Number of teeth and residual alveolar ridge height in subjects with a history of self-reported osteoporotic fractures
Identifieur interne : 002121 ( Main/Exploration ); précédent : 002120; suivant : 002122Number of teeth and residual alveolar ridge height in subjects with a history of self-reported osteoporotic fractures
Auteurs : Anne-Marie Bollen [États-Unis] ; Akira Taguchi [Japon] ; Philippe P. Hujoel [États-Unis] ; Lars G. Hollender [États-Unis]Source :
- Osteoporosis international [ 0937-941X ] ; 2004.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme, Historique.
English descriptors
- KwdEn :
Abstract
The purpose of this case-control study was to determine if elderly subjects with a history of osteoporotic fractures have fewer teeth and greater residual ridge resorption than subjects without such fractures. Patients older than 60 with a panoramic radiograph were invited to a phone interview. Information was obtained regarding fracture history, smoking, and hormone replacement therapy (HRT). The number of teeth was obtained from the panoramic radiograph. The residual ridge height of the edentulous mandible was measured at the site of the mental foramen. Multiple regression models were used to assess the association between fracture status and number of teeth or residual ridge height (controlling for age, gender, HRT, smoking, height and weight). Cases (n=93) were individuals reporting osteoporotic fractures (fractures occurring after minor impact). Controls (n = 394) were individuals reporting traumatic fractures (n = 105) or no fractures (n = 289). Fracture status in this population affect neither the number of teeth nor the residual ridge height. In the regression model, the variables that had a statistically-significant effect on the number of teeth were age (p<0.0001) and smoking (p<0.0001). There was a dose-effect of smoking on the number of teeth. In the regression model, the variables that had a significantly-significant on residual ridge height (n=95 edentulous subjects) were age and gender. Our conclusion was that in elderly dental-school patients the number of teeth and residual ridge height were not influenced by fracture status. Age and smoking had the most influence; there was no effect from HRT. The clinical implication is that a history of osteoporotic fractures is not an important cause for tooth loss and residual ridge resorption in an elderly dental-school population.
Affiliations:
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Hujoel</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Dental Public Health Sciences, School of Dentistry, University of Washington</s1><s2>Seattle, WA 98195</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Washington (État)</region><settlement type="city">Seattle</settlement></placeName><orgName type="university">Université de Washington</orgName></affiliation></author><author><name sortKey="Hollender, Lars G" sort="Hollender, Lars G" uniqKey="Hollender L" first="Lars G." last="Hollender">Lars G. Hollender</name><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Department of Oral Medicine, School of Dentistry, University of Washington</s1><s2>Seattle, WA 98195</s2><s3>USA</s3><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Washington (État)</region><settlement type="city">Seattle</settlement></placeName><orgName type="university">Université de Washington</orgName></affiliation></author></analytic><series><title level="j" type="main">Osteoporosis international</title><title level="j" type="abbreviated">Osteoporos. int.</title><idno type="ISSN">0937-941X</idno><imprint><date when="2004">2004</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Osteoporosis international</title><title level="j" type="abbreviated">Osteoporos. int.</title><idno type="ISSN">0937-941X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Body size</term><term>Case history</term><term>Fracture</term><term>Height</term><term>Human</term><term>Osteoporosis</term><term>Tooth</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Ostéoporose</term><term>Dent</term><term>Hauteur</term><term>Taille corporelle</term><term>Homme</term><term>Historique</term><term>Fracture</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term><term>Historique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The purpose of this case-control study was to determine if elderly subjects with a history of osteoporotic fractures have fewer teeth and greater residual ridge resorption than subjects without such fractures. Patients older than 60 with a panoramic radiograph were invited to a phone interview. Information was obtained regarding fracture history, smoking, and hormone replacement therapy (HRT). The number of teeth was obtained from the panoramic radiograph. The residual ridge height of the edentulous mandible was measured at the site of the mental foramen. Multiple regression models were used to assess the association between fracture status and number of teeth or residual ridge height (controlling for age, gender, HRT, smoking, height and weight). Cases (n=93) were individuals reporting osteoporotic fractures (fractures occurring after minor impact). Controls (n = 394) were individuals reporting traumatic fractures (n = 105) or no fractures (n = 289). Fracture status in this population affect neither the number of teeth nor the residual ridge height. In the regression model, the variables that had a statistically-significant effect on the number of teeth were age (p<0.0001) and smoking (p<0.0001). There was a dose-effect of smoking on the number of teeth. In the regression model, the variables that had a significantly-significant on residual ridge height (n=95 edentulous subjects) were age and gender. Our conclusion was that in elderly dental-school patients the number of teeth and residual ridge height were not influenced by fracture status. Age and smoking had the most influence; there was no effect from HRT. The clinical implication is that a history of osteoporotic fractures is not an important cause for tooth loss and residual ridge resorption in an elderly dental-school population.</div></front></TEI><affiliations><list><country><li>Japon</li><li>États-Unis</li></country><region><li>Washington (État)</li></region><settlement><li>Seattle</li></settlement><orgName><li>Université de Washington</li></orgName></list><tree><country name="États-Unis"><region name="Washington (État)"><name sortKey="Bollen, Anne Marie" sort="Bollen, Anne Marie" uniqKey="Bollen A" first="Anne-Marie" last="Bollen">Anne-Marie Bollen</name></region><name sortKey="Hollender, Lars G" sort="Hollender, Lars G" uniqKey="Hollender L" first="Lars G." last="Hollender">Lars G. Hollender</name><name sortKey="Hujoel, Philippe P" sort="Hujoel, Philippe P" uniqKey="Hujoel P" first="Philippe P." last="Hujoel">Philippe P. Hujoel</name></country><country name="Japon"><noRegion><name sortKey="Taguchi, Akira" sort="Taguchi, Akira" uniqKey="Taguchi A" first="Akira" last="Taguchi">Akira Taguchi</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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