How does osteoporosis affect dental care?
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Learn More...What are the different types of osteoporosis treatment?
You can take many important steps to optimize your bone health:
- Eat a well-balanced diet rich in calcium and vitamin D.
- Engage in regular physical activity or exercise. ...
- Don’t smoke, and limit alcohol intake.
- Report any problems with loose teeth, detached or receding gums, and loose or ill-fitting dentures to your dentist and your doctor.
Can osteoporosis be corrected with treatment?
injections of ibandronate (Boniva), given once every three months. intravenous infusion of zoledronic acid (Reclast), given once a year. Your doctor will also consider where your bone loss is centered. Alendronate, risedronate, and ibandronate have all been shown effective for reducing spine fractures.
What doctors treat osteoporosis?
Treatment with medication aims to prevent the condition from getting worse and reduce your risk for fracturing bones. Two types of medications can help treat osteoporosis. Antiresorptive medications. They slow the breakdown of bone density. You can take them as oral tablets, nasal sprays, injections, and intravenous administrations.
How does osteoporosis affect dental treatment?
Osteoporosis impacts all the bones of the body, including the jawbones. Loss of bone density in the jaw compromises tooth stability, increasing the risk of tooth loss and periodontal disease. Osteoporosis affects teeth as well as dental implants, and may limit your dental treatment options.
Why need dental clearance for bisphosphonates?
Dental Preclearance and Careful Tracking Can Prevent Osteonecrosis of the Jaw Due to Bisphosphonates. Bisphosphonates are an important part of managing bony metastasis of prostate, breast, lung, and other cancers but can cause osteonecrosis of the jaw (ONJ) in some patients.
Can you have dental implants if you have osteoporosis?
The answer is the involvement of the jawbone and surrounding facial bones. If the jawbone volume has been compromised by advancing osteoporosis, the bone cannot accept the dental implant. Acceptance is critical because dental implants fuses with your bone to provide stability.
What causes osteoporosis to worsen?
A lifelong lack of calcium plays a role in the development of osteoporosis. Low calcium intake contributes to diminished bone density, early bone loss and an increased risk of fractures. Eating disorders. Severely restricting food intake and being underweight weakens bone in both men and women.
Why do I need to see dentist before bisphosphonates?
Bisphosphonates carry an FDA warning stating that because ONJ has been rarely reported in osteoporosis patients, “all patients should have a routine oral exam prior to treatment.” The risk of ONJ in patients taking bisphosphonate in the doses for osteoporosis is extremely low, estimated to be an incidence of less than ...
How does bisphosphonates affect dental treatment?
Although bisphosphonates have been proved beneficial for many metabolic bone diseases but due to their action on osteoclast, they impair bone healing and remodelling and this has resulted in increased risk of development of osteonecrosis of jaw (ONJ) following surgical dental procedures like extraction or implant ...
Who is not a candidate for dental implants?
Certain health problems, including cancer, hemophilia, diabetes, and autoimmune disorders can disrupt a person's candidacy to receive dental implants because these disorders can affect your ability to heal. Some of these conditions can also cause serious infections after the procedure.
Who Cannot have dental implants?
People with gingivitis, periodontist or any other form of gum disease cannot have dental implants. This is because this condition destroys the gums and the bone beneath. As a result, too much bone loss leads to lack of sufficient bone for the implant to attach. Dentists often suggest treating gum diseases first.
Do dental implants stop bone loss?
Dental Implants Can Stop Bone Loss Replacing your missing teeth with dental implants can prevent bone loss from occurring, allowing your jaw to keep its natural shape and appearance. Dental implants mimic the function and appearance of natural teeth.
What are 5 symptoms of osteoporosis?
What is Osteoporosis?Fragility-related fractures. These occur when even mild impact causes a fracture of the wrist, back, hip or other bones.Height loss. More than two inches in height can be lost over time.Receding gums. ... A curved, stooped shape to the spine. ... Lower back pain.
What are the two medications that may cause osteoporosis after long term use?
High doses or long-term use of medicines called proton pump inhibitors (PPIs) can raise the risk of bone loss. PPIs, such as esomeprazole, lansoprazole, and omeprazole, are used for GERD (acid reflux), peptic ulcer, or heartburn. However, getting enough calcium and vitamin D may be enough to lower the risk.
What is the fastest way to increase bone density?
Keep reading for tips on increasing bone density naturally.Weightlifting and strength training. ... Eating more vegetables. ... Consuming calcium throughout the day. ... Eating foods rich in vitamins D and K. ... Maintaining a healthy weight. ... Avoiding a low calorie diet. ... Eating more protein. ... Eating foods rich in omega-3 fatty acids.More items...•
What is the best treatment for osteoporosis?
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.
Is bisphosphonate therapy discontinued for osteoporosis?
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.
What is the best treatment for osteoporosis?
Some antiresorptive agents, such as Fosamax, Actonel, Atelvia, Didronel and Boniva, are taken orally to help prevent or treat osteoporosis (thinning of bone) and Paget's disease of the bone, a disorder that involves abnormal bone destruction and regrowth, which can result in deformity.
What are the symptoms of osteonecrosis of the jaw?
Symptoms of osteonecrosis of the jaw include, but are not limited to: pain, swelling, or infection of the gums or jaw. injured or recently treated gums that are not healing. loose teeth. numbness or a feeling of heaviness in the jaw. exposed bone.
What is the condition called when you have a bone in your jaw?
In the case of antiresorptive agents—medicines that help strengthen bones—these medications have been associated with a rare but serious condition called osteonecrosis (OSS-tee-oh-ne-KRO-sis) of the jaw (ONJ) that can cause severe damage to the jawbone.
How to tell if you have osteonecrosis?
Symptoms of osteonecrosis of the jaw include, but are not limited to: 1 pain, swelling, or infection of the gums or jaw 2 injured or recently treated gums that are not healing 3 loose teeth 4 numbness or a feeling of heaviness in the jaw 5 exposed bone
Do you have to postpone dental treatment for osteoporosis?
Continue regular dental visits. If you are taking antiresorptive agents for the treatment of osteoporosis, you typically do not need to avoid or postpone dental treatment. The risk of developing osteonecrosis of the jaw is very low.
Can osteonecrosis occur spontaneously?
While osteonecrosis of the jaw can occur spontaneously, it more commonly occurs after dental procedures that affect the bone or associated tissues (for example, pulling a tooth). Be sure to tell your dentist if you are taking antiresorptive agents so he or she can take that into account when developing your treatment plan.
What is the best treatment for osteoporosis?
Several medications have been used to treat osteoporotic patients. In general, we distinguish between antiresorptive treatments that slow bone loss and bone anabolic agents that stimulate bone formation. Bisphosphonates (BPs), and in particular alendronate, are still the most commonly prescribed antiresorptive medications for osteoporosis and represent the gold standard in fracture prophylaxis. They can be administered either orally (more frequently) or intravenously, and they are stored in the bone for decades due to their strong affinity for hydroxyapatite. Contrasting results have been reported in relation to the influence of BPs on dental implant osseointegration and success.
What is the BMD of osteoporosis?
It is diagnosed as a level of bone mineral density (BMD), calculated with a DEXA (dual-energy X-ray absorptiometry) scan, 2.5 standard deviations (SD) or more below the average mean value for young healthy women (T-score ≤ -2.5) (Kanis, et al., 2013).
What is the use of bioactivated implants?
A rapidly growing research field is now related to the use of implant surfaces that can be bioactivated, drug loaded, or chemically modified to improve osseointegration and bone formation in challenging conditions (such as osteoporosis). Animal studies have tested, for instance, the use of phosphate ceramic-coated implants, hydroxyapatite-coated implants, bisphosphonate-coated implants, and hydrophilic titanium surfaces (Mardas, et al., 2011; Alghamdi and Jansen, 2013) to promote better bone healing when the host bone is osteoporotic, but these data, though encouraging, still have to be thoroughly investigated in clinical trials.
What are the risk factors for osteoporotic bone?
In particular, clinicians should carefully assess and try to control for concomitant risk factors that can affect bone meta-bolism and bone density (such as deficiencies of vitamin D and calcium, smoking, and alcohol abuse ), as well as for the presence of systemic diseases (such as diabetes mellitus) with a recognized impact on bone tissue. It is also advisable to consider osteoporotic bone as equivalent to type IV according to Lekholm and Zarb classification, thus porous and on average of poor quality. Hence, the clinician should take into consideration under preparation of the site longer healing periods before siting the prosthesis and a careful implant/bone loading distribution.
How long does it take for an ONJ to heal?
ONJ usually presents as an area of exposed bone that does not heal spontaneously within 8 weeks, and it is usually, but not always, associated with pain (Ruggiero, et al., 2014).
Why is patient education important in dental care?
Patient education and motivation regarding dental care and tight recall programs have to be seen as a priority when dealing with osteoporotic patients in order to reduce the need for surgical procedures.
How many people in Europe have osteoporosis?
The prevalence of osteoporosis in Europe was estimated to be of 27.6 million people (22 million women and 5.6 million men) in 2010, but due to the population growth and the increase in life expectancy, this number is likely to rise in the future, as shown by Hernlund and colleagues (2013). Projections for the United Kingdom hypothesize that the number of fragility fractures will increase from 536,000, as recorded in 2010, to 682,000 by 2025 (+27%) (Svedbom, et al., 2013).
How to prevent osteoporosis?
Getting regular weight-bearing exercise (like walking or yoga) and eating a healthy, balanced diet with plenty of calcium and vitamin D can help you manage—or even prevent—osteoporosis. And in terms of cost alone, studies suggest that preventing falls is a better way to reduce fractures than taking medications.
What is the goal of osteoporosis?
The goal of treating osteoporosis is to make the bone better able to resist fractures. Different medications use different biochemical mechanisms to accomplish this. But from a bone health perspective, there’s a problem with the way some bisphosphonates (for example, Fosamax™) and RANKL inhibitors (Prolia™) work.
What is the name of the first osteoporosis medication?
Two of these are known to cause problems. One is called alendronate (Fosamax™), which was the first osteoporosis medication to hit the market in 1995. It belongs to a class of drugs called bisphosphonates and it is taken in pill form. A more recently developed injectable, denosumab (Prolia™) is a type of drug called a RANKL inhibitor.
What does osteoporosis look like?
The word osteoporosis means “porous bone.” If you examine a healthy human bone, you’ll see that the tissue inside looks like a network of mineralized partitions or walls with open spaces in between —not unlike a sponge. But with osteoporosis, those spaces are much larger, making the bone weaker and more prone to fracture. Worldwide, according to the International Osteoporosis Foundation, about one in three women over age 50 will experience osteoporotic fractures; so will one in five men.
What happens when bone tissue is not removed?
When old bone tissue is not removed, bones become hard and brittle, and can break or lose their blood supply. When that happens, the bone itself may begin to die—a relatively rare condition called osteonecrosis. One of the two bones most often affected by osteonecrosis is the jawbone.
How long does it take bisphosphonate to work?
After 18 months, they can offer a reported benefit in controlling osteoporosis. Yet when taken for longer periods—generally 3-5 years or more —they begin to have a negative effect. When old bone tissue is not removed, bones become hard and brittle, and can break or lose their blood supply. When that happens, the bone itself may begin to die—a relatively rare condition called osteonecrosis.
Which bone is most affected by osteonecrosis?
One of the two bones most often affected by osteonecrosis is the jawbone . (The other is the femur, or upper leg bone, the longest bone in the body.) The constant forces exerted by the normal functioning of teeth (chewing, for example) transmit stresses to the jawbone. This stimulation normally helps the bone tissue stay healthy. However, those same stresses can lead to osteonecrosis in the jawbone. When caused by a medication, this condition is called Drug-Induced Osteonecrosis of the Jaw (DIONJ).
Why does osteoporosis affect jaws?
Osteoporosis and Oral Health. Osteoporosis is a chronic disease that causes bones capable of breaking easily and can trigger low bone density, causing a major impact on the jawbone that supports the teeth. The main causes of osteoporosis are aging, menopause, and lack of nutrients like vitamin D. Because of this, osteoporosis can have ...
What causes bone loss and periodontal disease?
Smoking – Smoking is a leading cause of oral health issues that can trigger bone diseases and increase the risk of osteoporosis. Diet – A diet lacking proper nutrients like vitamin D and calcium can eventually lead to bone disease and periodontal disease. Hormone imbalance – The use of corticosteroids due to a hormone imbalance caused by menopause ...
Why do teeth lose their alveolar bone?
Loss of the alveolar bone and the break down of the mineral bone density leaves the bones more prone to tooth loss. The break down in bone density can be caused by chronic diseases. There is a clear relationship between periodontitis and other diseases that affect bone density, such as osteoporosis.
How can women help with osteoporosis?
Women can help lower their risk by taking supplements, increasing their calcium intake, or by undergoing hormone therapy to encourage a healthy hormone balance. Women who suffer from osteoporosis are more likely to experience difficulty with healing after oral surgeries, dental procedures , or have ill-fitting dentures.
What diseases affect the bone?
Bone diseases like osteoporosis have a significant affect on your oral health and dental bones.
What foods can help prevent osteoporosis?
Taking a supplement is not sufficient in providing the body with enough nutrients that come from calcium-rich foods. Foods such as broccoli and kale have fortified calcium, as well as dairy products such as milk and plain yogurt.
Does osteoporosis cause gum disease?
Because of this, osteoporosis can have a direct negative effect on gum and periodontal disease, leading to loss of teeth. Osteoporosis has a huge impact on the jawbone that supports the teeth. When the jawbone is affected by chronic bone diseases, other dental issues are eminent.
Is low bone mass a risk factor for periodontal disease?
Low bone mass is a risk factor in periodontal disease-related tooth loss in patients with intellectual disability.
Is osteoporosis a health problem?
Osteoporosis has emerged as a major health problem affecting middle-aged and older individuals. It is characterized by a reduced bone mass and strength, resulting in increased susceptibility to fractures. The disease is associated with several risk factors, and increasing evidence suggests that it may be associated with oral health conditions such as periodontal disease, reduced jaw bone density and tooth loss. Besides the effects of osteoporosis on oral health, bisphosphonate-related osteonecrosis of the jaws is a major concern to the dentist. Bisphosphonate-related osteonecrosis of the jaws is a recently described adverse effect of bisphosphonate therapy. The exact mechanisms by which these drugs cause necrosis of the jaws remain unclear, and a true cause-and-effect relationship between osteonecrosis of the jaw and bisphosphonate use has not yet been established. Hence, any form of invasive dentoalveolar treatment should be performed with caution in patients taking bisphosphonates. This review discusses current evidence on osteoporosis and its treatment implications as a risk factor in the development of various oral diseases.
Men and Osteoporosis
Although women with osteoporosis have a risk of tooth loss three times greater than their stronger boned friends, men are also at risk for the condition. According to the American College of Physicians (ACP) osteoporosis is expected to spike by 50 percent over the next 15 years.
How To Treat the Problems
Regardless if you are a man or a woman diagnosed with osteoporosis, there are a myriad of treatment options available.
