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Significance of osteoporosis in craniomaxillofacial surgery: A review of the literature

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Abstract

Osteoporosis is a common problem in orthopedic surgery. The purpose of this review of the literature was to examine whether osteoporosis is also an important factor in patient treatment in the field of craniomaxillofacial surgery. Emphasis was given to the consequences of osteoporosis for the maxilla and mandible, the influence of osteoporosis on fracture treatment, the use of dental implants, the importance of soft tissues and the effect of osteoporosis therapies. It was found that osteoporosis does affect the bones of the skull. The effect of osteoporosis on treatment, however, is controversial and necessitates better ways of quantifying bone loss. Large inter-individual and site-specific differences in bone density, as well as other effects such as removal of teeth, periodontitis, implant insertion, augmentation procedures and altered loading with dystrophic consequences need to be considered in future studies. Special attention should be given to osteoporosis during fracture treatment.

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Acknowledgement

The authors wish to thank Dr. Joseph R. Dettori / Olympic Research, Seattle, WA, USA, for the independent literature search

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Authors and Affiliations

  1. Clinic for Oral and Craniomaxillofacial Surgery, Albert Ludwigs University, Freiburg, Germany

    B. Hohlweg-Majert & R. Schmelzeisen

  2. AO Clinical Investigation and Documentation, AO Foundation, Davos, Switzerland

    B. M. Pfeiffer

  3. AO Research Institute, AO Foundation, Davos, Switzerland

    E. Schneider

  4. Klinik für Mund-, Kiefer, Gesichtschirurgie, Albert Ludwigs University, Hugstetterstrasse 55, 79106, Freiburg, Germany

    B. Hohlweg-Majert

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  1. B. Hohlweg-Majert
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  2. R. Schmelzeisen
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  3. B. M. Pfeiffer
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  4. E. Schneider
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Correspondence to B. Hohlweg-Majert.

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Hohlweg-Majert, B., Schmelzeisen, R., Pfeiffer, B.M. et al. Significance of osteoporosis in craniomaxillofacial surgery: A review of the literature. Osteoporos Int 17, 167–179 (2006). https://doi.org/10.1007/s00198-005-1967-4

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