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儿童龋齿与维生素D缺乏:一篇叙述性综述。

Dental caries in children and vitamin D deficiency: a narrative review.

作者信息

Durá-Travé Teodoro, Gallinas-Victoriano Fidel

机构信息

Department of Pediatrics, School of Medicine, University of Navarra, Avenue Irunlarrea, 1, 31008, Pamplona, Spain.

Navarrabiomed (Biomedical Research Center), Pamplona, Spain.

出版信息

Eur J Pediatr. 2024 Feb;183(2):523-528. doi: 10.1007/s00431-023-05331-3. Epub 2023 Nov 15.

Abstract

Dental caries represents one of the most prevalent health problems in childhood. Numerous studies have assessed that vitamin D deficiency is highly related to dental caries in primary and permanent teeth in children. The aim of this study is to elaborate a narrative review about proposed mechanisms by which vitamin D deficiency interacts with dental caries process in children. Vitamin D deficiency during pregnancy may cause intrauterine enamel defects, and through childhood is accompanied by insufficient activity of antibacterial peptides, decreased saliva secretion, and a low level of calcium in saliva.  Conclusion: In conclusion, vitamin D deficiency would increase the risk of caries in the primary and/or permanent dentition. Relationship between vitamin D deficiency and dental caries is evident enough for vitamin D deficiency to be considered as a risk factor for dental caries in children. Optimal levels of vitamin D throughout pregnancy and childhood may be considered an additional preventive measure for dental caries in the primary and permanent dentition.

摘要

龋齿是儿童时期最普遍的健康问题之一。大量研究评估发现,维生素D缺乏与儿童乳牙和恒牙龋齿高度相关。本研究的目的是对维生素D缺乏与儿童龋齿过程相互作用的潜在机制进行叙述性综述。孕期维生素D缺乏可能导致宫内釉质缺陷,在儿童期则伴有抗菌肽活性不足、唾液分泌减少和唾液中钙含量低。结论:总之,维生素D缺乏会增加乳牙和/或恒牙患龋风险。维生素D缺乏与龋齿之间的关系十分明显,足以将维生素D缺乏视为儿童龋齿的一个风险因素。整个孕期和儿童期保持最佳维生素D水平可被视为预防乳牙和恒牙龋齿的一项额外措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04f1/10912272/d0849856a508/431_2023_5331_Fig1_HTML.jpg

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