OSTEOPOROSIS AND ITS PROSTHODOCTIC CONSIDERATIONS- A REVIEW
Abstract
Osteoporosis is a disease of bone which is common in middle aged post-menopausal women. The osteoporotic bones will become weak and are prone to fractures. Osteoporosis means “porous bone” is a “silent disease”. Healthy bone microscopically appears like a honeycomb but, in osteoporotic patients the spaces are much bigger. The osteoporotic bone will have less density or mass and the structure of bone tissue is abnormal. As the bone becomes less dense, they become weaker and more likely to fracture. Women are four times more likely to develop osteoporosis than men. Oral health maintenance for adults with osteoporosis is important. Bone weakness and loss may also affect the ridges that hold dentures resulting in poor fitting dentures. The patients require new dentures more often than those who have strong, healthy bones. Best way to handle problems is avoid delaying or postponing the dental treatment. Regular dental visits and healthy lifestyle is necessary in strengthening and maintenance of good bone health. Well balanced diet with high amounts of vitamin-D & calcium with regular physical activity is recommended.
Downloads
References
Von Wowern N. General and oral aspects of osteoporosis: a review. Clin Oral
Investig. 2001;5:71–82.
Eastell R. Treatment of postmenopausal osteoporosis. N Engl J Med. 1998;338:736–46. Eddy
DM, Johnston CC, Cummings SR, Dawson-Hughes B, et al. Osteoporosis: Review of the
evidence for prevention, diagnosis and treatment and cost-effectiveness analysis. Status
report. Osteoporosis Int. 1998;4(Suppl):1–80.
Singh SV, Tripathi A. An overview of osteoporosis for the practicing
prosthodontist. Gerodontology. 2010;27:308–14.
Narayanan V S, Ashok L. Osteoporosis: Dental Implication. Journal of Indian Academy of Oral
Med & Rad. 2011;23(3):211–15.
Grampp S, Jergas M, Lang P, Genant HK. Quantitative assessment of osteoporosis: current and
future status. Osteoporosis: diagnosis and treatment. Chap. Sartoris DJ. 2000:233–67.
Jeffcoat MK. Osteoporosis: A possible modifying factor in oral bone loss. Ann
Periodontol. 1998;3(1):312–21.
Lindsay R, Cosman F. Osteoporosis, chapter 333 in Harrison’s principle of internal medicine
In: Kasper DL, Fauci AS, Longo DL et al. 16 Ed. Vol. 2. Mc Graw Hill; 2005. pp. 2268–78.
Dawson-Hughes B, Heaney RP, Holick M, et al. National osteoporosis foundations update
recommendations for calcium and vitamin D intake. 2008;16:713–16.
Abbott P. Are dental radiographs safe? Australian Dent Journal. 2000;45(3):208–13.
Kaye EK. Bone health and oral health. J Am Dent Assoc. 2007;138(5):616–69.
Dervis E. Oral implications of osteoporosis. Oral Surg Oral Med Oral Pathol Oral Radiol
Endod. 2005;100:349–56.
Devlin H, Horner K. Mandibular radiomorphometric indices in the diagnosis of reduced skeletal
bone mineral density. Osteoporos Int. 2002;13:373–78.
Matteson SR, Deahl ST, Alder ME, Nummikoski PV. Advanced imaging methods. Crit Rev Oral
Biol Med. 1996;7(4):346–95.
Augat P, Fuerst T, Genant HK. Quantitative bone mineral assessment at the forearm: a
review. Osteoporos Int. 1998;8:299–310.
Becker W, Hujoel PP, Becker BE, Willingham H. Osteoporosis and implant failure: An
exploratory case control study. J Periodontol. 2000;71:625–31.
Eastell R. Assessment of bone density and bone loss. Osteoporosis Int. 1996;2(Suppl):S3–5.
Sandor T, Felsenberg D, Brown E. Comments on the hypotheses underlying fracture risk
assessment in osteoporosis as proposed by the WHO. Calcif Tissue Int. 1999;64:267–70.
Taguchi A, Suei Y, Ohtsuka M, Otani K, Tanimoto K, Hollender LJ. Relationship between bone
mineral density and tooth loss in elderly Japanese women. Dentomaxillofac
Radiol. 1999;28(4):219–23.
Hirai T, Ishijima T, Hashikawa Y, Yajima T. Osteoporosis and reduction of residual ridge in
edentulous patients. J Prosthet Dent. 1993;69(1):49–56.
Singhal S, Chand P, Singh BP, Singh SV, Rao J, Shankar R, Kumar S. The effect of osteoporosis
on residual ridge resorption and masticatory performance in denture wearers. Gerodontology.
Jun;29(2):e1059-66.
von Wowern N, Gotfredsen K. Implant-supported overdentures, a prevention of bone loss in
edentulous mandibles? A 5-year follow-up study. Clin Oral Implants Res. 2001 Feb;12(1):19-25.
Humphries S, Devlin H, Worthington H. Aradiographic investigation into bone resorption
ofmandibular alveolar bone in elderly edentulous adults. J Dent. 1989;17:94–96.
Kawano F, Dootz ER, Koran A III, Graig RG. Comparison of bond strength of six soft denture
linersto denture base resin. J Prosthet Dent. 1992;68:299–307.
Curtis TA, Ware WH. Autogenous bone graft proceduresfor atrophic edentulous mandibles. J
Am DentAssoc. 1977;38:366–79.
Haraldson I, Jemt I, Stalblad Pa, Lekholm U. Oral function in subjects with overdentures
supported by osseointegrated implants. Scan J Dent Res. 1988;96:235–42.
Kribbs PJ, Smith DE, Chesnut CH. Oral findings in osteoporosis. Part II: Relationship between
residual ridge and alveolar bone resorption and generalized skeletal osteopenia. J Prosthet
Dent. 1983;50:719–24.
Becker W, Hujoel PP, Becker BE, Willingham H. Osteoporosis and implant failure: An
exploratory case control study. J Periodontol. 2000;71:625–31.
Dao TTT, Anderson JD, Zarb GA. Is osteoporosis a risk factor for osseointegration of dental
implants? Int J Oral Maxillofac Implants. 1993;8:137–44.
Kondell PA, Nordenram A, Landt H. Titanium implants in the treatment of edentulousness:
Influence of patient’s age on prognosis. Gerodontics. 1988;4:280–4.
Gaetti-Jardim EC, Santiago-Junior JF, Goiato MC, Pellizer EP, Magro-Filho O, Jardim Junior
EGJ. Dental implants in patients with osteoporosis: a clinical reality? Craniofac
Surg. 2011;22(3):1111–13.
Hoidrup S, Prescott E, Sorenson TIA, et al. Tobacco, smoking and risk of hip fractures in men
and women. Int J Epidemiol 2000; 29: 253–259.
Legrand E, et al. Osteoporosis in men: a potential role for the sex hormone binding globulin.
Bone 2001; 29: 90–95.
White SC, Rudolph DJ. Alterations of the trabecular pattern of the jaws in patients with
osteoporosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999; 88: 628–635.
Lenchik L, Sartoris DJ. Current concepts in osteoporosis. AJR Am J Roentgenol 1997; 168:
–911.
Lindsay R, Christiansen C, Einhorn TA, et al. Who are candidates for prevention and
treatment for osteoporosis? Osteoporos Int 1997; 7: 1–6.
Ledgerton D, Horner K, Devlin H. Osteoporosis research: a dental perspective. Radiography
; 3: 265–277.
Hoidrup S, Prescott E, Sorenson TIA, et al. Tobacco, smoking and risk of hip fractures in
men and women. Int J Epidemiol 2000; 29: 253–259.
Dervis E. Oral implications of osteoporosis. Oral Surg Oral Med Oral Pathol Oral Radiol
Endod 2005; 100: 349– 356.
Kribbs PJ, Smith DE, Chestnut CH. Oral findings in osteoporosis. Part II: relationship
between residual ridge and alveolar bone resorption and generalized skeletal osteopenia. J
Prosthet Dent 1983; 50: 719–724.
White SC, Rudolph DJ. Alterations of the trabecular pattern of the jaws in patients with
osteoporosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999; 88: 628–635.
de Melo L, Piattelli A, Lezzi G, d’Avila S, Zenobio EG, Shibli JA. Human histologic
evaluation of a six-year-old threaded implant retrieved from a subject with osteoporosis. J
Contemp Dent Pract. 2008;9:99–105.
Shibli JA, Aguiar KCDS, Melo L, d’Avila S, Zenóbio EG, Faveri M, et al. Histological
comparison between implants retrieved from patients with and without osteoporosis. Int J Oral
Maxillofac Surg. 2008;37:321–7.
Holahan CM, Koka S, Kennel KA, Weaver AL, Assad DA, Regennitter FJ, Kademani D.
Effect ofosteoporotic status on the survival of titanium dental implants. Int J Oral Maxillofac Implants. 2008;23:905–10.
Downloads
Published
Issue
Section
License
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
