Periodontal Disease and Osteoporosis

Periodontal disease is characterized by a progressive loss of supportive gingival tissue in the gums and jawbone. It is the number one cause of tooth loss among adults in the developed world. Periodontal disease occurs when toxins found in oral plaque inflame and irritate the soft tissues surrounding the teeth. If left untreated, bacteria colonies initially cause the systematic destruction of gum tissue, and then proceed to destroy the underlying bone tissue.

Osteoporosis is a common metabolic bone disease which frequently occurs in postmenopausal women, and occurs less frequently in men. Osteoporosis is characterized by bone fragility, low bone mass and a decrease in bone mineral density. Many studies have explored and identified a connection between periodontal disease and osteoporosis.

A study conducted at the University of New York at Buffalo in 1995 concluded that post-menopausal women who suffered from osteoporosis were 86% more likely to also develop periodontal disease.

Reasons for the Connection – Though studies are still being conducted in order to further assess the extent of the relationship between osteoporosis and periodontal disease, the researchers have thus far made the following connections:

Estrogen deficiency– Estrogen deficiency accompanies menopause and also speeds up the progression of oral bone loss. The lack of estrogen accelerates the rate of attachment loss (fibers and tissues which keep the teeth stable are destroyed).
Low mineral bone density– This is thought to be one of several causes of osteoporosis, and the inflammation from periodontal disease makes weakened bones more prone to break down. This is why periodontitis can be more progressive in patients with osteoporosis.

Diagnosis and Treatment – Osteoporosis and periodontal disease are much less dangerous if they are diagnosed in the early stages. Once a diagnosis has been made, the dentist will generally work with the patient’s doctor to ensure that both diseases are effectively controlled.

Here are some methods commonly used to diagnose and treat the diseases:

Routine dental x-rays– X-rays can be effectively used to screen for bone loss in the upper and lower jaw, and the dentist can provide interventions for preventing and treating periodontal disease. It is believed that minimizing periodontal disease will help treat osteoporosis.
Estrogen supplements– Providing post-menopausal women with estrogen supplements lowers the rate of attachment loss and also lowers gingival inflammation, which in turn protects the teeth from periodontal disease.
Assessment of risk factors– Dentists and doctors are able to closely monitor the patients that are at an increased risk of developing both diseases by assessing family history, medical history, X-ray results, current medications and modifiable risk factors. Tobacco use, obesity, poor diet and estrogen deficiency can all be managed using a combination of education, support and prescription medications.

If you have any questions about periodontal disease and its connection with osteoporosis, please ask us.

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Nina Jason
We have been going to Periodontal Associates for 27+ years. We see Dr. Heller and he is great. I have had bone replacement surgery and continue to see the practice for check ups every six months. Great caring group of staff, and hygienists as well. Wouldn't go anywhere else.
Floyd Vissat
Had 2 molars extracted within 2 years. No discomfort during and after the procedure. Healing went well.
Friendly staff
Zachary Speer
I had a great experience for my periodontal surgery and recovery wasn’t as bad as I thought. The team at periodontal associates were very caring and answered any questions during my recovery process.
Ryan Brun
Dr. Thousand and his staff were great. Getting periodontal work done isn't fun, but Dr. Thousand and the team at Periodontal Associates made it as easy as possible. Front office staff is very helpful and take the time to explain any billing/scheduling questions. Dr. Thousands assistant for my procedure was great too! I hope I don't need to get any more perio work done, but if I do this is where I will go.
Robin Berg
I felt well cared for by the Periodontal Associates team whether for my consultation visit, my tooth extraction or the two follow up visits. They are kind, professional, timely, and Dr. Heller is clearly an expert in his field. He had two potential plans of care for my procedure- one was tooth removal if absolutely necessary and the second to potentially save my tooth. Unfortunately the area was in bad condition so he was able to safely do the extraction and I feel SO much better (immediately). All points of contact at their office make you feel welcome, understood and well cared for. I'll be going back for periodic cleanings/ maintenance/ prevention for sure.
Bridget B.
Wow, from the moment I walked in I felt welcome. Super nice people and caring. I am a chicken and do not like dentist anything. Doctor Heller explained...
Lynne K.
I've been seen by Dr Beckmann since he joined the practice. I know he and his staff truly care about their patients and their dental health. Very...
Sara Kluhsman
Dr. Thousand is pure genius! He fixed a failing implant & placed a new 1 as well. I will never go anywhere else. That man preforms miracles!
Carol Thurstin
I have known Dr Versman and Dr Heller for 30 years. I don’t need periodontal treatment at this time but with the recent retirement of my General dentist, I was in search of a new dentist for my routine cleaning and dental health. Dr Heller suggested I visit Periodontal Assoc for my cleanings and I can say I feel like I got the best cleaning ever. My hygienist examined my neck and lymph nodes, which was never done by my previous dentist. I give this practice 5 stars.
Karen Pelling Levine
Dr. Doug Heller is one of three of the doctors that make up the driving force in my efforts to save my teeth and my overall health. What started out as one broken tooth led to the possibility of my losing all of my teeth to gum disease. Panicked, I reached for a second opinion and found Dr. Heller, along with my regular Dentist & Orthodontist. I am now the proud owner of only 5 implants, as opposed to full upper and lower implants OR full dentures. Though dental procedures are hardly fun, Dr. Heller and his staff have made it a smooth process, from financial to face-changing....I couldn't be happier. 😁 You be the judge. My profile pic, there on the left, is a fine example of their handiwork.
Double Bonus: Doorbell just rang. Beautiful plant has just arrived to cheer me in my recovery....Thank you, Dr. Heller and your wonderful Staff!
Jerome Gilmer
I was sent to Dr. Beckman on a referral from my dentist because of a slightly loose tooth. Dr. Beckman evaluated the situation and recommended a gum graft and bite adjustment. It is now six weeks since the procedure, and while the recovery was not painless, it was pretty much exactly as he said it would be. Upon evaluation earlier this week it was clear that the procedure was successful.

Dr. Beckman and the staff were very nice, supportive and professional and I would highly recommend this practice to anyone needing this kind of help.
Tori Horton Hamill
Dr Beckman performed a gum graft. I was nervous, but he explained everything clearly and thoroughly. The staff were very accommodating when I had to reschedule and they keep the schedule flowing on time so I was not sitting and waiting beyond the appointment time. The only downside was having to ask multiple times about the cost and what my calculated out of pocket would be. Would definitely recommend.
Ashley Anderson
5 stars! Dr. Beckman and the entire office staff provide superior customer service and care. I recently had a gum graft performed and from the very first meeting I felt at ease. Dr. Beckman took his time explaining the procedure and patiently answered any questions I had. On the day of the procedure they go the extra mile to make sure you are comfortable- they use top of the line medical treatment for an effective procedure and speedy recovery. The team was very supportive and available through the entire process and even calls to check on you post procedure. I highly recommend Dr. Beckman and his team!
Doris Binder
I needed to get some implants and Dr. Heller was recommended. Thankfully, he was absolutely wonderful. I wasn't sure what to expect, but he explained everything that needed be done and the procedure began. Now it's not an over night process, but the weeks after each step was a piece of cake. I am so happy with my implants. I had to have a tooth pulled a few weeks ago, and I don't know how he does it, but I had zero pain, no complications and I needed no pain Meds. The staff is so friendly and I highly recommend them.
Kenneth McCall
Jan Bernstein
Dr. Beckman and the staff couldn't have been nicer or more professional. I highly recommend the practice to anyone in need of a periodontist.
Chelsy LaForce
Dr. Heller and the rest of the team is absolutely amazing. They are super helpful through the entire process and I knew I was in great hands. Thank you so much!
Terry Lavitt Seiver
Aprille Tripler Moore
Dr. Beckman and the entire staff at Periodontal Associates are amazing! Dr. Beckman performed a gum graft procedure on me and to my surprise and relief I felt no pain. Not during the procedure or post op. The entire experience from consult through my last follow up appointment was topnotch.
Terry Sandahl
I have been a patient of first Dr. Versman and then Dr. Heller for over 20 years. This is an amazing periodontal group! I feel so comfortable having them take care of my needs~and there have been many! Dr. Heller is so easy going and I never feel like whatever he does will fail. They have a great support staff too! All their assistants are competent and friendly, and my hygienist Michelle is the best! Love these guys and wouldn't think of going anywhere else!