PERIODONTAL CONDITION AND ORAL FLUIDS ELEMENTAL ANALYSIS OF WOMEN AFFECTED BY OSTEOPOROSIS AND OSTEOPENIA BY MEANS OF COMMUNITARY PERIODONTAL INDEX AND X-RAY FLUORESCENCE ANALYSIS

M.S. GRENÓN; D. FUCKS; F. GHIRARDI; M. ÑAÑEZ; H. J. SÁNCHEZ

Tucuman

Congreso; XLIV° Reunión Anual de la Sociedad Argentina de Investigación Odontológica, División Argentina de la Internacional Association for Dental Research; 2011

SAIO

Osteoporosis is characterized by loosing mass of bones that occurs with a deterioration in the microstructure of bones. This predisposes to bone fragility and spontaneous fractures. Osteoporosis, osteopenia and periodontal disease have common risk factors. Some studies suggest that osteoporotic women are more susceptible to loosing periodontal attachment, alveolar bone and teeth. OBJECTIVES: To analyze the concentration of calcium and other trace elements present in oral fluids. To establish correlations among trace elements and the severity of osteoporosis and periodontal disease. METHODS: We studied 30 postmenopausal women, systemically healthy patients (control group) and patients with some degree of osteoporosis / osteopenia (test group) were included. The patients under study did not have any systemic disease other than osteoporosis / osteopenia, were non-smokers, and had a community periodontal index greater than 1. Samples of saliva and gingival crevice fluid were taken with microcapillaries and deposited on silicon wafers. Pure gallium was used as internal standard for quantification of the detected elements. Experimental concentrations were determined for: P, S, Cl, K, Ca, Cr, Fe, Ni, Cu, and Zn. RESULTS: All patients had periodontal disease. The community periodontal index for the healthy patient group was 1.9+0.6, for the osteopenia group was 3.2+0.2 and for the osteoporosis group was 2.5+0.4. CONCLUSION: Preliminary results indicate that patients with osteopenia are more likely to develop periodontal disease than osteopenic and healthy patetins. The concentration of some elements showed different behavior in gingival crevice fluid and saliva. TXRF proved to be a suitable method to evaluate the trace elements in oral fluids and could be useful in controlling the development of osteoporosis.