|
Sign In to gain access to subscriptions and/or personal tools.
|
Low Metacarpal Bone Density, Tooth Loss, and Periodontal Disease in Japanese Women
K. Inagaki
Department of Periodontology, School of Dentistry, Aichi-Gakuin University, Nagoya, Japan, kojikun{at}dpc.aichi-gakuin.ac.jp, Department of Health Policy and Health Services Research, Boston University Goldman School of Dental Medicine, 715 Albany Street, Robinson Building, 307, Boston, MA 02118-2526
Y. Kurosu
Department of Periodontology, School of Dentistry, Aichi-Gakuin University, Nagoya, Japan
T. Kamiya
Department of Periodontology, School of Dentistry, Aichi-Gakuin University, Nagoya, Japan
F. Kondo
Department of Periodontology, School of Dentistry, Aichi-Gakuin University, Nagoya, Japan
N. Yoshinari
Department of Periodontology, School of Dentistry, Aichi-Gakuin University, Nagoya, Japan
T. Noguchi
Department of Periodontology, School of Dentistry, Aichi-Gakuin University, Nagoya, Japan
E.A. Krall
Department of Health Policy and Health Services Research, Boston University Goldman School of Dental Medicine, 715 Albany Street, Robinson Building, 307, Boston, MA 02118-2526
R.I. Garcia
Department of Health Policy and Health Services Research, Boston University Goldman School of Dental Medicine, 715 Albany Street, Robinson Building, 307, Boston, MA 02118-2526
The relationship between periodontitis and systemic bone mineral density in Japanese women is undetermined. We tested the hypothesis that periodontitis was more frequent in women with low metacarpal bone mineral density (m-BMD). Subjects were 190 Japanese women (89 premenopausal, 101 post-menopausal). Periodontal status was evaluated according to the Community Periodontal Index of Treatment Need (CPITN). M-BMD was measured by computed x-ray densitometry. The proportion of subjects with periodontitis (CPITN 3) increased as m-BMD decreased in pre-menopausal (18.2%, 36.9%, and 66.6% in the normal, borderline, and very low m-BMD groups, p < 0.02) and post-menopausal women (41.5%, 54.8%, 60%, and 68.4% in the normal, borderline, low, and very low m-BMD groups, p < 0.05). Among post-menopausal women, those with very low m-BMD had fewer teeth present than women with normal m-BMD (19.9 ± 7.2 vs. 25.1 ± 4.1, p < 0.01). These results indicate that m-BMD loss is associated with periodontitis in Japanese women, and with tooth loss after menopause.
Key Words: menopause tooth loss CPITN metacarpal bone mineral density Japanese.
REFERENCES
- Conference Report (1993). Consensus Development Conference: diagnosis, prophylaxsis, and treatment of osteoporosis. Am J Med 94:646-650.[CrossRef][Medline]
[Order article via Infotrieve]
- Dawson-Hughes B. (1998). Vitamin D and calcium: recommended intake for bone health. Osteoporosis Int 8(Suppl 2):S30-34.
- Eamshaw SA, Keating N., Hosking DJ, Chilvers CE, Ravn P., McClung M., et al. (1998). Tooth counts do not predict bone mineral density in early postmenopausal Caucasian women. EPIC study group. Int J Epidemiol 27:479-483.[Abstract/Free Full Text]
- Elders PJM, Habets Llmh, Netelenbos JC, Van der Linden LWJ, Van der Stelt PF (1992). The relation between periodontitis and systemic bone mass in women between 46 and 55 years of age. J Clin Periodontol 19:492-496.[CrossRef][Medline]
[Order article via Infotrieve]
- Grossi SG, Jeffcoat MK, Genco RJ (2000). Osteopenia, osteoporosis and oral disease. In: Periodontal medicine. Rose LF, Genco RJ, Cohen DW, Mealey BL, editors. St. Louis: B.C. Decker Inc., pp. 167-182.
- Ishikawa K., Ohta T. ( 1999). Radial and metacarpal bone mineral density and calcaneal quantitative ultrasound bone mass in normal Japanese women. Calcif Tissue Int 65:112-116.[Medline]
[Order article via Infotrieve]
- Krall EA, Dawson-Hughes B., Papas A., Garcia RI (1994). Tooth loss and skeletal bone density in healthy postmenopausal women. Osteoporosis Int 4:104-109.[CrossRef][Medline]
[Order article via Infotrieve]
- Krall EA, Garcia RI, Dawson-Hughes B. (1996). Increased risk of tooth loss is related to bone loss at the whole body, hip, and spine. Calcif Tissue Int 59:433-437.[Medline]
[Order article via Infotrieve]
- Matsumoto T., Kushida K., Yamazaki K., Inoue T., Yamashita G., Seno K., et al. (1992). Evaluation of the second metacarpal bone density using modified microdensitometry method. Seikeigeka 43:1140-1146 (in Japanese).
- Matsumoto C., Kushida K., Yamazaki K., Imose K., Inoue T. (1994). Metacarpal bone mass in normal and osteoporotic Japanese women using computed x-ray densitometry. Calcif Tissue Int 55:324-329.[CrossRef][Medline]
[Order article via Infotrieve]
- May H., Reader R., Murphy S., Khaw KT ( 1995). Self-reported tooth loss and bone mineral density in older men and women. Age Ageing 24:217-221.[Abstract/Free Full Text]
- Mizuno T., Nakagaki H., Murakami T., Kato K., Tsuboi S., Takigawa T., et al. (1993). Lifestyles related to preserving 20 or more teeth at 80 years of age. Jpn J Publ Health 40:189-195 (in Japanese).
- Mohammad AR, Brunsvold M., Bauer R. (1996). The strength of association between systemic postmenopausal osteoporosis and periodontal disease. Int J Prosthodont 9:479-483.[Medline]
[Order article via Infotrieve]
- Morimoto T., Miyazaki H. (1994). 15 years of CPITN-a Japanese perspective. Int Dent J 44:561-566.[Medline]
[Order article via Infotrieve]
- Nishida M., Grossi SG, Dunford RG, Ho AW, Trevisan M., Genco RJ (2000). Calcium and the risk for periodontal disease. J Periodontol 71:1057-1066.[CrossRef][Medline]
[Order article via Infotrieve]
- Okuda K., Ebihara Y. (1998). Relationships between chronic oral infectious diseases and systemic diseases. Bull Tokyo Dent Coll 39:165-174.[Medline]
[Order article via Infotrieve]
- Osei-Hyiaman D., Ueji M., Toyokawa S., Takahashi H., Kano K. ( 1999). Influence of grip strength on metacarpal bone mineral density in postmenopausal Japanese women: a cross-sectional study. Calcif Tissue Int 64:263-266.[Medline]
[Order article via Infotrieve]
- Phillips HB, Ashley FP (1973). The relationship between periodontal disease and a metacarpal bone index. Br Dent J 137:227-239.
- Ronderos M., Jacobs DR, Himes JH, Pihlstrom BL (2000). Associations of periodontal disease with femoral bone mineral density and estrogen replacement therapy: cross-sectional evaluation of US adults from NHANES III. J Clin Periodontol 27:778-786.[CrossRef][Medline]
[Order article via Infotrieve]
- Streckfus CF, Johnson RB, Nick T., Tsao A., Tucci M. (1997). Comparison of alveolar bone loss, alveolar bone density and second metacarpal bone density, salivary and gingival crevicular fluid interleukin-6 concentrations in healthy premenopausal and post-menopausal women on estrogen therapy. J Gerontol A Biol Sci Med Sci 52:M343-351.[Abstract]
- Taguchi A., Suei Y., Ohtsuka M., Otani K., Tanimoto K., Hollender LG (1999). Relationship between bone mineral density and tooth loss in elderly Japanese Women. Dentomaxillofac Radiol 28:219-223.[Abstract]
- Tezal M., Wactawski-Wende J., Grossi SG, Ho AW, Dunford R., Genco RJ (2000). The relationship between bone mineral density and periodontitis in postmenopausal women. J Periodontol 71:1492-1498.[CrossRef][Medline]
[Order article via Infotrieve]
- Ward VJ, Manson JD (1973). Alveolar bone loss in periodontal disease and the metacarpal index. J Periodontol 44:763-769.[Medline]
[Order article via Infotrieve]
- Weyant RJ, Pearlstein ME, Churak AP, Forrest K., Famili P., Cauley JA (1999). The association between osteopenia and periodontal attachment loss in older women. J Periodontol 70:982-99 1.[CrossRef][Medline]
[Order article via Infotrieve]
- von Wowem N., Klausen B., Kollerup G. (1994). Osteoporosis: a risk factor in periodontal disease. J Periodontol 65:1134-1138.[Medline]
[Order article via Infotrieve]
- Yamamoto I. (1999). Estimation of osteoporosis in the population. Osteoporosis Jpn 7:10-11 (in Japanese).
Journal of Dental Research, Vol. 80, No. 9,
1818-1822 (2001)
DOI: 10.1177/00220345010800090901

CiteULike Complore Connotea Del.icio.us Digg Reddit Technorati Twitter What's this?
This article has been cited by other articles:

|
 |

|
 |
 
A. D. Green, C. S. Colon-Emeric, L. Bastian, M. T. Drake, and K. W. Lyles
Does This Woman Have Osteoporosis?
JAMA,
December 15, 2004;
292(23):
2890 - 2900.
[Abstract]
[Full Text]
[PDF]
|
 |
|
|
|