish National Survey on Aging and Care (SNAC-Blekinge)
Kristianstad University, School of Health and Society. (Oral hälsa)ORCID iD: 0000-0003-0992-2362
Blekinge Institute of Technology, Karlskrona.
Department of Periodontology, University of Bern.
Kristianstad University, School of Health and Society. (Oral hälsa)ORCID iD: 0000-0002-3620-5978
2011 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, Vol. 69, no 4, 201-207 p.Article in journal (Refereed) Published
Abstract [en]

Objective. We assessed the relationships between (I) ultrasonography calcaneus T-scores (PIXI) and mandibular cortex characteristics on oral panoramic radiographs in older subjects; and (II) osteoporosis and periodontitis. Material and methods. We examined 778 subjects (53% women) aged 59-96 years. Periodontitis was defined by alveolar bone loss assessed from panoramic radiographs. Results. PIXI calcaneus T-values <=-2.5 (osteoporosis) were found in 16.3% of women and in 8.1% of men. PIXI calcaneus T-values <-1.6 (osteoporosis, adjusted) were found in 34.2% of women and in 21.4% of men. The age of the subjects and PIXI T-values were significantly correlated in women (Pearson's r = 0.37, P < 0.001) and men (Pearson's r = 0.19, P < 0.001). Periodontitis was found in 18.7% of subjects defined by alveolar bone level >= 5 mm. Subjects with osteoporosis defined by adjusted PIXI T-values had fewer remaining teeth [mean difference 4.1, 95% confidence interval (CI) -1.1 to -6.5, P < 0.001]. The crude odds ratio (OR) of an association between the panoramic assessment of mandibular cortex erosions as a sign of osteoporosis and the adjusted T-value (T-value cut-off <-1.6) was 4.8 (95% CI 3.1-7.2, P < 0.001; Pearson chi(2) = 60.1, P < 0.001). A significant OR between osteoporosis and periodontitis was only found in women for the T-value cut-off <=-2.5 (crude OR 1.8, 95% CI 1.1-3.3, P < 0.03). Conclusions. An association between osteoporosis and periodontitis was only confirmed in women. The likelihood that the mandibular cortex index agrees with adjusted PIXI T-values is significant.

Place, publisher, year, edition, pages
2011. Vol. 69, no 4, 201-207 p.
Keyword [en]
Calcaneus PIXI, osteoporosis, panoramic radiography, periodontitis, bone-mineral density, dental panoramic radiographs, postmenopausal, women, reference-population, mandibular cortex, risk-assessment, japanese women, fracture risk, tooth loss, disease
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hkr:diva-8791DOI: 10.3109/00016357.2010.549501ISI: 000291944600002PubMedID: 21254955OAI: oai:DiVA.org:hkr-8791DiVA: diva2:462344
Available from: 2011-12-07 Created: 2011-12-06 Last updated: 2014-09-18Bibliographically approved

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CiteExportLink to record
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Citation style
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