One-Year Effects of Vitamin D and Calcium Supplementation on Chronic Periodontitis

被引:101
作者
Garcia, M. Nathalia [1 ,2 ]
Hildebolt, Charles F. [3 ]
Miley, D. Douglas [1 ,2 ]
Dixon, Debra A. [4 ]
Couture, Rex A. [3 ]
Spearie, Catherine L. Anderson [5 ]
Langenwalter, Eric M. [6 ]
Shannon, William D. [7 ]
Deych, Elena [7 ]
Mueller, Cheryl [8 ]
Civitelli, Roberto [8 ]
机构
[1] St Louis Univ, Ctr Adv Dent Educ, St Louis, MO 63104 USA
[2] So Illinois Univ, Sch Dent Med, Alton, IL USA
[3] Washington Univ, Sch Med, Mallinckrodt Inst Radiol, St Louis, MO USA
[4] So Illinois Univ, Sch Dent Med, Dept Appl Dent Med, Carbondale, IL 62901 USA
[5] Washington Univ, Sch Med, Ctr Appl Res Sci, St Louis, MO 63130 USA
[6] So Illinois Univ, Sch Dent Med, Dept Informat Technol, Carbondale, IL 62901 USA
[7] Washington Univ, Sch Med, Dept Med, Div Gen Med Sci, St Louis, MO 63130 USA
[8] Washington Univ, Sch Med, Dept Med, Div Bone & Mineral Dis, St Louis, MO 63130 USA
基金
美国国家卫生研究院;
关键词
Alveolar bone loss; calcium; chronic periodontitis; vitamin D; ORAL BONE LOSS; POSTMENOPAUSAL WOMEN; D DEFICIENCY; SERUM CONCENTRATIONS; MANDIBULAR ATROPHY; RIDGE RESORPTION; DISEASE; ALVEOLAR; OSTEOPOROSIS; ASSOCIATION;
D O I
10.1902/jop.2010.100207
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Background: A previous study reported by this group found that patients in periodontal maintenance programs taking vitamin D and calcium supplementation had a trend for better periodontal health compared to patients not taking supplementation. The objective of the present study is to determine, for the same cohort of subjects, whether such differences persist over a 1-year period. Methods: Fifty-one patients enrolled in maintenance programs from two dental clinics were recruited. Of these, 23 were taking vitamin D (>= 400 IU/day) and calcium (>= 1,000 mg/day) supplementation, and 28 were not. All subjects had at least two interproximal sites with >= 3 mm clinical attachment loss. For mandibular-posterior teeth, gingival index, plaque index, probing depth, attachment loss, bleeding on probing, calculus index, and furcation involvement were evaluated. Photostimulable-phosphor, posterior bitewing radiographs were taken to assess alveolar bone. Daily vitamin D and calcium intakes were estimated by nutritional analysis. Data were collected at baseline, 6 months, and 12 months. Results: Total daily calcium and vitamin D intakes were 1,769 mg (95% confidence interval, 1,606 to 1,933) and 1,049 IU (781 to 1,317) in the taker group, and 642 mg (505 to 779) and 156 IU (117 to 195) in the non-taker group, respectively (P<0.001 for both). Clinical parameters of periodontal health improved with time in both groups (P<0.001). When clinical measures were considered collectively, the differences between supplement takers and non-takers had the following P values: baseline (P = 0.061); 6 months (P = 0.049); and 12 months (P = 0.114). After adjusting for covariates, the P values for the effect of supplementation were as follows: baseline (P = 0.028); 6 months (P = 0.034); and 12 months (P = 0.058). Conclusions: Calcium and vitamin D supplementation (<= 1,000 IU/day) had a modest positive effect on periodontal health, and consistent dental care improved clinical parameters of periodontal disease regardless of such supplements. Our findings support the possibility that vitamin D may positively impact periodontal health and confirm the need for randomized clinical trials on the effects of vitamin D on periodontitis. J Periodontol 2011;82:25-32.
引用
收藏
页码:25 / 32
页数:8
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