Bone Density a Problem in Geriatric Patients?

Youneed to check the HU way before any attempt. You could have possibly grafted beforehand and come out ahead. I had one fail without using a CT but it was sound. No Meds an issue. She just didnt heal fast as someone 30 y/o and I needed to wait longer. Get all you can out of the CT. Its the tool that tell you alot and especially if its ICT. Bill

After the age of 40, bone may be lost at a rate of 0.2–0.5% per year in both men and women. Endocrine changes, nutrition, body weight, exercise levels, the overall level of somatic and psychological health and genetic predisposition influence the rate of bone loss, which increases to 2–5% annually around menopause but can be reduced by hormone-replacement therapy. In men and older women (beyond 10 years after the menopause) nutritional deficiencies are critical for osteoporosis. Osteoclasts are particularly sensitive to immune-system-derived messages, primarily cytokines. During chronic illness, increased levels of inflammatory cytokines shift the balance between bone formation and bone resorption in favor of the latter. Osteopenia, osteoporosis or even decreased linear growth and lower peak bone mass are often associated with a chronic disease. Estrogen deficiency intensifies the impairment of intestinal calcium absorption and contributes to bone loss. Only half of patients with vitamin D deficiency are found to have secondary hyperparathyroidism. This insufficient PTH response may be related to magnesium deficiency because women in the low-vitamin D and low-PTH group showed evidence of magnesium depletion. Subclinical zinc and/or copper deficiency due to a reduced dietary intake or reduced absorption may contribute to bone loss in the elderly. Zinc and copper are cofactors for enzymes important for the synthesis of bone matrix components. Due to inhibition of absorption of zinc and impairment of retention of copper, calcium supplementation may aggravate zinc and copper deficiency. At age 80 years or older, the prevalence of osteoporosis as defined by T-score. A T-score of

At age 80 years or older, the prevalence of osteoporosis as defined by T-score. A T-score of

Hi, I think you may find interesting a work about a osseointegration in postmenpausal women we did some time ago. You can see an abstract at Regards, Cesar

Dear Dr.Jafari, i am a periodontist working on implants for over 17 years starting to use blade shaped implants in 17 years ago and have been using many different systems since then .i bilieve that mini implants can be very good ones for elderly paitents according to osteo malacia and bad nutrition in our country. they dont need flaps,several sequenses of drilling Etc.and i have 4 years experiens in working with MDI and osteo care minies,and all my old paitents has been satisfied,either because of non surgical procedure or simplicity and also the much lower cost specially if thy are used as over denture fixtures. may i know your comments on these kinds of implants for paitents over 60 comparing the result in Iran and any other country (if such a research exist).thanks in advance

Dr C Behnam, Recently my 90 yr old lost a bridge in her mouth and was told it had been put in wrong. Now they want to do implants. I requested she get a 2nd opinion but was interested in your comments about the MDI and osteo care minies. Can you tell me where you practice? And is this something I can ask the dentist about when she goes? thanks

Hi Dr C Behnam, that's my 90 yr old mother, sorry I left the mother out of my first communication.

Yes mini implants are a solution in such age related cases with flapless surgical approach and most economic.We hve done several cases and are functioning for age between 60 to 80 very well even many re diabetic patients.

has any colleague heard anything about placing 40 mm fixtures in zygoma where maxilla bone is not sufficient to accept them? i have done this surgery in 1985 on a 45 years old lady(now 70)and they are still functioning properly. i will be pleased to open a dialogue about how to use the medico-creative mind to help the patients,and if needed i can attach xrays or other information about this paitent or other patients treated in the same way in past 25 years.thanks