Osteoporosis is most common osteoporosis causing increased disability and mortality in the elderly. Many medicinal and non-medicinal treatments have been suggested for the prevention of the progressive loss of the bones and treatment of the loss of bone mineral density by preventing bone wasting or enhancing bone generation in menopausic women and the elderly. Although single drug treatment is preferred, combination therapy is suggested in most studies. In the present study, combination therapy with alendronate, calcium and vitamin D together with regular exercise was prescribed for 66 patients with osteoporosis complication. Bone mineral density (BMD) and T-score were measured before and after therapy in all patients. After treatment for 14.21 ± 4.7 months, significant increases were observed in BMD by 1.52 ± 4.48, 2.5 ± 4.68 and 2.6 ± 4.17 precent in pelvis, spine and forearm respectively. Significant increases were also observed in T-score of pelvis, spine and forearm by 0.115 ± 0.39, 0.149 ± 0.3 and 1.34 ± 0.5 respectively. Therefore, the efficacy of combination therapy in the treatment of osteoporosis is verified and suggested to be applied if economic and medical conditions of the patient demand.

Background: The aim of periodontal treatment is to provide healthy and functional dentition for the whole life. Cases Report: A 42 year old female with sever chronic periodontitis, treated medically and surgically, is reported. She initially received antibiotic, Scaling and root planning in addition to oral hygiene instruction. After four weeks, periodontal Surgery, root canal Therapy, extraction of excess tooth and restoration of some teeth were performed, because of remaining residual pockets, and bone loss, flap Surgery and Access flap, with papilla preservation flap method, also modified Widmann flap, were done. After one month, favorable clinical improvement was obtained. Conclusion: It can be concluded that high oral hygiene level in accompanied with Suitable medical and surgical treatment, enhanced the success of periodontal treatment outcomes even in sever disease.