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Longitudinal Study of Periodontal Disease and Edentulism With Rates of Bone Loss in Older Women

Identifieur interne : 002707 ( Pmc/Curation ); précédent : 002706; suivant : 002708

Longitudinal Study of Periodontal Disease and Edentulism With Rates of Bone Loss in Older Women

Auteurs : P. Famili ; J. Cauley ; J. B. Suzuki ; R. Weyant

Source :

Journal of periodontology [ 0022-3492 ] ; 2005.

RBID : PMC:1868483

Abstract

Background

Previous cross-sectional studies have suggested a link between periodontal disease and osteoporosis. The purpose of the present study is to evaluate the association between changes in bone mineral density (BMD) and clinical signs of periodontal tissue destruction and tooth loss over a 2-year period.

Methods

A total of 398 women (mean age 75.5 years) were randomly selected for an ancillary study of periodontal disease; osteoporosis in association with the presence or absence of teeth was evaluated. Osteoporosis in association with periodontal disease was also evaluated. All subjects were participants at the Pittsburgh Clinical Center for the Study of Osteoporotic Fractures (SOF), a prospective cohort study of women 65 years of age or older designed to determine risk factors for fractures. Oral health examinations, including periodontal probing and attachment loss, were performed at the fourth clinical visit, an average of 6 years after baseline. BMD of the total hip and its subregions was measured using dual energy x-ray absorptiometry at the time of dental examination and 2 years later. Results are expressed as annual percentage change.

Results

A total of 145 (36.4%) women were edentulous and 163 (80.7%) of the dentate women (N = 253) had periodontal disease. Dentate women reported higher education (P <0.001) and a higher calcium intake (P = 0.002). Absolute BMD and percentage change in BMD were similar in dentate and edentulous women. We found no difference in BMD or in absolute or percentage change in BMD between women with or without periodontal disease.

Conclusion

Little evidence exists for an association between edentulousness, periodontal disease, and longitudinal changes in BMD.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1868483

PubMed: 15830632
PubMed Central: 1868483

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P. Famili

<affiliation><nlm:aff id="A1"> University of Pittsburgh School of Dental Medicine, Department of Periodontics, Pittsburgh, PA.</nlm:aff>
<wicri:noCountry code="subfield">PA.</wicri:noCountry>
</affiliation>

J. Cauley

<affiliation><nlm:aff id="A2"> University of Pittsburgh Graduate School of Public Health, Department of Epidemiology.</nlm:aff>
<wicri:noCountry code="subfield">Department of Epidemiology.</wicri:noCountry>
</affiliation>

J. B. Suzuki

<affiliation><nlm:aff id="A3"> Formerly, University of Pittsburgh School of Dental Medicine; currently, Temple University School of Dental Medicine, Philadelphia, PA.</nlm:aff>
<wicri:noCountry code="subfield">PA.</wicri:noCountry>
</affiliation>

R. Weyant

<affiliation><nlm:aff id="A1"> University of Pittsburgh School of Dental Medicine, Department of Periodontics, Pittsburgh, PA.</nlm:aff>
<wicri:noCountry code="subfield">PA.</wicri:noCountry>
</affiliation>

Le document en format XML

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<author><name sortKey="Famili, P" sort="Famili, P" uniqKey="Famili P" first="P." last="Famili">P. Famili</name>
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<author><name sortKey="Weyant, R" sort="Weyant, R" uniqKey="Weyant R" first="R." last="Weyant">R. Weyant</name>
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<author><name sortKey="Suzuki, J B" sort="Suzuki, J B" uniqKey="Suzuki J" first="J. B." last="Suzuki">J. B. Suzuki</name>
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<wicri:noCountry code="subfield">PA.</wicri:noCountry>
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<author><name sortKey="Weyant, R" sort="Weyant, R" uniqKey="Weyant R" first="R." last="Weyant">R. Weyant</name>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1"> Previous cross-sectional studies have suggested a link between periodontal disease and osteoporosis. The purpose of the present study is to evaluate the association between changes in bone mineral density (BMD) and clinical signs of periodontal tissue destruction and tooth loss over a 2-year period.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2"> A total of 398 women (mean age 75.5 years) were randomly selected for an ancillary study of periodontal disease; osteoporosis in association with the presence or absence of teeth was evaluated. Osteoporosis in association with periodontal disease was also evaluated. All subjects were participants at the Pittsburgh Clinical Center for the Study of Osteoporotic Fractures (SOF), a prospective cohort study of women 65 years of age or older designed to determine risk factors for fractures. Oral health examinations, including periodontal probing and attachment loss, were performed at the fourth clinical visit, an average of 6 years after baseline. BMD of the total hip and its subregions was measured using dual energy x-ray absorptiometry at the time of dental examination and 2 years later. Results are expressed as annual percentage change.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3"> A total of 145 (36.4%) women were edentulous and 163 (80.7%) of the dentate women (N = 253) had periodontal disease. Dentate women reported higher education (<italic>P</italic>
 <0.001) and a higher calcium intake (<italic>P</italic>
 = 0.002). Absolute BMD and percentage change in BMD were similar in dentate and edentulous women. We found no difference in BMD or in absolute or percentage change in BMD between women with or without periodontal disease.</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P4"> Little evidence exists for an association between edentulousness, periodontal disease, and longitudinal changes in BMD.</p>
</sec>
</div>
</front>
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  <front><journal-meta><journal-id journal-id-type="nlm-journal-id">8000345</journal-id>
<journal-id journal-id-type="pubmed-jr-id">5144</journal-id>
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<journal-title>Journal of periodontology</journal-title>
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<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Longitudinal Study of Periodontal Disease and Edentulism With Rates of Bone Loss in Older Women</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Famili</surname>
<given-names>P.</given-names>
</name>
<xref rid="A1" ref-type="aff">*</xref>
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<contrib contrib-type="author"><name><surname>Cauley</surname>
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<contrib contrib-type="author"><name><surname>Suzuki</surname>
<given-names>J.B.</given-names>
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<xref rid="A3" ref-type="aff">‡</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Weyant</surname>
<given-names>R.</given-names>
</name>
<xref rid="A1" ref-type="aff">*</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>*</label>
 University of Pittsburgh School of Dental Medicine, Department of Periodontics, Pittsburgh, PA.</aff>
<aff id="A2"><label>†</label>
 University of Pittsburgh Graduate School of Public Health, Department of Epidemiology.</aff>
<aff id="A3"><label>‡</label>
 Formerly, University of Pittsburgh School of Dental Medicine; currently, Temple University School of Dental Medicine, Philadelphia, PA.</aff>
<author-notes><corresp id="FN1">Correspondence: Dr. Pouran Famili, Department of Periodontics, School of Dental Medicine, University of Pittsburgh, Room B-119, Salk Hall, Pittsburgh, PA 15261. E-mail: <email>pof@pitt.edu</email>
.</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>16</day>
<month>3</month>
<year>2007</year>
</pub-date>
<pub-date pub-type="ppub"><month>1</month>
<year>2005</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>14</day>
<month>5</month>
<year>2007</year>
</pub-date>
<volume>76</volume>
<issue>1</issue>
<fpage>11</fpage>
<lpage>15</lpage>
<abstract><sec id="S1"><title>Background</title>
<p id="P1"> Previous cross-sectional studies have suggested a link between periodontal disease and osteoporosis. The purpose of the present study is to evaluate the association between changes in bone mineral density (BMD) and clinical signs of periodontal tissue destruction and tooth loss over a 2-year period.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2"> A total of 398 women (mean age 75.5 years) were randomly selected for an ancillary study of periodontal disease; osteoporosis in association with the presence or absence of teeth was evaluated. Osteoporosis in association with periodontal disease was also evaluated. All subjects were participants at the Pittsburgh Clinical Center for the Study of Osteoporotic Fractures (SOF), a prospective cohort study of women 65 years of age or older designed to determine risk factors for fractures. Oral health examinations, including periodontal probing and attachment loss, were performed at the fourth clinical visit, an average of 6 years after baseline. BMD of the total hip and its subregions was measured using dual energy x-ray absorptiometry at the time of dental examination and 2 years later. Results are expressed as annual percentage change.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3"> A total of 145 (36.4%) women were edentulous and 163 (80.7%) of the dentate women (N = 253) had periodontal disease. Dentate women reported higher education (<italic>P</italic>
 <0.001) and a higher calcium intake (<italic>P</italic>
 = 0.002). Absolute BMD and percentage change in BMD were similar in dentate and edentulous women. We found no difference in BMD or in absolute or percentage change in BMD between women with or without periodontal disease.</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P4"> Little evidence exists for an association between edentulousness, periodontal disease, and longitudinal changes in BMD.</p>
</sec>
</abstract>
<kwd-group><kwd>Bone density</kwd>
<kwd>cross-sectional studies</kwd>
<kwd>elderly</kwd>
<kwd>osteoporosis</kwd>
<kwd>periodontal diseases/complications</kwd>
<kwd>risk factors</kwd>
<kwd>women’s health</kwd>
</kwd-group>
<contract-num rid="RR1">M01 RR000056-448877</contract-num>
<contract-sponsor id="RR1">National Center for Research Resources : NCRR</contract-sponsor>
</article-meta>
</front>
</pmc>
</record>

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Longitudinal Study of Periodontal Disease and Edentulism With Rates of Bone Loss in Older Women

Longitudinal Study of Periodontal Disease and Edentulism With Rates of Bone Loss in Older Women

Source :

Abstract

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