Changes in jaw dimensions and bone density in patients with osteoporosis

Abstract

Introduction Osteopenia and osteoporosis reduce the density and mass of jaw bones. Aim The aim of this study was to present the methods of radiographic analysis in patients with osteoporosis prior to restorative treatment. Method 127 panoramic radiographs (Kodak, USA) and 39 retroalveolar radiographs (KD 58-R 30?40 mm, USA) were used for the analysis of density (DT II 05 densitometer, England) and dimensions of jaw bones with respect to segments corresponding to bone layers. Results The results of this study indicated statistically significant differences in bone density (p<0.05 and p<0.01) in patients with osteopenia. Bone density was significantly reduced (p<0.01 and p<0.001) in osteoporotic patients, when compared to controls. Significant reductions of edentulous ridges in osteoporotic patients women X=23.05 mm (kV=30.72%) and X=22.85 mm (kV=28.81%), and men X=28.83 (kV=8.55%) as well as X=25.36 (kV=11.43%), were observed. Conclusion Bone density of the upper and lower jaw is reduced in osteoporotic patients. At the very beginning of restorative prosthodontic therapy of osteoporotic patients, retroalveolar radiographs and panoramic radiographs should be obtained. Reference lines should be assigned, contours of the alveolar and edentulous ridges on radiographs should be analysed and bone density assessed.