Medication and positive remodeling of osteoporotic jaws

Abstract

Osteoporosis causes micro-degradations and jaw-bone reduction. Initial positive turnover and bone recover should make hasten by local medication of osteoporotic jaws. The aim of this study was to present improvement of jaw pattern by local application of calcitonin and calcium throughout prosthetic treatment of selected osteoporotic patients. Patients undergoing study were osteoporotic and toothless (9 males and 27 females), with no malignancy. Non-osteoporotic complete denture wearers, 7 men and 7 women were controls. DPX-L (Lunar) was used in detection of skeletal degradations. Panoramic radiographs (Orthopantomograph 10, Siemens) and digital densitometer DT II 05 (England) were used in the analysis of bone density. T-results indicated systemic osteoporosis. After application of calcium and calcitonin in solutions, moderate increase of density (p lt 0.05) was verified, compensating up to 3% of total mandibular loss. The second section of results was restorative effect of prosthetic treatment of osteoporotic patients. In this study, osteoporosis affected women patients earlier than men. Regardless the necessity of careful selecting of patients for this kind of treatment, calcitonin and calcium in solutions should be considered as the priority of local therapy in osteoporotic toothless patients, providing positive bone remodeling, as well as success at the second level of therapy - positioning of dentures.