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维生素D3口服补充剂辅助Ⅱ型糖尿病慢性牙周炎患者龈下刮治和根面平整治疗的疗效评估——一项随机对照临床试验

Assessment of Outcome of Oral Supplementation of Vitamin D3 as an Adjunct to Scaling and Root Planing in Chronic Periodontitis Patients with Type II Diabetes Mellitus - A Randomized Controlled Clinical Trial.

作者信息

Ramaprabha G, Khan Nubesh S, Kunusoth Ramesh, Kakati Indrajit, Hussain Qadri Syed Shah, Seshadri Pavithra Rangarajan

机构信息

Department of Periodontics, GRS Dental Clinic, Mayiladuthurai, Tamil Nadu, India.

Department of Preventive Dentistry, College of Dentistry in Ar Rass, Qassim University, Al-Qassim, Kingdom of Saudi Arabia.

出版信息

J Pharm Bioallied Sci. 2023 Jul;15(Suppl 1):S346-S349. doi: 10.4103/jpbs.jpbs_543_22. Epub 2023 Jul 5.

Abstract

BACKGROUND

Both diabetes and periodontitis affect millions of people worldwide and Vitamin D insufficiency may create a conducive environment for the progression of diabetes and periodontal disease. The aim of the study was to assess the outcome of oral supplementation of Vitamin D3 in patients with Type 2Diabetes Mellitus with generalized chronic periodontitis, as an adjuvant toscaling and root planing.

METHODOLOGY

A total of 92 patients, including 46 each in non-diabetic and diabetec group. Clinical parameters including Plaque Index (PI), Gingival Bleeding Index (GBI), Probing Pocket Depth (PPD), Clinical Attachment Level (CAL), levels of Vitamin D in serum, and Fasting Blood sugar were assessed at the baseline. SRP was finished for each participant in the trial. Following SRP, the first 25people in each group got 60,000 IU of oral vitamin D3 granules once a week for eight weeks, while the remaining 21 subjects from each group did not. At the conclusion of the 8th week following interventions, all the indicators were reviewed.

RESULTS

Following SRP and Vitamin D supplementation there was a measurably critical reduction in every one of the periodontal clinical indicators in both groups. In both groups, there was a statistically significant rise in serum vitamin D levels.

CONCLUSION

In addition to SRP, vitamin D supplementation shows promise as a host immunomodulatory drug in the management of periodontitis, particularly in patients with diabetes mellitus.

摘要

背景

糖尿病和牙周炎在全球影响着数百万人,维生素D缺乏可能为糖尿病和牙周疾病的进展创造有利环境。本研究的目的是评估口服补充维生素D3对患有广泛性慢性牙周炎的2型糖尿病患者的治疗效果,作为龈下刮治和根面平整的辅助治疗。

方法

共有92名患者,非糖尿病组和糖尿病组各46名。在基线时评估临床参数,包括菌斑指数(PI)、牙龈出血指数(GBI)、探诊深度(PPD)、临床附着水平(CAL)、血清维生素D水平和空腹血糖。试验中的每位参与者都完成了龈下刮治和根面平整。在龈下刮治和根面平整之后,每组的前25人每周口服一次60000 IU的维生素D3颗粒,持续八周,而每组其余21名受试者不服用。在干预后的第8周结束时,对所有指标进行复查。

结果

在龈下刮治和补充维生素D之后,两组的每一项牙周临床指标都有显著降低。两组的血清维生素D水平均有统计学意义的升高。

结论

除龈下刮治和根面平整外,补充维生素D作为一种宿主免疫调节药物在牙周炎治疗中显示出前景,特别是在糖尿病患者中。

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Role of vitamin D in the pathogenesis of type 2 diabetes mellitus.维生素D在2型糖尿病发病机制中的作用。
Diabetes Obes Metab. 2008 Mar;10(3):185-97. doi: 10.1111/j.1463-1326.2007.00710.x.
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Diabetes mellitus and periodontal diseases.糖尿病与牙周疾病。
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