You see bone before anyone else does. When something in a patient's imaging or their history makes you think about their bone strength, you send them to their physician — and you should. But there is a second question the patient asks on the way out of the chair, and it is the one nobody has had a good answer to: "What can I actually do about it?"
That is the referral we are asking for. Not a diagnosis, not a hand-off of care — just somewhere to point the patient who wants to act. We are in Wexford, minutes from your practice, and a patient you mention us to today can usually be in for their first visit the same week.
A thinned lower border of the mandible on a panoramic film is a recognised signal worth following up. The OSTEODENT study — four European centres, DXA as the reference — found cortical width combined with clinical risk factors predicted osteoporosis with an area under the curve of 0.90, and concluded that dentists have a role in detection and referral. The limit matters just as much: at the referral threshold, that work caught only about 41–60% of the women who actually had osteoporosis. It is a prompt, not a diagnosis — and a normal-looking cortex rules nothing out. Devlin et al., Br Dent J 2008;204:E16 · Karayianni et al., Bone 2007;40:223–229.
Bone is living tissue, and it responds to load. OsteoStrong is a four-device circuit that lets a person self-generate axial compressive force at multiples of their body weight in a controlled, supervised range — emulating the high-impact loading that builds bone, without the impact. The stimulus drives mechanotransduction: mechanical strain signalling the skeleton to build. Loading is isometric and self-limited — the patient sets the force against a fixed device, with real-time feedback in pounds. A coach runs every session with them.
About eight seconds. There is no form, no portal, and no paperwork coming back to your front desk. You say our name, you hand them this page, and we take it from there.
We don't diagnose, we don't treat, and we don't step between your patient and their physician. If a patient needs medical clearance before starting, we ask for it and we observe whatever restrictions their doctor sets.
Every session is recorded — force produced on each device, tracked over time, so a patient can see their own trend rather than wait a year to find out.
We also offer REMS (Radiofrequency Echographic Multi Spectrometry) in-center: a radiation-free ultrasound assessment of bone density and quality. It is a separate, paid scan — not part of a membership and not bundled into anything — and it is the patient's to share with your office or theirs.
Loading only does anything above the threshold, so the fair question is whether members actually get there. In our own repeat-scan group — 11 members, median age 69, ten of them 65 or older — every one did, on the average repetition, not just their best one.
These are loads, not outcomes, from 11 self-selected people — we are not claiming they prove a bone result. Individual results vary.
The threshold. Bone adapts to load magnitude, and below a certain magnitude it does not adapt at all. In 724 adolescents, habitual impacts above ~4.2g were positively associated with femoral neck BMD (β = 0.137, p < 0.001); moderate (2.1–4.2g) and low impacts were not. Deere K, Sayers A, Rittweger J, Tobias JH. J Bone Miner Res 2012;27(9):1887–95.
The loading study. Dr. John Jaquish, who developed these devices, followed 55 postmenopausal women (mean age 69, T-score ≤ −1.0, none on pharmacotherapy) for 24 weeks. Tolerated hip and lower-extremity loading rose 131% over that period and spinal loading 126%. In the DXA subgroup, hip BMD rose 14.9% and spine BMD 16.6% (p < 0.01 for both). It was an observational trial without a control arm, and the standard deviations are wide. On our own equipment the working thresholds are a Growth Trigger at 4.2 multiples of body weight and a Rapid Growth Trigger at 7.2; those are our figures, not this study's. Hunte B, Jaquish J, Huck C. J Osteoporos Phys Act 2015;3(3):146.
The turnover response. In a case report co-authored with a NASA bone physiologist, 24 weeks of weekly 15-minute osteogenic loading raised bone-specific alkaline phosphatase 39% and lowered NTX 41% — formation up, resorption down — though that single healthy subject showed no change at spine or hip. Tsung A, Jupiter D, Jaquish J, Sibonga J. Aerosp Med Hum Perform 2021;92(3):201–206.
Read the Research at OsteoStrong.me →We would rather you judge this for yourself than take our word for it. You and your team are welcome to come and see the floor — watch a session, ask anything, take as long as you want — so that when you mention us, you are speaking from firsthand knowledge. Call or text and we will find a time that works around your schedule.