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钙和维生素D补充剂作为牙周病的非手术治疗方法:以女性患者为重点的文献综述

Calcium and Vitamin D Supplementation as Non-Surgical Treatment for Periodontal Disease with a Focus on Female Patients: Literature Review.

作者信息

Sllamniku Dalipi Zana, Dragidella Fatmir

机构信息

Periodontology and Oral Medicine Department, University Dentistry Clinical Center of Kosovo, Medical Faculty, University of Prishtina, Street Lagjja e Spitalit p.n., 10000 Prishtina, Kosovo.

出版信息

Dent J (Basel). 2022 Jul 1;10(7):120. doi: 10.3390/dj10070120.

Abstract

Periodontal disease is a complex disease that involves an imbalance between the oral microbiota and an individual's inflammatory response. Moreover, the inflammatory response contributes to further imbalance; if left untreated, periodontal disease may result in tooth loss. Vitamin D is intricately involved in the regulation of calcium-phosphate homeostasis and bone mineral metabolism; considering that periodontal surgery usually includes regenerative therapy, adequate vitamin D and calcium levels are essential. The benefits of vitamin D and calcium supplementation have been demonstrated in situations where deficiency is associated with adverse outcomes, such as periodontal disease and maternal health. However, knowledge and attitudes about supplementation, as well as the actual levels of supplementation, vary greatly in the general population; they also differ between men and women. The aim of this review is to discuss how vitamin D and calcium supplementation affect oral and periodontal health, especially in women. Additionally, this review provides suggestions for public health strategies regarding vitamin D and calcium supplementation, as well as the effects of both types of supplementation on maternal oral health.

摘要

牙周病是一种复杂的疾病,涉及口腔微生物群与个体炎症反应之间的失衡。此外,炎症反应会导致进一步的失衡;如果不加以治疗,牙周病可能会导致牙齿脱落。维生素D与钙磷稳态和骨矿物质代谢的调节密切相关;考虑到牙周手术通常包括再生治疗,充足的维生素D和钙水平至关重要。在缺乏维生素D和钙与不良后果(如牙周病和孕产妇健康)相关的情况下,补充维生素D和钙的益处已得到证实。然而,普通人群对补充剂的认知和态度,以及实际补充水平差异很大;男性和女性之间也存在差异。本综述的目的是讨论补充维生素D和钙如何影响口腔和牙周健康,尤其是对女性的影响。此外,本综述还针对维生素D和钙补充剂的公共卫生策略以及这两种补充剂对孕产妇口腔健康的影响提供了建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7eb/9319146/abe98e5a9865/dentistry-10-00120-g001.jpg

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