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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