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VOLUME 5 , ISSUE 1 ( January-June, 2021 ) > List of Articles


An Evaluation of Osteoporosis as a Potential Risk Factor in Postmenopausal Women: A Clinicoradiographical Study

Vandana, Supreet Kaur, Balwinder Singh, Sahib T Singh, Pallavi Prashar

Keywords : Bone mineral density, Chronic periodontitis, Menopause, Osteoporosis, Panoramic radiography

Citation Information : V, Kaur S, Singh B, Singh ST, Prashar P. An Evaluation of Osteoporosis as a Potential Risk Factor in Postmenopausal Women: A Clinicoradiographical Study. Curr Trends Diagn Treat 2021; 5 (1):21-25.

DOI: 10.5005/jp-journals-10055-0118

License: CC BY-NC 4.0

Published Online: 00-00-0000

Copyright Statement:  Copyright © 2021; The Author(s).


Background: Periodontitis is an inflammatory disease that leads to alveolar bone loss. Severe osteoporosis could be suspected as being an aggravating factor in the case of periodontal destruction. Osteoporosis is particularly high in postmenopausal women. Panoramic radiographs are usually advised to detect periodontal diseases and can be used to predict low bone mineral density. Aims and Objectives: To identify the role of osteoporosis in periodontal disease progression using panoramic radiographs. Materials and methods: The study population consisted of 80 female participants equally divided as group I—premenopausal women with chronic periodontitis, group II—premenopausal women with healthy periodontium, group III—postmenopausal women with chronic periodontitis, and group IV—postmenopausal women with healthy periodontium. Clinical parameters, viz. plaque index, gingival index, probing pocket depth, and clinical attachment level, were recorded, and to record the mental index (MI), panoramic mandibular index (PMI), and mandibular cortical index (MCI) scores, panoramic radiographs were used. Results: In all the groups, MI was observed to be varied with significant differences observed in group I and group II (p = 0.06), while the differences were highly significant in group III and group IV (p = 0.0039) and group I and group III (p = 0.0039). There were minimal differences in the mean PMI among the groups, but these differences were nonsignificant (p >0.05). MCI evaluation showed a greater prevalence of C2 and C3 patterns among postmenopausal women. Conclusion: It can be concluded that bone density is reduced in postmenopausal women putting them at a greater risk of periodontitis and osteoporosis.

  1. Kolte RA, Kolte AP, Potey AM. Risk assessment of osteoporosis in pre-and postmenopausal periodontally healthy and chronic periodontitis women with digital panoramic radiographs. J Indian Soc Periodontol 2017;21(6):461–465. DOI: 10.4103/jisp.jisp_238_17.
  2. Vijay G, Chitroda PK, Katti G, et al. Prediction of osteoporosis using dental radiographs and age in females. J Midlife Health 2015;6(2):70–75. DOI: 10.4103/0976-7800.158952.
  3. Yedavally-Yellayi S, Ho AM, Patalinghug EM. Update on osteoporosis. Prim Care 2019;46(1):175–190. DOI: 10.1016/j.pop.2018.10.014.
  4. Mudda JA, Bajaj M, Patil VA. A radiographic comparison of mandibular bone quality in pre- and post-menopausal women in Indian population. J Indian Soc Periodontol 2010;14(2):121–125. DOI: 10.4103/0972-124X.70833.
  5. Jeffcoat MK. Osteoporosis: a possible modifying factor in oral bone loss. Ann Periodontol 1998;3(1):312–321. DOI: 10.1902/annals.1998.3.1.312.
  6. Suresh S, Kumar TS, Saraswathy PK, et al. Periodontitis and bone mineral density among pre and post menopausal women: a comparative study. J Indian Soc Periodontol 2010;14:30–34. DOI: 10.4103/0972-124X.65434.
  7. Ayranci U, Orsal O, Orsal O, et al. Menopause status and attitudes in a Turkish midlife female population: an epidemiological study. BMC Women's Health 2010;10:1. DOI: 10.1186/1472-6874-10-1.
  8. Ahuja M. Age of menopause and determinants of menopause age: a PAN India survey by IMS. J Midlife Health 2016;7(3):126–131. DOI: 10.4103/0976-7800.191012.
  9. Drozdzowska B, Pluskiewicz W, Tarnawska B. Panoramic-based mandibular indices in relation to mandibular bone mineral density and skeletal status assessed by dual energy X-ray absorptiometry and quantitative ultrasound. Dentomaxillofacial Radiol 2002;31(6):361–367. DOI: 10.1038/sj.dmfr.4600729.
  10. Taguchi A, Asano A, Ohtsuka M, et al. Observer performance in diagnosing osteoporosis by dental panoramic radiographs: results from the osteoporosis screening project in dentistry (OSPD). Bone 2008;43(1):209–213. DOI:10.1016/j.bone.2008.03.014.
  11. Carranza FA, Takei HH. Clinical diagnosis. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors. Carranza's clinical periodontology. 10th ed. Philadelphia: Elsevier; 2006. p. 541–554.
  12. Von Wowern N, Klausen B, Kollerup G. Osteoporosis: a risk factor in periodontal disease. J Periodontol 1994;65(12):1134–1138. DOI: 10.1902/jop.1994.65.12.1134.
  13. Halling A, Persson GR, Berglund J, et al. Comparison between the klemetti index and heel DXA BMD measurements in the diagnosis of reduced skeletal bone mineral density in the elderly. Osteoporos Int 2005;16(8):999–1003. DOI: 10.1007/s00198-004-1796-x.
  14. Alonso MB, Cortes AR, Camargo AJ, et al. Assessment of panoramic radiomorphometric indices of the mandible in a Brazilian population. ISRN Rheumatol 2011;2011:854287. DOI: 10.5402/2011/854287.
  15. Peycheva S, Lalabonova H, Daskalov H. Early detection of osteoporosis in patients over 55 using orthopantomography. J IMAB 2012;18(4):229–231. DOI: 10.5272/jimab.2012184.229.
  16. Alapati S, Reddy RS, Tatapudi R, et al. Identifying risk groups for osteoporosis by digital panoramic radiography. Contemp Clin Dent 2015;6(Suppl. 1):S253–S257. DOI: 10.4103/0976-237X.166833.
  17. Geurs NC, Lewis CE, Jeffcoat MK. Osteoporosis and periodontal disease progression. Periodontol 2000 2003;32:105–110. DOI: 10.1046/j.0906-6713.2003.03208.x.
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