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Journal of Dental Research
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Clinical

Longitudinal Study of Bone Density and Periodontal Disease in Men

K.R. Phipps1,*, B.K.S. Chan1, T.E. Madden1, N.C. Geurs2, M.S. Reddy2, C.E. Lewis2 and E.S. Orwoll1

1 Oregon Health & Science University, CR 113, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA; and
2 University of Alabama, Birmingham, USA

Correspondence: * corresponding author, krp123{at}charter.net

Bone loss is a feature of both periodontitis and osteoporosis, and periodontal destruction may be influenced by systemic bone loss. This study evaluated the association between periodontal disease and bone mineral density (BMD) in a cohort of 1347 (137 edentulous) older men followed for an average of 2.7 years. Participants were recruited from the Osteoporotic Fractures in Men Study. Random half-mouth dental measures included clinical attachment loss (CAL), pocket depth (PD), calculus, plaque, and bleeding. BMD was measured at the hip, spine, and whole-body, by dual-energy x-ray absorptiometry, and at the heel by ultrasound. After adjustment for age, smoking, race, education, body mass index, and calculus, there was no association between number of teeth, periodontitis, periodontal disease progression, and either BMD or annualized rate of BMD change. We found little evidence of an association between periodontitis and skeletal BMD among older men.

Key Words: periodontal disease • osteoporosis • epidemiology • men

Journal of Dental Research, Vol. 86, No. 11, 1110-1114 (2007)
DOI: 10.1177/154405910708601117
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E.S. Orwoll, B.K.S. Chan, L.C. Lambert, L.M. Marshall, C. Lewis, and K.R. Phipps
Sex Steroids, Periodontal Health, and Tooth Loss in Older Men
Journal of Dental Research, August 1, 2009; 88(8): 704 - 708.
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