Oral Health and Bone Disease (cont.)

Skeletal bone density and dental concerns

The portion of the jawbone that supports our teeth is known as the alveolar process. Several studies have found a link between the loss of alveolar bone and an increase in loose teeth (tooth mobility) and tooth loss. Women with osteoporosis are three times more likely to experience tooth loss than those who do not have the disease.

Low bone density in the jaw can result in other dental problems as well. For example, older women with osteoporosis may be more likely to have difficulty with loose or ill-fitting dentures and may have less optimal outcomes from oral surgical procedures.

Periodontal disease and bone health

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Periodontitis is a chronic infection that affects the gums and the bones that support the teeth. Bacteria and the body's own immune system break down the bone and connective tissue that hold teeth in place. Teeth may eventually become loose, fall out, or have to be removed.

Although tooth loss is a well-documented consequence of periodontitis, the relationship between periodontitis and skeletal bone density is less clear. Some studies have found a strong and direct relationship among bone loss, periodontitis, and tooth loss. It is possible that the loss of alveolar bone mineral density leaves bone more susceptible to periodontal bacteria, increasing the risk for periodontitis and tooth loss.

The role of the dentist and dental X-rays

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Research supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) suggests that dental x-rays may be used as a screening tool for osteoporosis. Researchers found that dental x-rays were highly effective in distinguishing people with osteoporosis from those with normal bone density.

Because many people see their dentist more regularly than their doctor, dentists are in a unique position to help identify people with low bone density and to encourage them to talk to their doctors about their bone health. Dental concerns that may indicate low bone density include loose teeth, gums detaching from the teeth or receding gums, and ill-fitting or loose dentures.


Patient Comments

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Oral Health and Bone Disease - Experience Question: Please describe your experience with oral health and bone disease.
Oral Health and Bone Disease - Concerns Question: What are your particular concerns regarding low bone density in your jaw and dental health issues?
Oral Health and Bone Disease - Periodontal Disease Question: Do you have periodontal disease? Please discuss the treatments you have received.
Oral Health and Bone Disease - Dental X-rays Question: After receiving X-rays, did your dentist discuss bone density with you? Please share your experience.
Oral Health and Bone Disease - Taking Steps Question: Discuss the steps you've taken to protect your tooth and bone health.

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