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Pol. Merkur. Lek (Pol. Med. J.), 2015, XXXIX/232: 214-218 Maximize

Pol. Merkur. Lek (Pol. Med. J.), 2015, XXXIX/232: 214-218

Title: Number of teeth and hormonal profile of postmenopausal women with osteoporosis, osteopenia and normal bone mineral density – a preliminary study 

Authors: Stagraczyński M, Kulczyk T, Leszczyński P, Męczekalski B. 

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SUMMARY IN POLISH & ENGLISH. FULL ARTICLE ONLY IN POLISH.

Number of teeth and hormonal profile of postmenopausal women with osteoporosis, osteopenia and normal bone mineral density – a preliminary study


Stagraczyński M1, Kulczyk T2, Leszczyński P3, Męczekalski B4.

1Department of Maxillofacial Surgery at the Voivodship Hospital in Kalisz, Poland; Medical University of Poznań, Poland: 2Section of Dental Radiology, Department of Biomaterials and Experimental Dentistry; 3Department of Rheumathology and Rehabilitation; 4Department of Gynecological Endocrinology

Profound hypoestrogenism causes increased risk of osteoporosis and bone fracture in menopause. This period of women life is also characterized by decrease number of teeth and deterioration of oral cavity health.
The aim of the study
was to assess the number of teeth, hormonal profile (Follicle-stimualting hormone (FSH), estradiol (E2), testosterone (T) and dehydroepiandrosterone sulphate (DHEA-S) and the bone mineral density (BMD) of the lumbar part of the spine in postmenopausal women with osteoporosis, osteopenia and normal BMD. The next step of the study was to determine whether there was a correlation between vertebral mineral bone density, the hormonal profile and the number of teeth.
Material and methods
. A total number of 47 women was involved in the study. Based on the results of densitometry tests (DEXA) of vertebral column the subjects were divided into 3 groups: 10 with osteoporosis, 20 with osteopenia and 17 with normal BMD. All the subjects had undergone a hormonal assessment which included blood serum estimation for FSH, E2, DHEA-S and T levels. Also the total number of teeth present was recorded.
Results
. Serum estradiol and testosterone levels in postmenopausal women were found to be positively correlated with the number of teeth present. A negative correlation was found between age and the number of maxillary teeth in postmenopausal women with osteopenia. There was no influence of serum FSH, estradiol, testosterone and DHEA-S levels on vertebral BMD loss in postmenopausal women. There was no correlation between teeth number and BMD of vertebral column.
Conclusions
. Serum levels of estradiol and testosterone in postmenopausal women positively correlate with teeth numbers. Age is the main risk factor for teeth loss in postmenopausal women.

Key words: tooth, estradiol, testosterone, osteporosis, osteopenia, menopause

 Pol Med J, 2015; XXXIX (232); 214–218