Department of Dental Medicine, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania.
Department of Pediatric Dentistry, Faculty of Dental Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania.
Nutrients. 2023 Nov 18;15(22):4826. doi: 10.3390/nu15224826.
The global prevalence of dental caries in deciduous teeth remains a significant health concern, affecting almost 70% of children by the age of six in specific regions. This systematic review aspired to methodically investigate the association between vitamin D levels and susceptibility to caries in children's deciduous teeth. A detailed search, guided by the PRISMA and PROSPERO guidelines, was conducted across three prominent electronic databases: PubMed, Web of Science, and Scopus, culminating in August 2023. The search integrated various keywords related to vitamin D and dental caries in primary dentition, yielding an initial pool of 1678 articles. After meticulous scrutiny, seven studies with a total of 7655 participants were deemed suitable for inclusion. The studies represented diverse geographical regions, showcasing varied vitamin D levels and sun exposure. Patient habits like brushing frequency, dental visits, and vitamin consumption also varied across studies. The analysis pinpointed vitamin D deficiency as a potential risk factor in some of the studies, with Odds Ratios (OR) ranging from 0.68 to 2.15. Statistically significant associations between vitamin D deficiency and caries susceptibility were documented in three studies (ORs of 2.15, 1.98, and 1.70). This comprehensive review elucidates the complex relationship between vitamin D levels and dental caries in children's deciduous teeth. While some studies spotlight vitamin D's pivotal role in dental health, inconsistencies across studies and regional differences necessitate more in-depth, globally representative investigations. Ensuring optimal vitamin D levels may play an integral role in dental health strategies. However, it is important to highlight that the roles of these studied factors might differ in deciduous teeth compared to permanent teeth.
全球范围内,乳牙龋齿的患病率仍然是一个严重的健康问题,在特定地区,几乎有 70%的儿童在 6 岁前就患有龋齿。本系统评价旨在系统地研究维生素 D 水平与儿童乳牙龋齿易感性之间的关系。根据 PRISMA 和 PROSPERO 指南,我们在三个著名的电子数据库(PubMed、Web of Science 和 Scopus)中进行了详细的搜索,搜索截止日期为 2023 年 8 月。搜索整合了与儿童乳牙中维生素 D 和龋齿相关的各种关键词,最初获得了 1678 篇文章。经过仔细筛选,最终有 7 项研究共 7655 名参与者符合纳入标准。这些研究来自不同的地理区域,展示了不同的维生素 D 水平和阳光暴露情况。研究中患者的刷牙频率、看牙医次数和维生素摄入等习惯也各不相同。分析结果表明,在一些研究中,维生素 D 缺乏是一个潜在的风险因素,其优势比(OR)范围为 0.68 至 2.15。有三项研究记录了维生素 D 缺乏与龋齿易感性之间存在统计学显著关联(OR 分别为 2.15、1.98 和 1.70)。本综述详细阐述了儿童乳牙中维生素 D 水平与龋齿之间的复杂关系。虽然一些研究强调了维生素 D 在口腔健康中的关键作用,但由于研究之间存在差异和区域差异,需要进行更深入、更具代表性的全球调查。确保最佳的维生素 D 水平可能在口腔健康策略中发挥重要作用。然而,需要强调的是,与恒牙相比,这些研究因素在乳牙中的作用可能不同。