Osteoporosis and Periodontitis

Chin Wei (Jeff) Wang, Laurie K. McCauley

Research output: Contribution to journalReview articlepeer-review

63 Citations (Scopus)

Abstract

Osteoporosis and periodontitis are both diseases characterized by bone resorption. Osteoporosis features systemic degenerative bone loss that leads to loss of skeletal cancellous microstructure and subsequent fracture, whereas periodontitis involves local inflammatory bone loss, following an infectious breach of the alveolar cortical bone, and it may result in tooth loss. Most cross-sectional studies have confirmed the association of osteoporosis and periodontitis primarily on radiographic measurements and to a lesser degree on clinical parameters. Multiple shared risk factors include age, genetics, hormonal change, smoking, as well as calcium and vitamin D deficiency. Both diseases could also be risk factors for each other and have a mutual impact that requires concomitant management. Suggested mechanisms underlying the linkage are disruption of the homeostasis concerning bone remodeling, hormonal balance, and inflammation resolution. A mutual interventional approach is emerging with complex treatment interactions. Prevention and management of both diseases require interdisciplinary approaches and warrants future well-controlled longitudinal and interventional studies for evidence-based clinical guidelines.

Original languageEnglish
Pages (from-to)284-291
Number of pages8
JournalCurrent Osteoporosis Reports
Volume14
Issue number6
DOIs
Publication statusPublished - Dec 2016
Externally publishedYes

Keywords

  • Bone
  • Estrogen
  • Inflammation
  • Mechanism
  • Osteoporosis
  • Periodontitis
  • Risk factor

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism

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