Skip to main content
Log in

Sex-related changes in the bone mineral content of atrophic mandibles

  • Clinical Investigations
  • Published:
Calcified Tissue International Aims and scope Submit manuscript

Abstract

In 25 edentulous anatomical mandible specimens (15 female, age range 69–90 years; 10 male, age range 68–88 years), the bone mineral content (BMC) was measured by dual-photon absorptiometry (DPA) and analyzed in a standardized area of the mandibular body. The results of our BMC examinations showed that there was a significant difference (P=0.05) between the two sexes. Another notable fact was that, with advancing age, the values measured in the male mandibles tended to increase slightly but in a statistically significant way. Those of the female mandibles tended to decrease with age. A possible explanation for this observation may be derived from the fact that a reduction of the mandibular height leads to a reduction of the moment of resistance. As functional adaptation in order to preserve the stability of the atrophic body of the mandible, the amount of inner cortical bone of the male mandibles increases, leading to a reduction of the cancellous portion. In the mandibles of women, postmenopausal osteoporosis seems to prevent an analogous compensation mechanism.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Mercier P (1988) Ridge reconstruction with hydroxylapatite. Part 1. Anatomy of the residual ridge. Oral Surg Oral Med Oral Pathol 65:505–510

    Google Scholar 

  2. Ulm CW, Solar P, Blahout R, Matejka M, Gruber H (1992) Reduction of the compact and cancellous bone substances of the edentulous mandible caused by resorption. Oral Surg Oral Med Oral Pathol 74:131–136

    Google Scholar 

  3. Von Wowern N (1985) Dual-photon-absorptiometry of mandibles: in vitro test of a new method. Scand J Dent Res 93:169–177

    Google Scholar 

  4. Von Wowern N (1985) In vivo measurement of bone mineral content of mandibles by dual-photon-absorptiometry. Scand J Dent Res 93:162–168

    Google Scholar 

  5. Henriksson PA, Wallenius K (1974) The mandible and osteoporosis. J Oral Rehab 1:67–74

    Google Scholar 

  6. Rosenquist JB, Baylink DJ, Berger JS (1978) Alveolar atrophy and decreased skeletal mass of the radius. Int J Oral Surg 7:479–481

    Google Scholar 

  7. Mercier B, Inoue S (1981) Bone density and serum minerals in cases of residual alveolar ridge atrophy. J Prosthet Dent 46:250–255

    Google Scholar 

  8. Von Wowern N, Storm TL, Olgaard K (1988) Bone mineral content by photon absorptiometry of the mandible compared with that of the forearm and the lumbar spine. Calcif Tissue Int 42:157–161

    Google Scholar 

  9. Atwood DA (1971) Reduction of residual ridges: a major oral disease entity. J Prosthet Dent 26:266–279

    Google Scholar 

  10. Fallschüssel GK (1986) Zahnärztliche Implantologie. Wissenschaft und Praxis. Quintessenz Verlags-GmbH. Berlin, Chicago, London, Sao Paulo, Tokio pp 34–85

    Google Scholar 

  11. Mazess RB, Barden H, Vetter J, Ettinger M (1989) Advances in noninvasive bone measurement. Ann Biomed Eng 17:177–181

    Google Scholar 

  12. Ho CP, Kim RW, Schaffler MB, Sartoris DJ (1990) Accuracy of dual-energy radiographic absorptiometry of the lumbar spine: cadaver study. Radiology 176:171–173

    Google Scholar 

  13. Dyer MRY, Ball J (1980) Alveolar crest recession in the edentulous. Br Dent J 149:290–292

    Google Scholar 

  14. Beck JS, Nordin BEC (1960) Histological assessment of osteoporosis by iliac crest biopsy. J Pathol Bactiol 80:391–397

    Google Scholar 

  15. Baxter JC (1981) Relationship of osteoporosis to excessive residual ridge resorption. J Prosthet Dent 46:123–125

    Google Scholar 

  16. Tillmann B, Härle F, Schleicher A (1983) Biomechanik des Unterkiefers. Dtsch Zahnärztl Z 38:285–293

    Google Scholar 

  17. Diessen FC, Verbeeck RM, Van Dijk JW (1990) Is systematic treatment of osteoporosis and mandibular resorption possible? Acta Stomatol Belg 87:107–124

    Google Scholar 

  18. Ulm C, Solar P, Blahout R, Matejka M, Watzek G, Gruber H (in press) Location of the mandibular canal within the atrophic mandible. Br J Oral Maxillofac Surg

  19. Ulm C, Solar P, Piehslinger Eva, Blahout R, Matejka M (1993) Knochenmineralgehaltsmessungen an der Mandibula mittels der Dual-Photon-Absorptiometrie. Z Stomatol 90:231–237

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ulm, C.W., Solar, P., Ulm, M.R. et al. Sex-related changes in the bone mineral content of atrophic mandibles. Calcif Tissue Int 54, 203–207 (1994). https://doi.org/10.1007/BF00301679

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00301679

Key words

Navigation