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The adjusted odds ratio (aOR) of periodontitis for osteoporosis was 2.16 (95% confidence interval [CI], 2.01-2.31; P 0.001). The aOR of periodontitis for any fracture was 1.54 (95% CI 1.46-1.62; P 0.001). Osteoporosis and fractures are associated with periodontitis. Performing regular oral hygiene and examinations of bone mineral density are recommended to prevent aggravation of osteoporosis and periodontitis. Osteoporosis and fractures are associated with periodontitis. Performing regular oral hygiene and examinations of b