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The Correlation Between Osteoporosis and Tooth Loss

Ageng Budiananti 030.09.002

Introduction
Osteoporosis Epidemiology (2005) Relation
Disease related to bones

2 of 5 citizens in Indonesia suffer from osteoporosis < 55 yo : Men > Women > 55 yo : Women > Men

Osteoporosis - Fractures Osteoporosis Tooth Loss

Osteoporosis

-Age -Hormone -Physical Inactivity -Genetic

-Smoking Alcohol -Poor Diet -Medicines -Pregnancy, etc

Imbalance of bone formation and resorption

Osteoporosis
Symptoms Asymptomatic Symptoms of Fractures ( Loss of Height) or Tooth Loss Diagnosis Dual Energy X-ray Absorptiometry (DEXA) Complications Fractures and Tooth Loss Treatments Options Hormone replacement therapy, Biphosphonate, Vitamin D + Calcium, Calcitonin

Tooth Loss
Incidents Normal in childhood but unfavorable in adulthood Causes Congenital absence, Trauma, Dental diseases, Loss of bone mass, Poor nutrition, Poor oral hygiene, etc Consequences Speech problem, Chewing problems Nutritional problems, Weakening of other teeth, Stiff jaw, Social embarassment Treatments

Tooth Replacement (Fixed bridge & Dentures)

Osteoporosis Tooth Loss


Post-Menopausal Tooth Loss: Contributions to Edentulism by Osteoporosis and Cigarette Smoking. Method: Three groups of women participants based on PCA: Non-osteoporotic (PCA>80%, 69 women) Early osteoporotic (PCA 70%-79,9%, 74 women) Osteoporotic (PCA<70%, 65 women) Results: 1 of 42 Non-osteoporotic women still had natural teeth remain 7 of 56 women with intermediate PCAs had also been intermediate in their need for new dentures. 12 of 37 osteoporotic women at the age 55 had full denture

Conclusion: Tooth loss that occurs after midlife is the result from alveolar bone loss due to osteoporosis.

Osteoporosis Tooth Loss

Conclusion
Osteoporosis Tooth Loss Prevention of Tooth Loss = Treatment of osteoporosis Tooth Loss Tooth Replacement

Decrease of alveolar or jaw bones density

Good oral hygiene

References
1. 2. KEPUTUSAN MENTERI KESEHATAN REPUBLIK INDONESIA NOMOR 1142/MENKES/SK/XII/2008 TENTANG PEDOMAN PENGENDALIAN OSTEOPOROSIS. Available at: http://hukor.depkes.go.id/up_prod_kepmenkes/KMK%20No.%201142%20ttg%20Pedoman%20Pe ngendalian%20Osteoporosis.pdf. Accessed on July 8th, 2012. Osteoporosis and Tooth Loss. Infuse Bone Graft. Available at: https://www.infusebonegraft.com/omf_osteoporosis_and_tooth_loss.html. Updated April 23rd th 2010. Accessed on July 8 , 2012. Kosmin D. C. Osteoporosis. Medscape. Available at: th http://emedicine.medscape.com/article/330598-overview#a0104. Accessed on July 12 , 2012. Fox-Spencer R., Brown P. Simple Guide Osteoporosis. Jakarta: Erlangga: 2007. P. 14-20. Tierney L. M., McPhee S. J., Papadakis M. A. 2006 Current Medical Diagnosis and Treatment. 45th ed. New York: Mc-Graw Hill: 2006. P. 1155-8. Causes and Consequences of Tooth Loss. Studio Dentaire. Available at: http://www.studiodentaire.com/articles/en/causes-consequences-of-tooth-loss.php. Accessed on July 7th, 2012. Introduction To Dental Implants. Academy of Osseointegration. Available at: http://www.osseo.org/NEWtoothReplacement.html. Accessed on July 8th, 2012. Gilbert P. Dental Bone Loss. Healthy Teeth n Gums. Available at: http://www.drpgilbert.com/dental-bone-loss.html. Accessed on July 12th, 2012. Daniell H. W. Postmenopausal Tooth Loss: Contributions to Edentulism by Osteoporosis and Cigarette Smoking, Arch Intern Med Vol. 143. September 1983. P.1678-81.

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