ECE2020 ePoster Presentations Bone and Calcium (65 abstracts)
Periodontitis and osteoporosis. A frequent coexistence with dangerous implications
Ifigenia Kostoglou–Athanassiou 1 , Lambros Athanassiou 2 , Panagiotis Spyropoulos 3 , Erasmia Manta 4 , Maria Mavroudi 5 , Andreas Giannakopoulos 4 , Alexandros Pastroudis 4 & Panagiotis Athanassiou 5
1Asclepeion Hospital, Voula, Department of Endocrinology, Athens, Greece; 2Medical School, University of Athens, Department of Physiology, Athens, Greece; 3Endocrinologist, Athens, Greece; 4Asclepeion Hospital, Voula, 6th Department of Orthopedics, Athens, Greece; 5St. Paul’s Hospital, Department of Rheumatology, Thessaloniki, Greece
Periodontitis is a serious medical condition which may lead to edentulousness in middle aged patients. It is a chronic inflammatory systemic disorder which affects the oral cavity, the maxilla and mandible. It may be associated with osteoporosis. It presents unique problems in the management of osteoporosis. The patients are in the imminent danger of losing teeth. Some of the antiosteoporotic agents may induce osteonecrosis, while they may complicate the implantation of dental implants.
The aim was to describe the management of osteoporosis in patients with periodontitis.
A group of patients, 10 female and 1 male presented to the outpatient osteoporosis clinic. They had a T score of –2.8 to –3.6. They also had periodontitis. A group of 4 patients had already lost 1 to 4 teeth, and were in the process of dental implant installation. An extensive laboratory and clinical examination was performed.
Within the group of patients with osteoporosis and periodontitis, patients with osteoporosis were managed with anticatabolic treatment. The patients who were in the process of dental implant installation were managed conservatively with calcium and vitamin D until the installation of the implant was complete and a period of 3 months after installation. Thereafter, antiosteoporotic agents were administered.
Periodontitis is a chronic systemic medical disorder which affects patients in the middle age group. Postmenopausal women are particularly vulnerable. In addition, it is a systemic inflammatory disorder and may be implicated in the pathogenesis of osteoporosis. The management of osteoporosis in this group is particularly challenging. They are in danger for the development of osteonecrosis of the jaw. Patients should be managed conservatively while in the process of dental implant installation. They should be managed with caution while care should be exercised in oral hygiene.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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