Osteoporosis and its implications for dental patients

Beatrice J. Edwards, Cesar Migliorati

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Background. Osteoporosis is a common disease in middle-aged and older Americans. The risk of sustaining fractures is a concern, and mortality rates after hip or vertebral fractures are high. Oral health maintenance for adults with osteoporosis is important Types of Studies Reviewed. The authors conducted a MEDLINE search of the medical and dental literature with the objective of reviewing osteoporosis, its effect on public health in the population in the United States and the implications in providing dental care for these patients. They selected studies by performing a content search with National Library of Medicine medical subject headings (epidemiology, public health impact, treatment, adverse drug reactions, cost-effectiveness of osteoporosis therapy, oral health, periodontal disease, adverse drug reactions, bisphosphonates and osteonecrosis of the jaw). They then performed a study design search with a filter so that only randomized clinical trials were included. Results. Osteoporosis and related fractures are more common than coronary disease, stroke and breast cancer. Fractures resulting from osteoporosis can affect a patients quality of life severely, and fractures result in functional impairment and increased health care cost and mortality. Medical management of osteoporosis includes diet control, with appropriate intake of calcium and vitamin D, weight-bearing exercise, discontinuation of tobacco and alcohol intake, and use of medications, including selective estrogen receptor modulators, calcitonin, anabolic agents and bisphosphonates. Bisphosphonates have been associated with the development of osteonecrosis of the jaws. Clinical Implications. Oral health maintenance is important in patients with osteoporosis. Bisphosphonate therapy or other medical treatment for these people should be discontinued only after consultation with the patient's physician.

Original languageEnglish (US)
Pages (from-to)545-552
Number of pages8
JournalJournal of the American Dental Association
Volume139
Issue number5
DOIs
StatePublished - Jan 1 2008

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Osteoporosis
Tooth
Oral Health
Diphosphonates
Jaw
Drug-Related Side Effects and Adverse Reactions
Public Health
Bisphosphonate-Associated Osteonecrosis of the Jaw
Medical Subject Headings
National Library of Medicine (U.S.)
Selective Estrogen Receptor Modulators
Anabolic Agents
Drug Costs
Osteonecrosis
Dental Care
Mortality
Weight-Bearing
Calcitonin
Periodontal Diseases
Therapeutics

All Science Journal Classification (ASJC) codes

  • Dentistry(all)

Cite this

Osteoporosis and its implications for dental patients. / Edwards, Beatrice J.; Migliorati, Cesar.

In: Journal of the American Dental Association, Vol. 139, No. 5, 01.01.2008, p. 545-552.

Research output: Contribution to journalArticle

Edwards, Beatrice J. ; Migliorati, Cesar. / Osteoporosis and its implications for dental patients. In: Journal of the American Dental Association. 2008 ; Vol. 139, No. 5. pp. 545-552.
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