Objectives: The purpose of this study was to determine if skeletal status influences the severity of periodontal destruction in premenopausal women with periodontitis. Therefore, it was designed to assess bone mineral density (BMD) and systemic factors that affect bone metabolism in premenopausal women with severe generalized periodontitis and to compare the results to age-and gender- matched controls. Methods: Eighty-five premenopausal women (mean age: 37.6) were selected for this study. The study group consisted of 45 women with severe generalized periodontitis. The control group was composed of 40 periodontally healthy women. Probing depth (PD), clinical attachment level (CAL), sulcus bleeding index, plaque index, calculus index, number of missing teeth were recorded. Skeletal bone mineral density was measured by using dual-energy X-ray absorptiometry at lumbar vertebrae and femur. A substantial laboratory analysis was carried out for evaluation of the bone metabolism. Results: Although there was no difference in BMD values between periodontitis and control groups (p>0.10), the prevalence of patients with osteoporosis was found significantly higher in the periodontitis group (p=0.07). Increased body mass index (BMI) scores and serum creatinine levels were also observed in the periodontitis group (p=0.04). When all the subjects were stratified into groups based upon their BMD levels, 7 of them were found to be osteoporotic and 21 of them were osteopenic. The rest of the subjects (n:57) was defined as normal. CAL and PD values in the osteoporotic group were significantly higher compared to the normals(p<0.01). Conclusions: Our findings suggest that osteoporosis could be a contributory factor to periodontal attachment loss; the prevalence of osteoporosis seems to be higher in patients with periodontitis; and that there may be a relationship between creatinine levels and periodontitis. Besides the subjects with high BMI scores seem to be at risk for periodontitis as opposed to osteoporosis.

Back to the Scientific Program Program
Back to the Joint Meeting of the Continental European, Israeli, and Scandinavian (NOF) Divisions of the IADR (August 25 -- 28, 2004)

Top Level Search