Puntrakul C, Kitkumthorn N, Lapthanasupkul P, Landes C, Vorakulpipat C. Osteocalcin and C-terminal telopeptide of type I collagen in serum and saliva: A cross-sectional pilot study on correlations and implications for MRONJ risk stratification in women on antiresorptive medications. J Clin Exp Dent. 2026;18(9):e1130-41.


doi:10.4317/jced.64415

https://doi.org/10.4317/jced.64415

References

1. Lane NE. Epidemiology, etiology, and diagnosis of osteoporosis. Am J Obstet Gynecol. 2006;194(2 Suppl):S3-11.
https://doi.org/10.1016/j.ajog.2005.08.047
PMid:16448873 PMCid:PMC7319098


2. Khandelwal S, Lane NE. Osteoporosis: Review of Etiology, Mechanisms, and Approach to Management in the Aging Population. Endocrinol Metab Clin North Am. 2023;52(2):259-75.
https://doi.org/10.1016/j.ecl.2022.10.009
PMid:36948779


3. Tu KN, Lie JD, Wan CKV, Cameron M, Austel AG, Nguyen JK. Osteoporosis: A Review of Treatment Options. P T. 2018;43(2):92-104.
PMid:29386866


4. Ruggiero SL, Dodson TB, Aghaloo T, Carlson ER, Ward BB, Kademani D. American Association of Oral and Maxillofacial Surgeons' Position Paper on Medication-Related Osteonecrosis of the Jaws-2022 Update. J Oral Maxillofac Surg. 2022;80(5):920-43.
https://doi.org/10.1016/j.joms.2022.02.008
PMid:35300956


5. Hamada H, Matsuo A, Koizumi T, Satomi T, Chikazu D. A simple evaluation method for early detection of bisphosphonate-related osteonecrosis of the mandible using computed tomography. J Craniomaxillofac Surg. 2014;42(6):924-9.
https://doi.org/10.1016/j.jcms.2014.01.012
PMid:24503386

6. Bagan JV, Cibrian RM, Lopez J, Leopoldo-Rodado M, Carbonell E, Bagan L, Gavaldá C. Sclerosis in bisphosphonate-related osteonecrosis of the jaws and its correlation with the clinical stages: Study of 43 cases. Br J Oral Maxillofac Surg. 2015;53(3):257-62.
https://doi.org/10.1016/j.bjoms.2014.12.004
PMid:25560326


7. Hutcheson A, Cheng A, Kunchar R, Stein B, Sambrook P, Goss A. A C-terminal crosslinking telopeptide test-based protocol for patients on oral bisphosphonates requiring extraction: A prospective single-center controlled study. J Oral Maxillofac Surg. 2014;72(8):1456-62.
https://doi.org/10.1016/j.joms.2014.02.036
PMid:24793621

8. Marx RE, Cillo JE Jr, Ulloa JJ. Oral bisphosphonate-induced osteonecrosis: Risk factors, prediction of risk using serum CTX testing, prevention, and treatment. J Oral Maxillofac Surg. 2007;65(12):2397-410.
https://doi.org/10.1016/j.joms.2007.08.003
PMid:18022461


9. Rosen HN, Moses AC, Garber J, Iloputaife ID, Ross DS, Lee SL, Greenspan SL. Serum CTX: A new marker of bone resorption that shows treatment effect more often than other markers because of low coefficient of variability and large changes with bisphosphonate therapy. Calcif Tissue Int. 2000;66(2):100-3.
https://doi.org/10.1007/PL00005830
PMid:10652955

10. Salgueiro M, Stribos M, Zhang LF, Stevens M, Awad ME, Elsalanty M. Value of pre-operative CTX serum levels in the prediction of medication-related osteonecrosis of the jaw (MRONJ): A retrospective clinical study. EPMA J. 2019;10(1):21-9.
https://doi.org/10.1007/s13167-019-0160-3
PMid:30984311 PMCid:PMC6459452


11. Betsy J, Ahmed JM, Mohasin AK, Mohammed A, Nabeeh AA. Diagnostic accuracy of salivary biomarkers of bone turnover in identifying patients with periodontitis in a Saudi Arabian population. J Dent Sci. 2019;14(3):269-76.
https://doi.org/10.1016/j.jds.2019.03.002
PMid:31534637 PMCid:PMC6742844

12. Joseph B, Javali MA, Khader MA, AlQahtani SM, Amanullah M. Salivary Osteocalcin as Potential Diagnostic Marker of Periodontal Bone Destruction among Smokers. Biomolecules. 2020;10(3):380.
https://doi.org/10.3390/biom10030380
PMid:32121498 PMCid:PMC7175335


13. Wongla A, Buranaphatthana W, Tachasuttirut K. Salivary C-terminal Telopeptide Levels in Patients with Medication-related Osteonecrosis of the Jaw. CM Dent J. 2021;42(1):173-83.

14. Eastell R, O'Neill TW, Hofbauer LC, Langdahl B, Reid IR, Gold DT, Cummings SR. Postmenopausal osteoporosis. Nat Rev Dis Primers. 2016;2(1):16069.
https://doi.org/10.1038/nrdp.2016.69
PMid:27681935


15. Baron R, Ferrari S, Russell RG. Denosumab and bisphosphonates: Different mechanisms of action and effects. Bone. 2011;48(4):677-92.
https://doi.org/10.1016/j.bone.2010.11.020
PMid:21145999

16. Dempster DW, Lambing CL, Kostenuik PJ, Grauer A. Role of RANK ligand and denosumab, a targeted RANK ligand inhibitor, in bone health and osteoporosis: A review of preclinical and clinical data. Clin Ther. 2012;34(3):521-36.
https://doi.org/10.1016/j.clinthera.2012.02.002
PMid:22440513


17. Marx RE. Oral & Intravenous Bisphosphonate-induced Osteonecrosis of the Jaws: History, Etiology, Prevention, and Treatment. Chicago: Quintessence Publishing Company; 2006.

18. Gossiel F, Altaher H, Reid DM, Roux C, Felsenberg D, Gluer CC, Eastell R. Bone turnover markers after the menopause: T-score approach. Bone. 2018;111:44-8.
https://doi.org/10.1016/j.bone.2018.03.016
PMid:29551751

19. Park SG, Jeong SU, Lee JH, Ryu SH, Jeong HJ, Sim YJ, Kim GC, Jeong H. The Changes of CTX, DPD, Osteocalcin, and Bone Mineral Density During the Postmenopausal Period. Ann Rehabil Med. 2018;42(3):441-8.
https://doi.org/10.5535/arm.2018.42.3.441
PMid:29961742 PMCid:PMC6058582

20. Eastell R, Christiansen C, Grauer A, Kutilek S, Libanati C, McClung MR, Wang A, Siris E, Cummings SR. Effects of denosumab on bone turnover markers in postmenopausal osteoporosis. J Bone Miner Res. 2011;26(3):530-7.
https://doi.org/10.1002/jbmr.251
PMid:20839290

21. Ashcherkin N, Patel AA, Algeciras-Schimnich A, Doshi KB. Bone turnover markers to monitor oral bisphosphonate therapy. Cleve Clin J Med. 2023;90(1):26-31.
https://doi.org/10.3949/ccjm.90a.22002
PMid:36596600

22. Greenblatt MB, Tsai JN, Wein MN. Bone Turnover Markers in the Diagnosis and Monitoring of Metabolic Bone Disease. Clin Chem. 2017;63(2):464-74.
https://doi.org/10.1373/clinchem.2016.259085
PMid:27940448 PMCid:PMC5549920

23. Kwon YD, Kim DY, Ohe JY, Yoo JY, Walter C. Correlation between serum C-terminal cross-linking telopeptide of type I collagen and staging of oral bisphosphonate-related osteonecrosis of the jaws. J Oral Maxillofac Surg. 2009;67(12):2644-8.
https://doi.org/10.1016/j.joms.2009.04.067
PMid:19925985

24. Nassif A, Lignon G, Asselin A, Zadikian CC, Petit S, Sun HW, Gorin C, Sadoine J. Transcriptional Regulation of Jaw Osteoblasts: Development to Pathology. J Dent Res. 2022;101(7):859-69.
https://doi.org/10.1177/00220345221074356
PMid:35148649

25. Gong X, Yu W, Zhao H, Su J, Sheng Q. Skeletal Site-specific Effects of Zoledronate on in vivo Bone Remodeling and in vitro BMSCs Osteogenic Activity. Sci Rep. 2017;7(1):36129.
https://doi.org/10.1038/srep36129
PMid:28139685 PMCid:PMC5282532

26. Kuroshima S, Al-Omari FA, Sasaki M, Sawase T. Medication-related osteonecrosis of the jaw: A literature review and update. Genesis. 2022;60(8-9):e23500.
https://doi.org/10.1002/dvg.23500
PMid:36106755

27. Tetradis S, Allen MR, Ruggiero SL. Pathophysiology of Medication-Related Osteonecrosis of the Jaw-A Minireview. JBMR Plus. 2023;7(8):e10785.
https://doi.org/10.1002/jbm4.10785
PMid:37614299 PMCid:PMC10443081

28. Jagtap VR, Ganu JV, Nagane NS. BMD and Serum Intact Osteocalcin in Postmenopausal Osteoporosis Women. Indian J Clin Biochem. 2011;26(1):70-3.
https://doi.org/10.1007/s12291-010-0074-2
PMid:22211018 PMCid:PMC3068775

29. Kerschan-Schindl K, Boschitsch E, Marculescu R, Gruber R, Pietschmann P. Bone turnover markers in serum but not in saliva correlate with bone mineral density. Sci Rep. 2020;10(1):11550.
https://doi.org/10.1038/s41598-020-68442-z
PMid:32665632 PMCid:PMC7360752

30. Peisker A, Raschke GF, Fahmy MD, Guentsch A, Roshanghias K, König KC, Schultze-Mosgau S. Cross-Sectional Study of four Serological Bone Turnover Markers for the Risk Assessment of Medication-Related Osteonecrosis of the Jaw. J Craniofac Surg. 2018;29(2):e137-40.
https://doi.org/10.1097/SCS.0000000000004224
PMid:29215447