Contact person:
Christina Lindh
  • Kalmar läns landsting
  • Familjen Kamprads stiftelse
  • Kalmar Läns Landsting
  • Professor Mattias Lorenzon - Göteborgs universitet
  • Professor Keith Horner - Manchester Universitet
  • Professor Hugh Devlin - Manchester
  • Universitet
  • Anton Kärrbrink - Boneprox Sweden AB
Time frame:
01 September 2018 - 01 September 2020

About the project

Academic and hospital based research is a world away from everyday dental practice and a challenge is to translate research success into clinical service. The project is about finding the motivation for a dentist to carry out osteoporosis risk assessment? How effective would risk assessment based on radiographs be in primary dental care? How would new service interface with existing medical service? 

Osteoporosis is a systemic disease characterized by reduced bone mass and microarchitectural detorioration in bone structure. Its impact on sufferers is an increased risk of bone fracture, particularly so of the hip, spine and forearm. Fractures at the hip have an associated mortality and morbidity. Spine fractures lead to pain and deformity and limit normal activity, while forearm fractures also disadvantages sufferers by their effect on normal function. Although osteoporosis can be a secondary effect of a number of diseases, the primary factor in its etiology is age-related bone loss. Bone mineral density (BMD) is the tool for quantifying bone mass and is achieved using dual energy X-ray absorptiometry (DXA). There has been considerable interest in the value of clinical risk assessment tools, based upon questioning of individuals, as means of selecting individuals for DXA. Apart from clinical risk factors, one risk factor is osteopenia (reduction in bone density or structural change) as observed in radiographs.

Age changes in the jaws have been studied extensively over many years and significant correlations have been found between BMD measurements of the spine, hip, forearm and both mandible and maxilla. Dental radiography is probably the commonest x-ray investigation performed in the world.  Radiographs taken by dentists show the teeth but also varying amounts of the jaw bone tissue.