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Published online: 2024-11-18

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Study of the Relationship between the Condition of Periodontal Tissues and Bone Mineral Density in People with Newly Diagnosed Type 2 Diabetes

Małgorzata Wyszyńska-Pomian1, Ewa Grabowska2, Bernadetta Kałuża3, Edward Franek3, Renata Górska1

Abstract

Objective: The aim of the study was to assess the relationship between the condition of periodontal tissues and reduced bone mineral density (BMD) in patients with newly diagnosed type 2 diabetes (T2D). Materials and methods: A group of 108 patients with newly diagnosed T2D, up to 3 months after diagnosis, were included in the study. Smoking patients were excluded from the study. The patients underwent a periodontal examination, a blood test, and densitometry on the same day. The results were then subjected to statistical analysis by the PQStat v. 1.6.8. program using the Spearman test, as well as multivariate analysis by logistic regression. The threshold of significance was p < 0.05. Results: A group of 103 patients with newly diagnosed T2D were qualified for the study, including 38 women (36.9%) and 65 men (63.1%). The mean age of the patients was 56.5 years (SD = 13.0 years). In the group of women, the relationship between bone density and clinical attachment loss (CAL) was statistically significant also after taking age into account. The correlation between CAL and femoral neck density was so strong that, when taking it into account, age did not show a statistically significant relationship. The density of the femoral neck showed a strong relationship with the number of missing teeth, completely dominating the importance of age. Conclusions: It was shown that the degree of periodontal disease in the group of women with newly
diagnosed T2D was affected by reduced BMD, regardless of age.

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References

  1. Xu S, Zhang G, Guo JF, et al. Associations between osteoporosis and risk of periodontitis: A pooled analysis of observational studies. Oral Dis. 2021; 27(2): 357–369.
  2. Takaishi Y, Okamoto Y, Ikeo T, et al. Correlations between periodontitis and loss of mandibular bone in relation to systemic bone changes in postmenopausal Japanese women. Osteoporos Int. 2005; 16(12): 1875–1882.
  3. Lerner UH, Lerner UH. Bone remodeling in post-menopausal osteoporosis. J Dent Res. 2006; 85(7): 584–595.
  4. Eller-Vainicher C, Cairoli E, Grassi G, et al. Pathophysiology and Management of Type 2 Diabetes Mellitus Bone Fragility. J Diabetes Res. 2020; 2020: 7608964.
  5. Yamamoto M, Yamaguchi T, Yamauchi M, et al. Diabetic patients have an increased risk of vertebral fractures independent of BMD or diabetic complications. J Bone Miner Res. 2009; 24(4): 702–709.
  6. Napoli N, Chandran M, Pierroz DD, et al. IOF Bone and Diabetes Working Group. Mechanisms of diabetes mellitus-induced bone fragility. Nat Rev Endocrinol. 2017; 13(4): 208–219.
  7. Bełtowski J, Wójcicka G, Jamroz-Wiśniewska A. Hydrogen sulfide in the regulation of insulin secretion and insulin sensitivity: Implications for the pathogenesis and treatment of diabetes mellitus. Biochem Pharmacol. 2018; 149: 60–76.
  8. O'Leary TJ, Drake RB, Naylor JE. The plaque control record. J Periodontol. 1972; 43(1): 38.
  9. Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J. 1975; 25(4): 229–235.
  10. Page RC, Eke PI, Page RC, et al. Case Definitions for Use in Population-Based Surveillance of Periodontitis. J Periodontol. 2007; 78(7 Suppl): 1387–1399.
  11. Kribbs PJ, Smith DE, Chesnut CH. Oral findings in osteoporosis. Part II: Relationship between residual ridge and alveolar bone resorption and generalized skeletal osteopenia. J Prosthet Dent. 1983; 50(5): 719–724.
  12. Payne JB, Reinhardt RA, Nummikoski PV, et al. Longitudinal alveolar bone loss in postmenopausal osteoporotic/osteopenic women. Osteoporos Int. 1999; 10(1): 34–40.
  13. Wactawski-Wende J, Grossi SG, Trevisan M, et al. The role of osteopenia in oral bone loss and periodontal disease. J Periodontol. 1996; 67(10 Suppl): 1076–1084.
  14. Geurs NC, Lewis CE, Jeffcoat MK. Osteoporosis and periodontal disease progression. Periodontol 2000. 2003; 32: 105–110.
  15. Yoshihara A, Seida Y, Hanada N, et al. A longitudinal study of the relationship between periodontal disease and bone mineral density in community-dwelling older adults. J Clin Periodontol. 2004; 31(8): 680–684.
  16. Inagaki K, Kurosu Y, Kamiya T, et al. Low metacarpal bone density, tooth loss, and periodontal disease in Japanese women. J Dent Res. 2001; 80(9): 1818–1822.
  17. Weyant RJ, Pearlstein ME, Churak AP, et al. The association between osteopenia and periodontal attachment loss in older women. J Periodontol. 1999; 70(9): 982–991.
  18. Lundström A, Jendle J, Stenström B, et al. Periodontal conditions in 70-year-old women with osteoporosis. Swed Dent J. 2001; 25(3): 89–96.
  19. Taguchi A, Suei Y, Ohtsuka M, et al. Relationship between bone mineral density and tooth loss in elderly Japanese women. Menopause. 2005; 12(2): 144–148.
  20. Iki M, Kagamimori S, Kagawa Y, et al. Bone mineral density of the spine, hip and distal forearm in representative samples of the Japanese female population: Japanese Population-Based Osteoporosis (JPOS) Study. Osteoporos Int. 2001; 12(7): 529–537.
  21. Singh A, Sharma RK, Siwach RC, et al. Association of bone mineral density with periodontal status in postmenopausal women. J Investig Clin Dent. 2014; 5(4): 275–282.
  22. Kellie SE, Brody JA. Sex-specific and race-specific hip fracture rates. Am J Public Health. 1990; 80(3): 326–328.
  23. Vico L, Prallet B, Chappard D, et al. Contributions of chronological age, age at menarche and menopause and of anthropometric parameters to axial and peripheral bone densities. Osteoporos Int. 1992; 2(3): 153–158.
  24. Tak I, Shin M, Kweon S, et al. The association between periodontal disease, tooth loss and bone mineral density in a Korean population. J Clin Periodontol. 2014; 41(12): 1139–1144.
  25. Iwasaki M, Taylor GW, Nakamura K, et al. Association between low bone mineral density and clinical attachment loss in Japanese postmenopausal females. J Periodontol. 2013; 84(12): 1708–1716.
  26. Moeintaghavi A, Pourjavad M, Dadgar S, et al. Evaluation of the association between periodontal parameters, osteoporosis and osteopenia in post menopausal women. J Dent (Tehran). 2013; 10(5): 443–448.
  27. Grocholewicz K, Bohatyrewicz A. Oral health and bone mineral density in postmenopausal women. Arch Oral Biol. 2012; 57(3): 245–251.
  28. Drozdzowska B, Pluskiewicz W, Michno M. Tooth count in elderly women in relation to their skeletal status. Maturitas. 2006; 55(2): 126–131.
  29. Gondim V, Aun J, Fukuda CT, et al. Severe loss of clinical attachment level: an independent association with low hip bone mineral density in postmenopausal females. J Periodontol. 2013; 84(3): 352–359.
  30. Wu YY, Xiao E, Graves DT. Diabetes mellitus related bone metabolism and periodontal disease. Int J Oral Sci. 2015; 7(2): 63–72.
  31. Ateeq H, Zia A, Husain Q, et al. Comparative assessment of bone mineral density levels in type 2 diabetic subjects with or without chronic periodontitis: A cross-sectional study. J Adv Periodontol Implant Dent. 2021; 13(1): 28–34.