Evaluation of Early-Stage Osteonecrosis Findings and Oral Health in Patients Using Biphosphonate for Osteoporosis

Özlem Yarbaşı; Esin Bozdemir (haştar)

Makale detayları

Evaluation of Early-Stage Osteonecrosis Findings and Oral Health in Patients Using Biphosphonate for Osteoporosis

Yazarlar:

Özlem Yarbaşı | Esin Bozdemir (haştar)

Yayıncı:

Aydin Adnan Menderes University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi Vol.7 Issue 2, pp.270-280

Belge Tipi:

Makale

Yayın Tarihi:

5/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001290694

pISSN:

2587-2427

Anahtar kelimeler:

Özet:

 Objective: The aim of study is to evaluate the oral health status and early osteonecrosis findings in patients using bisphosphonates for osteoporosis. Methods: 110 postmenopausal female patients who were using bisphosphonates for osteoporosis were included to this study. Oral health status was evaluated with the oral index including caries, vertical and horizontal bone loss, tooth loss, and periapical lesion on panoramic radiographs. Early-stage bisphosphonate-related osteonecrosis findings of the jaws to be evaluated are as follows; lamina dura thickening, focal or diffuse bone sclerosis, widening of the periodontal space, persistent alveolar socket, thickening of the external oblique line. Results: Early-stage MRONJ findings were determined in 68.2 of the patients. Thickening of the external oblique line 33.6, thickening of the lamina dura 28.2, and focaldiffuse bone sclerosis 23.6 were the most common findings. It was determined that 30.9 of the patients did not have caries, 88.2 had horizontal bone loss, 49.1 had more than 10 missing teeth, and 36.3 had a periapical lesion. Conclusion: It was determined that most of the participants had more dental problems and the presence of early stage MRONJ sign.The patients in need of dental treatment can be determined with the cooperation of medical doctors and dentists. Additionally, signs of osteonecrosis can be noticed at an early stage. This is important in terms of monitoring and treatment of the patients.

 Objective: The aim of study is to evaluate the oral health status and early osteonecrosis findings in patients using bisphosphonates for osteoporosis. Methods: 110 postmenopausal female patients who were using bisphosphonates for osteoporosis were included to this study. Oral health status was evaluated with the oral index including caries, vertical and horizontal bone loss, tooth loss, and periapical lesion on panoramic radiographs. Early-stage bisphosphonate-related osteonecrosis findings of the jaws to be evaluated are as follows; lamina dura thickening, focal or diffuse bone sclerosis, widening of the periodontal space, persistent alveolar socket, thickening of the external oblique line. Results: Early-stage MRONJ findings were determined in 68.2 of the patients. Thickening of the external oblique line 33.6, thickening of the lamina dura 28.2, and focaldiffuse bone sclerosis 23.6 were the most common findings. It was determined that 30.9 of the patients did not have caries, 88.2 had horizontal bone loss, 49.1 had more than 10 missing teeth, and 36.3 had a periapical lesion. Conclusion: It was determined that most of the participants had more dental problems and the presence of early stage MRONJ sign.The patients in need of dental treatment can be determined with the cooperation of medical doctors and dentists. Additionally, signs of osteonecrosis can be noticed at an early stage. This is important in terms of monitoring and treatment of the patients.

 Objective: The aim of study is to evaluate the oral health status and early osteonecrosis findings in patients using bisphosphonates for osteoporosis. Methods: 110 postmenopausal female patients who were using bisphosphonates for osteoporosis were included to this study. Oral health status was evaluated with the oral index including caries, vertical and horizontal bone loss, tooth loss, and periapical lesion on panoramic radiographs. Early-stage bisphosphonate-related osteonecrosis findings of the jaws to be evaluated are as follows; lamina dura thickening, focal or diffuse bone sclerosis, widening of the periodontal space, persistent alveolar socket, thickening of the external oblique line. Results: Early-stage MRONJ findings were determined in 68.2 of the patients. Thickening of the external oblique line 33.6, thickening of the lamina dura 28.2, and focaldiffuse bone sclerosis 23.6 were the most common findings. It was determined that 30.9 of the patients did not have caries, 88.2 had horizontal bone loss, 49.1 had more than 10 missing teeth, and 36.3 had a periapical lesion. Conclusion: It was determined that most of the participants had more dental problems and the presence of early stage MRONJ sign.The patients in need of dental treatment can be determined with the cooperation of medical doctors and dentists. Additionally, signs of osteonecrosis can be noticed at an early stage. This is important in terms of monitoring and treatment of the patients.

 Amaç: Çalışmanın amacı osteoporoz nedeniyle bifosfonat kullanan hastalarda oral sağlık durumunun ve erken dönem osteonekroz bulgularının değerlendirilmesidir. Yöntem: Çalışmaya osteoporoz nedeniyle bifosfonat kullanımı olan postmenopozal dönemdeki 110 kadın hasta dahil edildi. Hastaların panoramik radyografları üzerinde: oral sağlık durumunun değerlendirilmesinde çürük, vertikal ve horizontal kemik kaybı, diş kaybı, periapikal lezyon varlığını içeren oral indeks kullanıldı. Ayrıca erken evre ilaçla ilişkili osteonekroz bulguları olan lamina durada kalınlaşma, fokal veya diffüz kemik sklerozu, peridontal aralıkta genişleme, persiste alveolar soket, eksternal oblik çizginin kalınlaşması gibi bulgular kaydedildi. Bulgular: Hastaların 68.2sinde erken evre MRONJ bulgusunun olduğu belirlendi. Eksternal oblik çizginin kalınlaşması 33.6, lamina durada kalınlaşma 28.2 ve fokaldiffüz kemik sklerozu 23.6 en fazla gözlenen bulgulardı. Hastaların 30.9unda çürüğün olmadığı, 88.2sinde horizontal kemik kaybı, 49.1inde 10 dişten fazla eksik dişi olduğu ve 36.3ünde periapikal lezyon bulunduğu belirlendi. Sonuç: Katılımcıların çoğunda dental problemlerin fazla olduğu ve erken evre MRONJ bulgusunun varlığı tespit edildi. Tıp ve diş hekimlerinin birlikte çalışması ile dental tedavi ihtiyacı olan hastalar belirlenebilir. Ayrıca osteonekroz bulguları erken evrede fark edilebilir. Bu durum hastaların takibi ve tedavisi açısından önemlidir.

Makale detayları

Evaluation of Early-Stage Osteonecrosis Findings and Oral Health in Patients Using Biphosphonate for Osteoporosis

Yazarlar:

Özlem Yarbaşı | Esin Bozdemir (haştar)

Yayıncı:

Aydin Adnan Menderes University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi Vol.7 Issue 2, pp.270-280

Belge Tipi:

Makale

Yayın Tarihi:

5/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001290694

pISSN:

2587-2427

Bisphosphonate

Osteonecrosis

Osteoporosis

Oral healthBifosfonat

Osteonekroz

Osteoporoz

Ağız sağlığı

Sayı

Makale detayları

Yazarlar: Özlem Yarbaşı | Esin Bozdemir (haştar)

Yayıncı: Aydin Adnan Menderes University

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi Vol.7 Issue 2, pp.270-280

Belge Tipi: Makale

Yayın Tarihi: 5/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001290694

pISSN: 2587-2427

Sayı

Yazarlar:

Özlem Yarbaşı | Esin Bozdemir (haştar)

Yayıncı:

Aydin Adnan Menderes University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi Vol.7 Issue 2, pp.270-280

Belge Tipi:

Makale

Yayın Tarihi:

5/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001290694

pISSN:

2587-2427