Persson, Gösta Rutger; Berglund, Johan; Persson, Rigmor; Renvert, Stefan (2011). Prediction of hip and hand fractures in older persons with or without a diagnosis of periodontitis. Bone, 48(3), pp. 552-6. New York, N.Y.: Elsevier 10.1016/j.bone.2010.09.237
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Purpose: In a prospective study, we assessed if a diagnosis of osteoporosis and periodontitis could predict hip and hand fractures in older persons. Materials and methods: Bone density was assessed by a Densitometer. Periodontitis was defined by evidence of alveolar bone loss. Results: 788 Caucasians (52.4% women, overall mean age: 76 years, S.D. +/- 9.0, range: 62 to 96) were enrolled and 7.4% had a hip/hand fracture in 3 years. Calcaneus PIXI T-values < - 1.6 identified osteoporosis in 28.2% of the older persons predicting a hip/hand fracture with an odds ratio of 3.3:1 (95% CI: 1.9, 5.7, p < 0.001). Older persons with osteoporosis had more severe periodontitis (p < 0.01). Periodontitis defined by >= 30% of sites with >= 5 mm distance between the cemento-enamel junction (CEJ) and bone level (ABL) was found in 18.7% of the older persons predicting a hip/hand fracture with an odds ratio of 1.8:1 (95% CI: 1.0, 3.3, p < 0.05). Adjusted for age, the odds ratio of a hip/hand fracture in older persons with osteoporosis (PIXI T-value <-2.5) and periodontitis was 12.2:1 (95% CI: 3.5, 42.3, p < 0.001). Conclusions: Older persons with osteoporosis and periodontitis have an increased risk for hip/hand fractures
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology |
UniBE Contributor: |
Persson, Gösta Rutger, Persson, Rigmor, Renvert, Stefan |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
8756-3282 |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Eveline Carmen Schuler |
Date Deposited: |
04 Oct 2013 14:08 |
Last Modified: |
05 Dec 2022 14:00 |
Publisher DOI: |
10.1016/j.bone.2010.09.237 |
PubMed ID: |
20951243 |
Web of Science ID: |
000288773800016 |
BORIS DOI: |
10.7892/boris.492 |
URI: |
https://boris.unibe.ch/id/eprint/492 (FactScience: 199500) |