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Periodontal Disease and Osteoporosis

Periodontal disease is characterized by a progressive loss of supportive gingival tissue in the gums and jawbone.  It is the number one cause of tooth loss among adults in the developed world.  Periodontal disease occurs when toxins found in oral plaque inflame and irritate the soft tissues surrounding the teeth.  If left untreated, bacteria colonies initially cause the systematic destruction of gum tissue, and then proceed to destroy the underlying bone tissue.

Osteoporosis is a common metabolic bone disease which frequently occurs in postmenopausal women, and occurs less frequently in men.  Osteoporosis is characterized by bone fragility, low bone mass and a decrease in bone mineral density.  Many studies have explored and identified a connection between periodontal disease and osteoporosis.

A study conducted at the University of New York at Buffalo in 1995 concluded that post-menopausal women who suffered from osteoporosis were 86% more likely to also develop periodontal disease.

Reasons for the Connection

Though studies are still being conducted in order to further assess the extent of the relationship between osteoporosis and periodontal disease, the researchers have thus far made the following connections:

  • Estrogen deficiency – Estrogen deficiency accompanies menopause and also speeds up the progression of oral bone loss.  The lack of estrogen accelerates the rate of attachment loss (fibers and tissues which keep the teeth stable are destroyed).

  • Low mineral bone density – This is thought to be one of several causes of osteoporosis, and the inflammation from periodontal disease makes weakened bones more prone to break down.  This is why periodontitis can be more progressive in patients with osteoporosis.

Diagnosis and Treatment

Osteoporosis and periodontal disease are much less dangerous if they are diagnosed in the early stages.  Once a diagnosis has been made, the dentist will generally work with the patient’s doctor to ensure that both diseases are effectively controlled.

Here are some methods commonly used to diagnose and treat the diseases:

  • Routine dental x-rays – X-rays can be effectively used to screen for bone loss in the upper and lower jaw, and the dentist can provide interventions for preventing and treating periodontal disease.  It is believed that minimizing periodontal disease will help treat osteoporosis.

  • Estrogen supplements – Providing post-menopausal women with estrogen supplements lowers the rate of attachment loss and also lowers gingival inflammation, which in turn protects the teeth from periodontal disease.

  • Assessment of risk factors – Dentists and doctors are able to closely monitor the patients that are at an increased risk of developing both diseases by assessing family history, medical history, X-ray results, current medications and modifiable risk factors.  Tobacco use, obesity, poor diet and estrogen deficiency can all be managed using a combination of education, support and prescription medications.

If you have any questions about periodontal disease and its connection with osteoporosis, please ask your dentist.


Read what people are saying about us.

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5 star rating 8/30/2017
Dr. Thai has been my dentist for over 3 years now and I'm still fully satisfied with this office! The main thing I like about this office is that they really care about the patient.
So if you're looking for an office that pays attention to personalized care and a dentist that listens to your needs and concerns, this is the office for you!
They accept most insurances so if you're not sure if they are in network, make sure to give them a call and they will help you through the process!

CK in Sunnyvale on 08/30/2017

5.0 star rating 3/13/2016
I strongly disagree with Peter Z. I doubt that his review is for Dr Thai. I've been with Dr. Thai for 2 years and she never did what Peter Z has described. Dr. Thai is not a pushy person, I don't believe she would repeatedly up-sell unnecessary procedures to her patients. She is professional, knowledgable, skillful, experienced, down to earth, sincere, friendly. There are a lot of great values I found on her as an outstanding dentist.

I would highly recommend her to anybody.

Richard via Yelp

5.0 star rating 11/20/2015
1 check-in
This review is long overdue! I have been a patient of Dr. Thai for over 7 years now. I concur with the other reviews that she is sincere, friendly, and will go above and beyond to help with getting your dental needs taken care of. She would take the time to answer all of my questions and was very thorough with her cleanings, screenings, and overall dental care. The best thing about her is that she is gentle and patient. If you happen to see her during the holiday season, you may get a chance to try her homemade muffins or cookies. Her assistant told me that she loves to bake during the holidays, and she would share them with patients and colleagues. Her office even have cool dental items like bacon, pickle, and cupcake toothpaste/floss for you to try. So if you want a personalized and friendly office where the dentist knows all of her patients by name, then I highly recommend Dr. Thai. You won't be disappointed.

Chip via Yelp

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Contact Us.We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.