Naslov
Diagnosis and treatment of osteoporotic patients in dentistry

Autori
Knezović Zlatarić, Dubravka ; Čelebić, Asja

Vrsta, podvrsta i kategorija rada
Poglavlja u knjigama, znanstveni

Knjiga
Osteoporosis: Etiology, Diagnosis and Treatment

Urednik/ci
Mattingly, BE ; Pillare, AC

Izdavač
Nova Science Publishers

Grad
New York (NY)

Godina
2009

Raspon stranica
502-506

ISBN
978-1-60692-397-9

Ključne riječi
osteoporosis, alveolar ridge resorption, tooth loss

Sažetak
Osteoporosis is a multifactorial, age-related metabolic bone disease characterized by low bone mineral density (BMD), deterioration of the microarchitecure of cancellous bone, and changes in the material properties of bone, leading to enhanced bone fragility and to a consequent increase in the risk of fracture. Those factures do not seem to occur in the jaws. Studies investigating the effect of osteoporosis on the jaws have generally relied on relating changes in bone mass in different skeletal sites to changes in a range of mandibular variables measured in different ways, including height of residual ridge, altered trabecular and cortical pattern, and reduced bone density. Oral signs of the bone loss in elderly patients are manifested by excessive alveolar ridge resorption and tooth loss. Reduction of the residual alveolar ridges could be described as a resorptive athrophy, a fundamental and physiologic reaction to loss of function and inactivity that presumably is influenced and modulated by individually varying factors, such as condition of the bone, period of edentulousness, denture- wearing habits, and unfavorable loading patterns. Radiographic intraoral microdensitometry, next to the clinical examination, is definitely one of the most often used bone-mass measuring techniques in assessing the quantity of the mandibular bone loss caused by osteoporosis. It has been developed to increase the precision of bone mass assessment on conventional radiographs, including panoramic radiographs and periapical radiographs. This tool has been proved in several clinical studies to be accurate enough in detecting patients with low bone mineral density. In the recent study, determing the relative usefulness of BMD measurements on dental panoramic radiographs in the diagnosis of patients with postmenopausal osteoporosis it was found that the mandibular BMD values, measured on panoramic radiographs, are a significant factor in predicting postmenopausal osteoporosis (p<0.05). Partially and completely edentulous patients, with the diagnosed osteporosis, require special prosthodontic treatment.

Izvorni jezik
Engleski

Znanstvena područja
Dentalna medicina

POVEZANOST RADA