Alveolar bone loss in osteoporosis: a loaded and cellular affair?
Identifieur interne : 000790 ( Pmc/Curation ); précédent : 000789; suivant : 000791Alveolar bone loss in osteoporosis: a loaded and cellular affair?
Auteurs : Grethe Jonasson ; Marianne Rythén [Suède]Source :
- Clinical, Cosmetic and Investigational Dentistry [ 1179-1357 ] ; 2016.
Abstract
Maxillary and mandibular bone mirror skeletal bone conditions. Bone remodeling happens at endosteal surfaces where the osteoclasts and osteoblasts are situated. More surfaces means more cells and remodeling. The bone turnover rate in the mandibular alveolar process is probably the fastest in the body; thus, the first signs of osteoporosis may be revealed here. Hormones, osteoporosis, and aging influence the alveolar process and the skeletal bones similarly, but differences in loading between loaded, half-loaded, and unloaded bones are important to consider. Bone mass is redistributed from one location to another where strength is needed. A sparse trabeculation in the mandibular premolar region (large intertrabecular spaces and thin trabeculae) is a reliable sign of osteopenia and a high skeletal fracture risk. Having dense trabeculation (small intertrabecular spaces and well-mineralized trabeculae) is generally advantageous to the individual because of the low fracture risk, but may imply some problems for the clinician.
Url:
DOI: 10.2147/CCIDE.S92774
PubMed: 27471408
PubMed Central: 4948717
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Grethe Jonasson<affiliation><nlm:aff id="af1-ccide-8-095">Department of Behavioral and Community Dentistry, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg</nlm:aff><wicri:noCountry code="subfield">Gothenburg</wicri:noCountry></affiliation><affiliation><nlm:aff id="af2-ccide-8-095">Research and Development Centre, Borås</nlm:aff><wicri:noCountry code="subfield">Borås</wicri:noCountry></affiliation><affiliation><nlm:aff id="af2-ccide-8-095">Research and Development Centre, Borås</nlm:aff><wicri:noCountry code="subfield">Borås</wicri:noCountry></affiliation><affiliation><nlm:aff id="af2-ccide-8-095">Research and Development Centre, Borås</nlm:aff><wicri:noCountry code="subfield">Borås</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="af3-ccide-8-095">Specialist Clinic for Pediatric Dentistry, Public Dental Service, Mölndal, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Specialist Clinic for Pediatric Dentistry, Public Dental Service, Mölndal</wicri:regionArea></affiliation>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Alveolar bone loss in osteoporosis: a loaded and cellular affair?</title><author><name sortKey="Jonasson, Grethe" sort="Jonasson, Grethe" uniqKey="Jonasson G" first="Grethe" last="Jonasson">Grethe Jonasson</name><affiliation><nlm:aff id="af1-ccide-8-095">Department of Behavioral and Community Dentistry, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg</nlm:aff><wicri:noCountry code="subfield">Gothenburg</wicri:noCountry></affiliation><affiliation><nlm:aff id="af2-ccide-8-095">Research and Development Centre, Borås</nlm:aff><wicri:noCountry code="subfield">Borås</wicri:noCountry></affiliation></author><author><name sortKey="Rythen, Marianne" sort="Rythen, Marianne" uniqKey="Rythen M" first="Marianne" last="Rythén">Marianne Rythén</name><affiliation><nlm:aff id="af2-ccide-8-095">Research and Development Centre, Borås</nlm:aff><wicri:noCountry code="subfield">Borås</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="af3-ccide-8-095">Specialist Clinic for Pediatric Dentistry, Public Dental Service, Mölndal, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Specialist Clinic for Pediatric Dentistry, Public Dental Service, Mölndal</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27471408</idno><idno type="pmc">4948717</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4948717</idno><idno type="RBID">PMC:4948717</idno><idno type="doi">10.2147/CCIDE.S92774</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000790</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000790</idno><idno type="wicri:Area/Pmc/Curation">000790</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000790</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Alveolar bone loss in osteoporosis: a loaded and cellular affair?</title><author><name sortKey="Jonasson, Grethe" sort="Jonasson, Grethe" uniqKey="Jonasson G" first="Grethe" last="Jonasson">Grethe Jonasson</name><affiliation><nlm:aff id="af1-ccide-8-095">Department of Behavioral and Community Dentistry, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg</nlm:aff><wicri:noCountry code="subfield">Gothenburg</wicri:noCountry></affiliation><affiliation><nlm:aff id="af2-ccide-8-095">Research and Development Centre, Borås</nlm:aff><wicri:noCountry code="subfield">Borås</wicri:noCountry></affiliation></author><author><name sortKey="Rythen, Marianne" sort="Rythen, Marianne" uniqKey="Rythen M" first="Marianne" last="Rythén">Marianne Rythén</name><affiliation><nlm:aff id="af2-ccide-8-095">Research and Development Centre, Borås</nlm:aff><wicri:noCountry code="subfield">Borås</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="af3-ccide-8-095">Specialist Clinic for Pediatric Dentistry, Public Dental Service, Mölndal, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Specialist Clinic for Pediatric Dentistry, Public Dental Service, Mölndal</wicri:regionArea></affiliation></author></analytic><series><title level="j">Clinical, Cosmetic and Investigational Dentistry</title><idno type="eISSN">1179-1357</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Maxillary and mandibular bone mirror skeletal bone conditions. Bone remodeling happens at endosteal surfaces where the osteoclasts and osteoblasts are situated. More surfaces means more cells and remodeling. The bone turnover rate in the mandibular alveolar process is probably the fastest in the body; thus, the first signs of osteoporosis may be revealed here. Hormones, osteoporosis, and aging influence the alveolar process and the skeletal bones similarly, but differences in loading between loaded, half-loaded, and unloaded bones are important to consider. Bone mass is redistributed from one location to another where strength is needed. A sparse trabeculation in the mandibular premolar region (large intertrabecular spaces and thin trabeculae) is a reliable sign of osteopenia and a high skeletal fracture risk. Having dense trabeculation (small intertrabecular spaces and well-mineralized trabeculae) is generally advantageous to the individual because of the low fracture risk, but may imply some problems for the clinician.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Von Wowern, N" uniqKey="Von Wowern N">N Von Wowern</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kribbs, Pj" uniqKey="Kribbs P">PJ Kribbs</name></author><author><name sortKey="Chesnut, Ch" uniqKey="Chesnut C">CH Chesnut</name></author><author><name sortKey="Ott, Sm" uniqKey="Ott S">SM Ott</name></author><author><name sortKey="Kilcoyne, Rf" uniqKey="Kilcoyne R">RF Kilcoyne</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Southard, Ka" uniqKey="Southard K">KA Southard</name></author><author><name sortKey="Southard, Te" uniqKey="Southard T">TE Southard</name></author><author><name sortKey="Schlechte, Ja" 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Clin Cosmet Investig Dent</journal-id><journal-id journal-id-type="iso-abbrev">Clin Cosmet Investig Dent</journal-id><journal-id journal-id-type="publisher-id">Clinical, Cosmetic and Investigational Dentistry</journal-id><journal-title-group><journal-title>Clinical, Cosmetic and Investigational Dentistry</journal-title></journal-title-group><issn pub-type="epub">1179-1357</issn><publisher><publisher-name>Dove Medical Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27471408</article-id><article-id pub-id-type="pmc">4948717</article-id><article-id pub-id-type="doi">10.2147/CCIDE.S92774</article-id><article-id pub-id-type="publisher-id">ccide-8-095</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review</subject></subj-group></article-categories><title-group><article-title>Alveolar bone loss in osteoporosis: a loaded and cellular affair?</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Jonasson</surname><given-names>Grethe</given-names></name><xref ref-type="aff" rid="af1-ccide-8-095">1</xref><xref ref-type="aff" rid="af2-ccide-8-095">2</xref><xref ref-type="corresp" rid="c1-ccide-8-095"></xref></contrib><contrib contrib-type="author"><name><surname>Rythén</surname><given-names>Marianne</given-names></name><xref ref-type="aff" rid="af2-ccide-8-095">2</xref><xref ref-type="aff" rid="af3-ccide-8-095">3</xref></contrib></contrib-group><aff id="af1-ccide-8-095"><label>1</label>Department of Behavioral and Community Dentistry, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg</aff><aff id="af2-ccide-8-095"><label>2</label>Research and Development Centre, Borås</aff><aff id="af3-ccide-8-095"><label>3</label>Specialist Clinic for Pediatric Dentistry, Public Dental Service, Mölndal, Sweden</aff><author-notes><corresp id="c1-ccide-8-095">Correspondence: Grethe Jonasson, Research and Development Centre, Sven Eriksonplatsen 4, 50338 Borås, Sweden, Tel +46 70 928 5671, Email <email>grethe.jonasson@vgregion.se</email></corresp></author-notes><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>13</day><month>7</month><year>2016</year></pub-date><volume>8</volume><fpage>95</fpage><lpage>103</lpage><permissions><copyright-statement>© 2016 Jonasson and Rythén. This work is published and licensed by Dove Medical Press Limited</copyright-statement><copyright-year>2016</copyright-year><license><license-p>The full terms of this license are available at <ext-link ext-link-type="uri" xlink:href="https://www.dovepress.com/terms.php">https://www.dovepress.com/terms.php</ext-link> and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.</license-p></license></permissions><abstract><p>Maxillary and mandibular bone mirror skeletal bone conditions. Bone remodeling happens at endosteal surfaces where the osteoclasts and osteoblasts are situated. More surfaces means more cells and remodeling. The bone turnover rate in the mandibular alveolar process is probably the fastest in the body; thus, the first signs of osteoporosis may be revealed here. Hormones, osteoporosis, and aging influence the alveolar process and the skeletal bones similarly, but differences in loading between loaded, half-loaded, and unloaded bones are important to consider. Bone mass is redistributed from one location to another where strength is needed. A sparse trabeculation in the mandibular premolar region (large intertrabecular spaces and thin trabeculae) is a reliable sign of osteopenia and a high skeletal fracture risk. Having dense trabeculation (small intertrabecular spaces and well-mineralized trabeculae) is generally advantageous to the individual because of the low fracture risk, but may imply some problems for the clinician.</p></abstract><kwd-group><title>Keywords</title><kwd>bone density</kwd><kwd>bone fracture</kwd><kwd>human</kwd><kwd>mandible</kwd><kwd>radiography</kwd><kwd>periodontitis</kwd></kwd-group></article-meta></front><floats-group><fig id="f1-ccide-8-095" position="float"><label>Figure 1</label><caption><p>The three panoramic radiographs show the large variation in bone mass, trabeculation, and basal cortex in persons 79- or 80-years-old.</p><p><bold>Notes:</bold> (<bold>A</bold>) Shows a male with dense trabecular bone and thick basal compacta, (<bold>B</bold>) a female with sparse trabecular bone and thin eroded compacta, and (<bold>C</bold>) an old edentulous female with extremely resorbed alveolar process.</p></caption><graphic xlink:href="ccide-8-095Fig1"></graphic></fig><fig id="f2-ccide-8-095" position="float"><label>Figure 2</label><caption><p>The radiograph is of a 48-year-old osteoporotic female. The trabecular network is disrupted in two locations around the second premolar.</p><p><bold>Notes:</bold> The vertical trabeculae have disappeared, whereas the horizontal ones have been reinforced.</p></caption><graphic xlink:href="ccide-8-095Fig2"></graphic></fig><fig id="f3-ccide-8-095" position="float"><label>Figure 3</label><caption><p>Visual index for assessment of cortical shape.</p><p><bold>Notes:</bold> Reference images presenting dense trabeculation and a normal mandibular cortex with even and sharp endosteal margin (<bold>A</bold>), mixed trabeculation, and a moderately eroded cortex with endosteal margin showing semilunar defects (<bold>B</bold>), sparse trabeculation, and severely eroded cortex, with the cortical layer being clearly porous (<bold>C</bold>).</p></caption><graphic xlink:href="ccide-8-095Fig3"></graphic></fig><fig id="f4-ccide-8-095" position="float"><label>Figure 4</label><caption><p>Visual index for assessment of trabecular bone.</p><p><bold>Notes:</bold> Reference images presenting the trabecular pattern as sparse trabeculation in females with: large intertrabecular spaces (<bold>A</bold>); mixed dense plus sparse trabeculation with small intertrabecular spaces cervically and larger spaces more apically (<bold>B</bold>); and dense trabeculation with small intertrabecular spaces (<bold>C</bold>).</p></caption><graphic xlink:href="ccide-8-095Fig4"></graphic></fig><fig id="f5-ccide-8-095" position="float"><label>Figure 5</label><caption><p>Kaplan–Meier survival curve showing cumulative “fracture” survival and risk time for fracture in three different trabeculation groups.</p><p><bold>Notes:</bold> 1) Survival of women with dense trabeculation, 2) mixed trabeculation, and 3) sparse trabeculation. Risk time represents the time interval between baseline assessment and fracture event. All participants included (n=518), started “fracture-free” at baseline (1980) and experienced 136 first, incident fractures during the period 1980–2006.</p></caption><graphic xlink:href="ccide-8-095Fig5"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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