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Your Teeth and Your Jawbone: Understanding the Link Between Oral Health and Osteoporosis


Let's dive into a fascinating (and sometimes overlooked) connection: the link between bone loss in women and our oral health.


The Jawbone: A Window to Overall Bone Health

Just like the rest of our skeleton, our jawbone is constantly undergoing a process of renewal. Old bone tissue is broken down (a process called resorption), and new bone tissue is formed. This delicate balance is crucial for maintaining strong, healthy teeth.


Osteoporosis and the Jawbone:

Osteoporosis, a condition characterized by decreased bone density, significantly impacts women, particularly after menopause. Research indicates that up to 20% of bone loss can happen during perimenopause and the post menopause journey. As bone mass decreases throughout the body, it also affects the jawbone. This can lead to:


  • Jawbone Loss: Reduced bone density in the jaw can weaken the support for teeth, making them more prone to shifting, loosening, and even falling out.

  • TMJ Disorders: Temporomandibular joint (TMJ) disorders, which affect the joints that connect your jaw to your skull, can be exacerbated by jawbone weakness.


Bisphosphonates and Oral Health:

Bisphosphonates are medications commonly used to treat osteoporosis. While highly effective, they can sometimes have an unexpected side effect:


  • Medication-Related Osteonecrosis of the Jaw (MRONJ): This condition involves severe jawbone damage, often requiring surgical intervention. It's important to note that MRONJ is rare, but it's crucial to be aware of the potential risks and discuss them with your doctor. Maximum precautions should be taken in patients who are at the risk of development of ONJ especially when any dental surgical procedure like extractions, retrograde apicoectomies, periodontal surgery and implant placement is contemplated.


Oral Health Implications:

  • Increased Risk of Tooth Loss: As mentioned earlier, jawbone loss can lead to tooth loss, impacting not only your smile but also your ability to chew and speak properly.

  • Gum Disease: Weakened jawbone can make it more difficult to maintain good oral hygiene, increasing the risk of gum disease.


What Can You Do?

  • Prioritize Bone Health:

    • Calcium and Vitamin D: Ensure you're getting enough calcium and vitamin D through your diet or supplements.

    • Weight-Bearing Exercise: Regular exercise, such as walking, jogging, or weightlifting, helps strengthen bones.

    • Healthy Lifestyle: Avoid smoking and limit alcohol consumption.

  • Maintain Excellent Oral Hygiene:

    • Brush and Floss Regularly: Brush twice daily and floss once a day to remove plaque and prevent gum disease.

    • Regular Dental Checkups: Schedule and attend regular dental checkups and cleanings.

    • Discuss Concerns with Your Doctor: If you're taking bisphosphonates or have any concerns about bone health, discuss them with your doctor and dentist.


Remember, maintaining good oral health is crucial for overall well-being, especially for women. By understanding the connection between bone health and oral health, you can take proactive steps to protect your smile and your overall health.


Disclaimer: This information is for general knowledge and informational purposes only and does not constitute medical advice. Always consult with a healthcare professional for any health concerns you may have.   

 


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