ECE2020 ePoster Presentations Bone and Calcium (65 abstracts)
Edentulism and the management of osteoporosis
Ifigenia Kostoglou-Athanassiou 1 , Lambros Athanassiou 2 , Panagiotis Spyropoulos 3 , Erasmia Manta 4 , Pavlos Tsakiridis 5 , Andreas Giannakopoulos 4 , Alexandros Pastroudis 4 & Panagiotis Athanassiou 5
1Department of Endocrinology, Asclepeion Hospital, Voula, Athens, Greece; 2Department of Physiology, Medical School, University of Athens, Athens, Greece; 3Endocrinologist, Athens, Greece; 46th Department of Orthopedics, Asclepeion Hospital, Voula, Athens, Greece; 5Department of Rheumatology, St. Paul’s Hospital, Thessaloniki, Greece
Complete or partial edentulism is common in middle age, especially in postmenopausal women. Edentulism may be the result of either dental problems or periodontitis or both. Periodontitis is characterized by systemic inflammation and may be accompanied by osteoporosis. Osteoporotic patients on treatment with anticatabolic agents may develop osteonecrosis of the jaw. The aim was to present the management of osteoporosis in an edentulous patient with severe periodontitis who developed multiple foci of osteonecrosis of the jaw. A patient, female aged 67, presented with osteoporosis, T score being −2.6 in the left hip. The patient also had severe periodontitis having already lost teeth in the maxilla. Anticatabolic treatment was administered. A year later the patient presented with severe dental problems and was completely edentulous. An extensive laboratory and clinical evaluation was performed. Osteoporosis improved and T score in the left hip was −2.4. Examination of the oral cavity revealed multiple foci of osteonecrosis of the jaw. Vitamin D and calcium were administered. Oral hygiene was taken care of and performed with the use of chlorhexidine solution. The patient was followed-up for a period of 6 months. Six months later examination of the oral cavity did not reveal foci of osteonecrosis. Thereafter, anticatabolic treatment was administered for the management of osteoporosis. In conclusion, management of osteoporosis in the edentulous patient presents unique problems. The patients are in the danger of developing osteonecrosis of the jaw. Additionally, dental implant installation may be impossible. Therefore, patients should be managed with caution. Oral examination should be performed in parallel with osteoporosis follow-up and oral hygiene should be taken care of.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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