General and oral aspects of osteoporosis: a review.
General and oral aspects of osteoporosis: a review.
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DOI：
10.1007/s007840100105
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发表时间：
2001-06-01
影响因子：
3.4
通讯作者：
von Wowern, N
中科院分区：
文献类型：
--
作者：
von Wowern, N
这篇综述包括一个简短的总结，最新的全身性骨质疏松症的临床知识，以专注于临床牙科研究的颌骨骨质疏松症，这已经成为在过去的15年。颌骨骨质疏松症的诊断需要使用专门构建的颌骨扫描仪评估骨矿物质含量（BMC）/密度（BMD），并为年轻成人制定相应的与性别相关的正常BMC/BMD值，就像骨骼的其他部位一样。如果排除其他因素，在牙周炎和种植体周围区域，戴全口义齿后，颌骨骨质疏松症可能会导致牙槽骨丢失轻微加重。然而，种植体支持的覆盖义齿保存骨，因为他们积极的负载相关的影响，对颌骨。BMC/BMD的估计也是可取的无牙颌骨质疏松症患者。涉及骨代谢的全身治疗与其他骨骼部位一样，对颌骨BMC/BMD产生正面或负面影响，但这种影响的程度具有部位特异性。需要进一步研究双膦酸盐对颌骨BMC和牙槽骨丢失的影响，并分析骨质量和颌骨BMC/BMD与种植体治疗（无骨移植或有骨移植）的关系。
This review comprises a short summary of up-to-date clinical knowledge on systemic osteoporosis in order to focus on the clinical dental studies on osteoporosis of the jaws, which have become available within the last 15 years. Diagnosis of jaw osteoporosis requires assessment of the bone mineral content (BMC)/density (BMD) using specially constructed jaw bone scanners and development of a corresponding gender-related set of normal BMC/BMD values for young adults, as in other sites of the skeleton. If other factors are excluded, jaw osteoporosis may involve the risk of minor accentuation of alveolar bone loss after wearing a full denture, in cases of periodontitis and in peri-implant areas. However, implant-supported overdentures conserve bone because of their positive load-related effect on the jaw. Estimation of BMC/BMD is also advisable for edentulous osteoporotic patients. Systemic treatment involving the bone metabolism affects the jaw BMC/BMD positively or negatively as in other skeletal sites, but the magnitude of this effect is site-specific. Future studies of the effect of bisphosphonates on the jaw BMC and alveolar bone loss, and analyses of the bone quality and jaw BMC/BMD in relation to implant treatment, without or with bone transplantation, are required.