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Periodontal Disease and Osteoporosis

Periodontal disease is characterized by a progressive loss of supportive gingival tissue in the gums and jawbone.  It is the number one cause of tooth loss among adults in the developed world.  Periodontal disease occurs when toxins found in oral plaque inflame and irritate the soft tissues surrounding the teeth.  If left untreated, bacteria colonies initially cause the systematic destruction of gum tissue, and then proceed to destroy the underlying bone tissue.

Osteoporosis is a common metabolic bone disease which frequently occurs in postmenopausal women, and occurs less frequently in men.  Osteoporosis is characterized by bone fragility, low bone mass and a decrease in bone mineral density.  Many studies have explored and identified a connection between periodontal disease and osteoporosis.

A study conducted at the University of New York at Buffalo in 1995 concluded that post-menopausal women who suffered from osteoporosis were 86% more likely to also develop periodontal disease.

Reasons for the Connection

Though studies are still being conducted in order to further assess the extent of the relationship between osteoporosis and periodontal disease, the researchers have thus far made the following connections:

  • Estrogen deficiency – Estrogen deficiency accompanies menopause and also speeds up the progression of oral bone loss.  The lack of estrogen accelerates the rate of attachment loss (fibers and tissues which keep the teeth stable are destroyed).
  • Low mineral bone density – This is thought to be one of several causes of osteoporosis, and the inflammation from periodontal disease makes weakened bones more prone to break down.  This is why periodontitis can be more progressive in patients with osteoporosis.

Diagnosis and Treatment

Osteoporosis and periodontal disease are much less dangerous if they are diagnosed in the early stages.  Once a diagnosis has been made, the dentist will generally work with the patient’s doctor to ensure that both diseases are effectively controlled.

Here are some methods commonly used to diagnose and treat the diseases:

  • Routine dental x-rays – X-rays can be effectively used to screen for bone loss in the upper and lower jaw, and the dentist can provide interventions for preventing and treating periodontal disease.  It is believed that minimizing periodontal disease will help treat osteoporosis.
  • Estrogen supplements – Providing post-menopausal women with estrogen supplements lowers the rate of attachment loss and also lowers gingival inflammation, which in turn protects the teeth from periodontal disease.
  • Assessment of risk factors – Dentists and doctors are able to closely monitor the patients that are at an increased risk of developing both diseases by assessing family history, medical history, X-ray results, current medications and modifiable risk factors.  Tobacco use, obesity, poor diet and estrogen deficiency can all be managed using a combination of education, support and prescription medications.

If you have any questions about periodontal disease and its connection with osteoporosis, please ask Dr. Mahlin.

Testimonials.

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Testimonials

Everyone at the practice is super friendly, starting from the front desk to Dr. Mahlin. I normally get the first appointment in the morning and I have never had to wait. I have been going to them for probably 20 years and have never had an issue that isn't promptly resolved. Last time I had my crown done, Dr. Mahlin even gave me his mobile number in case of an issue. I'll definitely recommend them.

Sanjiv Bhatia

Dr. Mahlin and his staff are absolutely wonderful! His bedside manner is among the best, if not the best, when it comes to compassionate, patient-centered care. He even called me after I had a new crown placed just to see how I was doing. He's thoughtful, gentle (both as a person and as a dentist), and most importantly is excellent at dentistry! His staff couldn't be friendlier or more accomodating and I have never had a long wait in the waiting room. I would give him 10 stars if this rating scale allowed it!

Gregory Polites

Kim, my hygienist, is the best, she has a passion for insuring she does her best to ensure patient comfort and that I will leave with the cleanest teeth and gums as well as a plan for addressing potential issues! Dr. Mahlin is very professional in his final inspection and verification of any of Kim's findings while performing the cleaning. An added bonus that Dr. Mahlin provides is a follow up call in the evening to ensure that your experience that day for treatment has gone as expected and there aren't any abnormalities. Very Caring person!

John Helbing

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Scott Mahlin, DDS, FAGD, FICOI and Clarkson Dental Group, serving West St. Louis County area in Chesterfield, MO Disclaimer: This website is provided for information and education purposes only.  No doctor/patient relationship is established by your use of this website.  No dentistry diagnosis or treatment is being provided.  The information contained here should be used in consultation with a dentist of your choice.  No guarantees or warranties are made regarding any of the information contained within the website.  This website is not intended to offer specific medical or dental advice to anyone.  Further, this web site and Dr. Scott Mahlin, DDS, FAGD, FICOI take no responsibility for web sites hyperlinked to this site and such hyperlinking does not imply any relationships or endorsements. Please contact us with any concerns.

 

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