The presence of osteoporosis places a patient at risk for periodontitis. A patient with osteoporosis who shows several findings should be evaluated for periodontitis.
Patient selection: osteoporosis
Risk factors for both periodontitis and osteoporosis:
(1) alcohol abuse
(2) smoking
(3) long-term corticosteroid therapy
(4) no hormone replacement in a postmenopausal woman
Findings associated with periodontitis:
(1) tooth loss
Findings associated with osteoporosis:
(1) high FRAX score (> 20%)
(2) low bone mineral density of the mandible
A patient with multiple risk factors should be evaluated for periodontitis.
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