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Contributions to Edentulism by Osteoporosis and Cigarette Smoking

Harry W. Daniell, MD

Arch Intern Med. 1983;143(9):1678-1682.

Abstract
• Two hundred eight white women, aged 60 to 69 years, had acquired 218 upper or lower full dentures. Each woman's smoking habits and current osteoporosis severity (percent cortical area [PCA] at metacarpal midshaft) were compared with the age at which she had acquired each full denture. Among osteoporotic women (PCA<70%) who still had their natural teeth at age 50 years, 44% had required a new full denture before age 60 compared with 15% of nonosteoporotic women (PCA>80). Different denture requirements between these groups had not existed before age 50 but had continued after age 60. Fifty-two percent of smokers, 26% of nonsmokers, and only 8% of nonosteoporotic nonsmokers had required dentures since age 50. These observations strongly suggest that middle-aged women may be more likely to retain their teeth if they avoid smoking and undertake a program effective in preventing progression of osteoporosis.

(Arch Intern Med 1983;143:1678-1682)

Footnotes
Accepted for publication April 18, 1983.

Dr Daniell is in private practice in Redding, Calif.

Reprint requests to 2626 Edith Ave, Redding, CA 96001 (Dr Daniell).

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