SYSTEMIC OSTEOPOROSIS AND PERIODONTAL BONE PATHOLOGY: PATHOGENETIC RELATIONSHIPS, STATISTICAL CORRELATIONS, SIGNIFICANCE FOR CLINICAL PRACTICE

Abstract

Systemic osteoporosis (OP) is one of the socially significant diseases leading to the occurrence of pathological fractures that increase the level of disability and mortality. In most cases, the diagnosis of OP is made late, i.e. after the occurrence of a pathological fracture. It is highly important to search for markers for early detection of OP. Periodontal bone damage is pathogenetically closely related to systemic OP. This is evidenced by the data of experimental and numerous clinical and epidemiological studies. Pathology of periodontal bone tissue can be a consequence of OP and, in turn, by the mechanism of positive feedback to weigh down its course. Detection by the dentist of the pathology of the bone tissue of periodont, especially in postmenopausal women, can be considered as a marker that allows you to suspect systemic OP. An urgent problem is the absence in modern manuals and guidelines on OP of references to the pathology of the dental and jawbone system and pathogenetic links with OP. To improve the early diagnosis of OP, it is necessary to establish closer interaction between dentists and doctors of other specialties treating OP.