Patients' knowledge and opinions regarding osteoporosis, osteoporosis treatment, and oral health care

Pnina Rotman-Pikielny*, Marina Leonenko, Liat Barzilai, Dan Nabriski, Orit Twito, Ronit Kagan

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Background: In this study, the authors assessed the knowledge and opinions of patients regarding osteoporosis and the associations among osteoporosis, osteoporosis treatments, and oral health care use. Methods: Outpatients with osteopenia or osteoporosis completed a questionnaire, including sociodemographic data, internet use, osteoporosis status, oral health care use status, and knowledge regarding the effect of osteoporosis pharmacotherapy on dental procedures. Results: Among 258 patients (mean [standard deviation] age, 68.5 [9.3] years; 93% female), 83.9% had osteoporosis, one-third had previous osteoporotic fracture, and 74.4% took osteoporosis medication, mostly antiresorptive agents. In addition, 66.3% had more than 12 years of education, and 53.9% used the internet daily. A total of 79.9% visited a dentist during the past year, and 29.0% had undergone an invasive procedure. Yet 46.5% estimated that their dentist did not know that they had osteoporosis. Approximately one-half of the participants responded that they did not know the answers to knowledge questions regarding associations between osteoporosis, its pharmacotherapy, and oral health care. Of the patients who answered questions about associations between osteoporosis and oral health care, 70% incorrectly believed osteoporosis increased gingival disease, and 30% incorrectly thought medications should be discontinued before caries restoration. Conclusions: Outpatients with osteoporosis or osteopenia who responded to a questionnaire had limited knowledge about associations among osteoporosis, osteoporotic treatment, and oral health care. Practice Implications: Dentists should review previous and current medical treatments with their patients, including osteoporosis diagnoses. The medical community should make more efforts to provide balanced, accurate information to help patients prioritize health care treatment and avoid unnecessary interruptions in osteoporosis treatment.

Original languageEnglish
Pages (from-to)830-838
Number of pages9
JournalJournal of the American Dental Association
Issue number10
StatePublished - Oct 2019


  • Osteoporosis
  • antiresorptive
  • bisphosphonates
  • health literacy
  • invasive dental procedures
  • oral health care use
  • osteonecrosis of jaw
  • patient knowledge


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