The Relationship between Bone Mineral Density and Periodontal Disease in Postmenopausal Women

• Main Authors: Pi-Ling Chuang, 莊碧玲
• Other Authors: Yi-Hsin Yang
• Format: Others
• Language: zh-TW
• Published: 2008
• Online Access: http://ndltd.ncl.edu.tw/handle/44675192182000868341

碩士 === 高雄醫學大學 === 口腔衛生科學研究所碩士在職專班 === 96 === Background The Association of Geriatric has reported the prevelance of osteoporosis in Taiwan for the population over the age of 65 was average one of nine persons, in which women are more than men. In additions, almost 25 percent of postmenopausal women has osteoporosis. In current literature, more and more medical researches reveal that osteoporosis is related to periodontal disease. However, limited related research has been done in Taiwan. Objectives The purpose of this study was to investigate of the status of bone mineral density and periodontal disease in postmenopausal women and analysis of relationship of osteoporosis and periodontal disease. Methods Participants were recruited from Department of Orthopaedic in a regional teaching hospital of southern Taiwan. There were 100 postmenopausal women who had more than twenty teeth collected. Each completed a questionnaire survey of “Post-menopausal women healthy living concept”, and periodontal condition and bone mineral density were examined. Statistical analyses were conducted by JMP and SAS. Result The association of osteoporosis, osteopenia and community periodontal index after adjusting possible confounding factors (age, body mass index, cardiovascular disease and plaque index), osteoporosis, osteopenia and community periodontal index revealed positive relationship. People with CPI greater or equal to 4mm have 2.38 times (95% CI=0.72-7.86) of the risk for having osteoporosis than people with CPI less than 4mm. Correspondingly, it is 1.67 times (95% CI=0.41-6.71) of the chance for having osteopenia. The association of osteoporosis, osteopenia and periodontal attachment loss after adjusting osteoporosis, osteopenia and periodontal attachment loss revealed singiticant (p-value < .0001) positive relationship. The chance of having osteoporosis confounding factors (age, body mass index, cardiovascular disease and plaque index). Conclusion In this study, no statistical signiticant evidence was found between osteoporosis, osteopenia and community periodontal index. However, the attachment loss was signiticantly associated with osteoporosis and osteopenia. The increasing of the attachment was related to low bone mineral density, osteoporosis and osteopenia.