These findings may help us better understand individual variability in health beliefs and medication www.selleckchem.com/products/gsk621.html preferences as Selleckchem Temsirolimus well as which patients are screened, evaluated or treated for OP. P28 ARE PERIODONTAL ENDPOINTS PREDICTIVE OF THE FRAX SCORE IN POSTMENOPAUSAL WOMEN AND VICE VERSA Foluke M. Alli, MD, Cleveland Clinic, Cleveland, OH; Gazabpreet K. Bhandal, DDS, Case
Western Reserve University, Cleveland, OH; Leena Bahl-Palomo, DDS, MSD, Case Western Reserve University, Cleveland, OH; Holly L. Thacker, MD, Cleveland Clinic, Cleveland, OH BACKGROUND: The FRAX score has been used to calculate the risk of fracture in postmenopausal women 50 years or older with low bone mineral density to identify patients at highest risk for fracture who will require treatment. Both periodontitis and osteoporosis constitute significant health problems especially in postmenopausal women. It is thought that these are related as they both affect the bone and many of the same factors which increase risk for osteoporotic fracture are also risk for periodontitis. selleck products As such are these periodontal end points also a predictor? Number of teeth lost, clinical attachment loss, gingival bleeding? AIM: To determine if periodontal endpoints are predictive of the FRAX score in postmenopausal women and vice versa. METHOD: This is a cross-sectional study using participants
in the NHANES data Ureohydrolase set that have periodontal data recorded. Data was obtained on 4207 postmenopausal women who participated in the survey and used to calculate the FRAX score. This was then compared against various periodontal end points such as number of teeth lost, clinical attachment loss and gingival bleeding. RESULT: Increased age was associated with increased osteoporotic fracture risk P < 0.001. As BMI increased, osteoporotic fracture risk decreased P < 0.001. Patients with higher FRAX scores lost more teeth and had larger (free gingival margin) FGM to cement enamel junction (CEJ) measurements
as well as FGM to sulcus base measurements. P < 0.001. Univariable analysis showed that patients that experienced tooth loss tend to be older and have higher FRAX scores. Tooth loss was not associated with BMI P 0.84. This pattern held true for mid- facial loss of attachment and meso-facial loss of attachment. Median attachment loss measurements were higher as FRAX scores increased. But after controlling for age and BMI, FRAX scores were not associated with an increased risk in attachment loss. CONCLUSION: If periodontal end points such as number of teeth lost correlates with FRAX scores, dental professionals are in a position to refer women to women’s health clinics for fracture risk assessment, counseling and prevention and women’s health centers should be referring patients with increased FRAX scores for dental interventions.