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维生素D与义齿性口炎的关联

Association between Vitamin D and -Associated Denture Stomatitis.

作者信息

Muhvić-Urek Miranda, Saltović Ema, Braut Alen, Kovačević Pavičić Daniela

机构信息

Department of Oral Medicine and Periodontology, Faculty of Dental Medicine, University of Rijeka, Kresimirova 40, 51 000 Rijeka, Croatia.

Dental Clinic, Clinical Hospital Center Rijeka, Kresimirova 40, 51 000 Rijeka, Croatia.

出版信息

Dent J (Basel). 2020 Oct 21;8(4):121. doi: 10.3390/dj8040121.

Abstract

-associated denture stomatitis (CADS) is a fungal infection affecting 60-65% of denture wearers. Its etiology is complex and multifactorial and often associated with host immunodeficiency. Evidence exists that vitamin D has potential immunomodulatory and anti-inflammatory effects. The aim of this case-control study was to assess the association between vitamin D levels and CADS. The study included 32 complete denture wearers with CADS and 32 sex- and age-matched complete denture wearers without CADS. The patients were clinically examined, and the severity of denture stomatitis was assessed according to Newton's classification scale. The serum vitamin D level was determined via the use of an electrochemiluminescence assay. The vitamin D level in the CADS group and control group was 54.68 ± 17.07 and 56.82 ± 17.75 nmol/L, respectively. There was no significant difference between the groups ( = 0.622). Univariate logistic regression analysis showed that the presence of CADS was not associated with hypovitaminosis D (odds ratio (OR) = 1.44; 95% confidence interval (CI) = 0.37-5.54). It can be concluded that vitamin D is not associated with CADS and does not play a significant role in host susceptibility to CADS. This finding suggests that vitamin D screening is not indicated routinely in patients with -associated denture stomatitis.

摘要

义齿相关口腔炎(CADS)是一种真菌感染,影响60%-65%的义齿佩戴者。其病因复杂且多因素,常与宿主免疫缺陷相关。有证据表明维生素D具有潜在的免疫调节和抗炎作用。本病例对照研究的目的是评估维生素D水平与CADS之间的关联。该研究纳入了32名患有CADS的全口义齿佩戴者和32名年龄及性别匹配的无CADS的全口义齿佩戴者。对患者进行临床检查,并根据牛顿分类量表评估义齿性口炎的严重程度。通过电化学发光法测定血清维生素D水平。CADS组和对照组的维生素D水平分别为54.68±17.07和56.82±17.75 nmol/L。两组之间无显著差异(P=0.622)。单因素逻辑回归分析显示,CADS的存在与维生素D缺乏症无关(比值比(OR)=1.44;95%置信区间(CI)=0.37-5.54)。可以得出结论,维生素D与CADS无关,在宿主对CADS的易感性中不发挥重要作用。这一发现表明,对于义齿相关口腔炎患者,不建议常规进行维生素D筛查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a779/7712357/e0ab6e31f46e/dentistry-08-00121-g001.jpg

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