A common question we get is: “Doc, I have osteoporosis…will the implant take?"
Osteoporosis is a disease in which patients have low bone density, which can lead to higher risk of fractures. Results from several studies relating bone loss around dental implants and osteoporosis have been inconclusive and therefore the topic is controversial. The Journal of Periodontology recently published an article regarding this topic.
The article examined 212 implants placed in 67 patients looking back over the course of two years. The marginal bone levels around the implants were determined using dental x-rays. Osteoporosis was assessed using a new method called the Mandibular Cortex Index (MCI). The MCI allows patients to be reliably screened for osteoporosis by dental x-rays as opposed to medical bone density scans. The researchers concluded that osteoporosis is not a risk for the development of greater bone loss around implants. The only parameter affecting bone level appeared to be a history of periodontal disease.
So what does this all mean?
While a single study cannot discount any theoretical risk for bone loss around implants placed in a patient with osteoporosis, any risk appears minimal. The best way to insure long term success for dental implants is to have a comprehensive periodontal evaluation by a periodontal specialist prior to their placement. The periodontist will recommend individualized preventative and/or interceptive care based on the patient’s medical status and periodontal risk factors. After the decision to place dental implants is made, be sure to follow up with your periodontist for frequent check ups.
References:
1. Corcuera-Flores et al. “Relationship Between Osteoporosis and Marginal Bone Loss in Osseointegrated Implants: A two-year retrospective study” Journal of Periodontology 2015 Sep [ePub before print].
