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维生素D与慢性牙周炎之间的关系。

Relationship between VITAMIN D and chronic periodontitis.

作者信息

Bhargava Amitesh, Rastogi Pavitra, Lal Nand, Singhal Rameshwari, Khatoon Sajda, Ali Mahdi Abbas

机构信息

Department of Periodontology, King George Medical University, Lucknow, India.

Department of Biochemistry, King George's Medical University, Lucknow, India.

出版信息

J Oral Biol Craniofac Res. 2019 Apr-Jun;9(2):177-179. doi: 10.1016/j.jobcr.2018.07.001. Epub 2018 Jul 9.

Abstract

INTRODUCTION

Chronic periodontitis is a multifactorial disease primarily caused by plaque microorganisms, modified from the immune inflammatory response to chronic infection, which leads to the destruction of periodontal tissues in a susceptible host. It is very well known that vitamin D plays a vital role in bone homeostasis and immunity. There can be a biologic rationale to suspect that Vitamin D deficiency could negatively affect the periodontium. Present study was conducted to investigate any relationship between periodontitis and vitamin D.

MATERIAL AND METHOD

The clinico-biochemical relationship study was carried out in 168 subjects with Chronic Periodontitis. Plaque Index (PI), Gingival Index (GI), Probing Pocket Depth (PPD), Clinical Attachment Level (CAL) are correlated with serum level of Vitamin D.

RESULTS

Statistically significant relationship between serum 25(OH) D level and periodontal parameters namely GI, PPD and CAL were observed.No relationship between 25(OH) D levels and PI was observed.This study also revealed overall low levels of serum Vitamin D in patients with chronic periodontitis but the levels of Vitamin D did not decrease with the increase in the severity of periodontitis.

CONCLUSION

A statistically significant relationship between serum 25(OH) D level and periodontal parameters namely GI, PPD and CAL were observed. No relationship between 25(OH) D levels and PI was observed.

摘要

引言

慢性牙周炎是一种多因素疾病,主要由菌斑微生物引起,源于对慢性感染的免疫炎症反应改变,导致易感宿主牙周组织破坏。众所周知,维生素D在骨骼稳态和免疫中起着至关重要的作用。有生物学依据怀疑维生素D缺乏可能对牙周组织产生负面影响。本研究旨在调查牙周炎与维生素D之间的关系。

材料与方法

对168例慢性牙周炎患者进行临床生化关系研究。菌斑指数(PI)、牙龈指数(GI)、探诊深度(PPD)、临床附着水平(CAL)与血清维生素D水平相关。

结果

观察到血清25(OH)D水平与牙周参数即GI、PPD和CAL之间存在统计学显著关系。未观察到25(OH)D水平与PI之间的关系。本研究还显示慢性牙周炎患者血清维生素D总体水平较低,但维生素D水平并未随牙周炎严重程度增加而降低。

结论

观察到血清25(OH)D水平与牙周参数即GI、PPD和CAL之间存在统计学显著关系。未观察到25(OH)D水平与PI之间的关系。

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