IADR Abstract Archives

Clinical Periodontal Status and Bone Mineral Density in Older Men

Objectives: To evaluate the association between clinical measures of periodontal disease and skeletal bone mineral density (BMD) in a cohort of men 65 years and older.

Methods: Study participants were recruited from the 1,976 men enrolled in the Osteoporotic Fractures in Men (MrOS) Study at two of the study's six clinical centers, Portland and Birmingham.  MrOS is a longitudinal study of risk factors for fractures in older men. Dental measures included clinical attachment loss (CAL), pocket depth (PD), calculus, plaque, and bleeding for a random half-mouth (6 sites/tooth). BMD was measured at the hip, spine, and whole-body using dual-energy x-ray absorptiometry. Information on medical and lifestyle factors known to be associated with osteoporosis and periodontitis were obtained through questionnaires, interviews, and clinical assessments. 

Results: Among the 1,327 men who agreed to participate, 137 (10%) were edentulous and 1,210 (90%) were dentate. There was a significant association between dentate status and whole-body BMD (WBBMD). Adjusted mean WBBMD was 1.183 g/cm2 for edentulous and 1.214 g/cm2 for dentate men (p=0.01).  Among dentate men, mean number of teeth, CAL and PD were 22.5, 3.02mm and 2.52mm; after controlling for age, pack-years, race, education, body mass index, and calculus there was no association between number of teeth, CAL, PD and any measure of BMD.

 

Adjusted Mean BMD (g/cm2)

Site

Edentulous

(n=137)

Dentate

(n=1,210)

p-value

Dentate Men by Sites with CAL³5mm

p-value

0

(n=216)

1-9

(n=651)

10+

(n=343)

Lumbar Spine

1.152

1.171

0.410

1.165

1.175

1.169

0.869

Total Hip

0.944

0.950

0.644

0.952

0.948

0.946

0.802

Whole Body

1.183

1.214

0.011

1.220

1.214

1.204

0.304

 

Conclusion: Among older dentate men, little evidence exists for an association between periodontal status and skeletal BMD.  There does, however, appear to be an association between edentulism and whole-body BMD, a relationship which needs further study.

Supported by NIH: UO1-AG18197-02,UO1-AR45580-02,UO1-AR45614,UO1-AR45632,UO1-AR45647,UO1-AR45654,UO1-AR45583,M01-RR00334,R01-DE14386-01.

   

 


AADR/CADR Annual Meeting
2006 AADR/CADR Annual Meeting (Orlando, Florida)
Orlando, Florida
2006
54
Periodontal Research - Diagnosis / Epidemiology
  • Phipps, Kathy R.  ( Oregon Health & Science University, Portland, OR, USA )
  • Chan, Benjamin K.s.  ( Oregon Health & Science University, Portland, OR, USA )
  • Madden, Theresa  ( Oregon Health & Science University, Portland, OR, USA )
  • Geurs, Nicolaas C.  ( University of Alabama, Birmingham, AL, USA )
  • Orwoll, Eric S.  ( Oregon Health & Science University, Portland, OR, USA )
    • Oral Session
    Periodontal Diagnosis
    03/08/2006