Calcium conservation is the aspect of bone metabolism that involves the preservation of skeletal mass. A failure in calcium conservation because of one problem or a combination of metabolic and biomechanical problems may leave patients with inadequate bone mass for reconstructive dentistry and dental implant treatment. The problem must be addressed before any dental implant placement or cosmetic dentistry reconstruction.
What is the main organ in calcium conservation?
The kidney is the primary calcium conservation organ in the body. Through a complex series of excretion and endocrine functions, the kidney excretes excess phosphate while minimizing the loss of calcium A patient with impaired renal function often is a high risk for osseous manipulative procedures such as endosseous implants or orthognathic surgery. Because of its components of secondary hyperparathyroidism and impaired vitamin D metabolism, kidney disease may result in poor bone quality, a condition often referred to as renal osteodystrophy.
Absorption from the small intestine is the primary source of exogenous calcium and phosphate. Phosphate is absorbed passively and rarely is deficient. Optimal calcium uptake, however, requires an active absorption mechanism. A unique factor involved in the gut absorption process is calcium-binding protein, formed in response to the active metabolite of vitamin D. Common clinical profiles associated with poor calcium absorption include a diet deficient in dairy products, vitamin D deficiency, liver disease, and kidney problems. Under normal physiologic conditions, the body expends about 300 mg of calcium per day, primarily as a result of secretory processes in the intestines and kidneys.
To maintain the serum calcium level, this 300-mg deficit must be recovered by absorption from the gut. However, absorption of calcium from the gut depends on vitamin D and is only about 30 percent efficient. if less than about 300 mg per day of calcium is absorbed iron the intestine, the serum calcium level drops, Pill secretion ensues, and the necessary calcium is removed from the bones.
Positive calcium balance normally occurs during the growing period and for about a decade thereafter. The skeletal mass of prepubertal children can be enhanced with regular calcium supplements. Peak skeletal mass is attained between 25 and 30 years. After the early adult years, natural aging is associated with a slightly negative calcium balance that progressively erodes bone volume throughout life. Zero calcium balance is the ideal metabolic state for maintaining skeletal mass. Preservation of bone requires a favorable diet, endocrine balance, and adequate exercise.
What is best for your bone health?
Diet is another major factor. Animal studies have documented the endosteal bone loss of the alveolar processes of dogs maintained on a low-calcium diet. These data indicate that a low-calcium diet may have severe effects on the bones of the oral cavity. In adult humans, the current recommended daily allowance of calcium is 1000 mg to 1500 mg per day. Growing adolescents, pregnant or lactating women, and particularly pregnant teenagers need as much as 1500 mg per day. Postmenopausal women who are not receiving estrogen replacement therapy should get 1500 mg of calcium per day. In the United States, dairy products supply about 70 percent of dietary calcium.
While obesity has few health benefits, it nonetheless is a proactive factor against osteoporosis (loss of bone mass). This most probably as a result of the high rates of mechanical loading needed to support an overweight body. Slight stature, however, is a risk factor for osteoporosis. Because weight control is a concern for the population at risk, the calcium-to-calorie ratio is an important consideration in dietary counseling.
What is the best dairy product that is rich in calcium?
The most favorable dairy products with respect to the calcium-to-calorie ratio are nonfat milk, part-skim mozzarella cheese, Swiss cheese, and plain, low-fat yogurt. Typical servings of these products have about 300 mg of calcium and 100 to 200 calories. However, some adults avoid milk because of intolerance to lactose. These patients often assume that they have a milk allergy, which should be determined according to symptoms. Lactose intolerance usually is manifested by an upset stomach rather than a classic anaphylaxis. Even patients who are intolerant of milk usually can tolerate cultured products such as buttermilk, cheese, and yogurt.
Calcium supplements are indicated if a patient is allergic to milk or fails to achieve a calcium-sufficient diet for any other reason. Other foods, particularly green, leafy vegetables (such as turnip greens and spinach), contain substantial amounts of calcium, but the calcium is tightly bound and little ionic calcium is absorbed.
In effect, to consume adequate calcium in a diet that excludes dairy products is difficult. Calcium supplements of many varieties are available in pharmacies and health food stores, and most provide adequate calcium when used as directed. However, consumers should beware of toxic contaminants in some natural supplements, such bone meal and dolomite, which may contain significant amounts of lead, arsenic, or other heavy metals. Some of the least expensive and readily tolerated supplements are calcium carbonate (products such as Tums and Rolaids). To determine the amount of elemental calcium in a supplement, consumers should remember to use the molecular weight of the product being purchased.
Omega Dental Specialists are very aware of patients’ calcium levels and will make recommendations before your dental implant procedure.
Dental implant financing
Enhanced quality of life is available to each patient through financing if insurance will not cover the cost of implants. Let our staff assist you in finding financing arrangements for your implants. Allowing you to proceed with implant care is our team’s goal.
About Omega Dental
With our variety of dental specialists under one roof, Omega Dental Specialists Houston provides patients with treatment options for any need. Our dedicated staff is experienced in several specialty divisions, including Endodontics, Pediatric Dentistry (Pedodontics), Dental Implants and Orthodontics. Our technologically advanced office is equipped with some of the most modern instruments and machinery available in dentistry. Omega Dental is open seven days a week to help you to take care of your oral health no matter what your busy schedule.