We all see the adverts, produce more collagen, rebuild the elastin, replace the Fat – but are you looking after your Bones?

Bone shrinkage in the mandible and maxilla, two bones that make up the lower and upper jaw, respectively, is a natural part of the ageing process. Over time, the bones in the face lose density and shrink, leading to a change in the shape and appearance of the face. This bone shrinkage is closely related to the overall ageing of the face, as it contributes to the loss of facial volume and the formation of wrinkles and sagging skin.

Bone shrinkage in the mandible and maxilla can lead to several changes in the appearance of the face. One of the most noticeable changes is a loss of height in the lower third of the face, which can result in a more prominent jawline and a sagging chin. This can make a face look more hollow and gaunt, making people appear older than they are. In addition, the loss of volume in the bones of the jaw can also lead to changes in the shape of the teeth, as they may no longer fit together properly, resulting in shifting and crowding.

Another important factor contributing to the ageing face is the loss of subcutaneous Fat, which occurs as we age. This Fat provides cushioning and support to the front, and when it is lost, the skin becomes less plump and less elastic, leading to wrinkles and sagging skin. The loss of subcutaneous Fat is closely related to the loss of bone volume in the mandible and maxilla, as the two work together to support the structure of the face.

Other factors, including poor diet, lack of exercise, and exposure to UV radiation from the sun, can exacerbate the effects of bone shrinkage in the mandible and maxilla. For example, a diet high in sugar and fat and low in calcium and other essential nutrients can contribute to the loss of bone density, as can a lack of physical activity. Additionally, exposure to UV radiation from the sun can cause damage to the skin and underlying tissues, leading to premature ageing and a loss of skin elasticity.

To combat the effects of bone shrinkage in the mandible and maxilla, it is important to maintain a healthy lifestyle, including a balanced diet rich in calcium and other essential nutrients and regular exercise. Additionally, wearing sun protection and avoiding smoking can help to prevent sun damage and protect against the harmful effects of tobacco.

Bone shrinkage in the mandible and maxilla is a natural part of the ageing process… At the same time, surgical and non-surgical treatments are available to help restore volume and structure to the face. Regardless of the approach taken, it is essential to address bone shrinkage in the mandible and maxilla as part of a comprehensive approach to facial ageing, to maintain a youthful and attractive appearance. You see, it isn’t just about skin elastin and fibroblasts – it’s about so much more – The Skeleton, Our Bones, being the essential part of facial support

How can we prevent bone loss as we age, and how can we diagnose it?

Bone loss, or osteoporosis, is expected as we age, particularly in women after menopause. It is characterized by a decrease in bone density and strength, which can lead to an increased risk of fractures and other bone-related injuries. While osteoporosis cannot be prevented entirely, several measures can be taken to reduce the risk of developing the condition and slow down the rate of bone loss.

One of the most effective ways to prevent bone loss is to maintain a healthy lifestyle that includes regular exercise, a balanced diet, and avoiding smoking and excessive alcohol consumption. Weight-bearing activities, such as walking, jogging, and weight lifting, are particularly effective in maintaining bone density and reducing the risk of osteoporosis. A diet rich in calcium and vitamin D, found in foods such as milk, cheese, and leafy green vegetables, is also essential for maintaining bone health. In addition, avoiding smoking and excessive alcohol consumption can help to prevent bone loss, as both can increase the rate of bone resorption.

Diagnosing osteoporosis typically involves a bone density test, which measures the amount of bone mineral content and density in the body. The most commonly used test is called a dual-energy X-ray absorptiometry DEXA scan, which uses a low dose of radiation to measure bone density in the hip and spine. The quick, painless, and non-invasive test can help identify osteoporosis’s presence and severity. You can request one of these.

In addition to a bone density test, other factors contributing to bone loss should be evaluated, including a family history of osteoporosis, medical conditions such as hyperthyroidism or hyperparathyroidism, and medications contributing to bone loss, loss, such as corticosteroids.

Once osteoporosis has been diagnosed, treatment may involve lifestyle changes, medication, and supplements to slow down bone loss and prevent fractures. Medicines commonly used to treat osteoporosis include bisphosphonates, which slow down bone resorption, and hormone replacement therapy, which can help prevent bone loss in women after menopause. Calcium and vitamin D supplements may also be recommended to help maintain bone health. Prevention is better than Cure!

In conclusion, preventing bone loss as we age requires a comprehensive approach that includes regular exercise, a balanced diet, and avoiding smoking and excessive alcohol consumption.

A bone density test can help to diagnose osteoporosis, and treatment may involve lifestyle changes, medication, and supplements to slow down bone loss and prevent fractures. Taking proactive steps to maintain bone health can reduce the risk of developing osteoporosis and maintain a healthy and active lifestyle well into old age.

The current guidelines for when to have a bone density test, such as a dual-energy X-ray absorptiometry (DXA) scan, vary depending on the country and organization.

In Europe, the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) recommends that all postmenopausal women and men over the age of 50 who have risk factors for osteoporosis should undergo a DXA scan to assess bone density. Risk factors include a personal or family history of fracture, low body weight, smoking, excessive alcohol consumption, and certain medical conditions and medications that can increase the risk of osteoporosis. The ESCEO also recommends that individuals with average bone density undergo repeat DXA scans at 5-10 years, while those with low bone density should undergo more frequent scans.

In the United Kingdom, the National Institute for Health and Care Excellence (NICE) recommends that DXA scans be considered for individuals over 50 with risk factors for osteoporosis, such as a history of fracture or certain medical conditions and medications. NICE also recommends that DXA scans be considered for postmenopausal women under the age of 65 who have risk factors for osteoporosis and for men under the age of 75 who have risk factors for the condition.

It is important to note that these guidelines are intended as general recommendations and that the decision to undergo a bone density test should be made individually in consultation with a healthcare professional. Factors such as age, sex, medical history, and risk factors for osteoporosis should all be considered when determining whether a DXA scan is appropriate.

Is there any link between periodontal disease and osteoporosis?

Yes, there is a link between periodontal disease and osteoporosis. Both conditions are characterized by a loss of bone density and strength, and evidence suggests that individuals with osteoporosis may be at an increased risk of developing periodontal disease.

Osteoporosis is a condition with decreased bone density and strength, which can lead to an increased risk of fractures and other bone-related injuries. Periodontal disease, also known as gum disease, is a condition that affects the gums and supporting structures of the teeth and can result in tooth loss if left untreated.

Studies have shown that individuals with osteoporosis may be at an increased risk of developing periodontal disease. This is though

t to be because both conditions are characterized by a loss of bone density and strength, which can affect the bones that support the teeth.

Individuals with osteoporosis need to maintain good oral hygiene practices, including regular brushing and flossing, and undergo regular dental check-ups to monitor for signs of periodontal disease. In addition, individuals taking medications for osteoporosis should inform their dentist, as specific treatments may require modifications to dental procedures to minimize the risk of complications.

In conclusion, there is a link between periodontal disease and osteoporosis, and individuals with osteoporosis may be at an increased risk of developing gum disease. Maintaining good oral hygiene practices and undergoing regular dental check-ups are essential for minimizing the risk of periodontal disease in individuals with osteoporosis.

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