Tooth loss and bone mineral density in postmenopausal South Korean women: The 2008-2010 Korea National Health and Nutrition Examination Survey.
OBJECTIVE
The current study aimed to investigate the association between the number of remaining teeth and bone mineral density (BMD) using data from the Korean National Health and Nutrition Examination Survey (KNHANES) 2008-2010.


METHODS
This study enrolled 7315 Korean subjects (3364 men over 50 years of age and 3951 postmenopausal women). BMD was measured using dual-energy X-ray absorptiometry at three sites: the total femur (TF), femur neck (FN), and lumbar spine (LS). The number of teeth present was categorized into four groups (≤10, 11-20, 21-25, and ≥26 teeth).


RESULTS
More remaining teeth were significantly associated with a higher BMD at the TF, FN, and LS in postmenopausal women after adjusting for all the covariates, but not in elderly men. In both sexes, subjects with a normal BMD tended to have more remaining teeth than those who were diagnosed with osteopenia and osteoporosis. A lower prevalence of osteoporosis was also significantly associated with more remaining teeth (number of teeth ≥26) in postmenopausal women. This trend was statistically significant in osteoporosis at the FN (p for trend=0.019).


CONCLUSIONS
The number of remaining teeth was associated with osteoporosis, especially at the FN, in postmenopausal women.
Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul, South Korea.
Ki-Mo
KM
Jang
Department of Family Medicine, Anam Hospital, Korea University College of Medicine, Seoul, South Korea.
Kyung-Hwan
KH
Cho
Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul, South Korea.
Soon-Hyuck
SH
Lee
Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul, South Korea.
Seung-Beom
SB
Han
Department of Medical Statistics, Catholic University College of Medicine, Seoul, South Korea.
Kyung-Do
KD
Han
Department of Family Medicine, Anam Hospital, Korea University College of Medicine, Seoul, South Korea. Electronic address: mrchir@naver.com.
Yang-Hyun
YH
Kim
D015502:Absorptiometry, Photon; D015519:Bone Density; D001851:Bone Diseases, Metabolic / Q000453:epidemiology; D005260:Female; D005272:Femur Neck / Q000000981:diagnostic imaging; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D009749:Nutrition Surveys; D010024:Osteoporosis / Q000453:epidemiology; D017698:Postmenopause; D015995:Prevalence; D056910:Republic of Korea / Q000453:epidemiology; D016388:Tooth Loss / Q000453:epidemiology*
Bone mineral density; Korea National Health and Nutrition Examination Survey; Osteoporosis; Postmenopausal women; Tooth loss