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使用锥形束计算机断层扫描(CBCT)对牙种植治疗候选人的血清维生素D3水平与颌骨密度之间的相关性研究

Correlation between vitamin D3 serum levels and jaw bone density of candidates for dental implant treatment using CBCT.

作者信息

Mesgarzadeh Ali, Zandesh Amir, Sojoudi Hooman, Mesgarzadeh Ali Hossein, Esmaeili Farzad, Hajmohammadi Emran

机构信息

Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.

Student of Dentistry, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

J Dent Res Dent Clin Dent Prospects. 2025 Mar 31;19(1):40-45. doi: 10.34172/joddd.025.41648. eCollection 2025 Mar.

DOI:10.34172/joddd.025.41648
PMID:40464023
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12128212/
Abstract

BACKGROUND

Little information is available about the effect of vitamin D on jaw bone density, and human studies about this entity are scarce. Vitamin D deficiency weakens bone regeneration and is responsible for many systemic diseases, such as chronic kidney disease, diabetes mellitus, etc.

METHODS

Fifty candidates for dental implant treatment aged 20‒60 were randomly chosen at the Implantology Department of the Faculty of Dentistry, Tabriz University of Medical Sciences. Fifteen patients were male, and 35 were female, and they were examined for their vitamin D3 serum levels. All the patients had cone-beam computed tomography (CBCT) radiographic images. According to their vitamin D3 levels, they were split into three groups: deficient, insufficient, and sufficient, and the density of bone was evaluated using the mean calculated Hounsfield unit from the Planmeca Romexis software.

RESULTS

In the vitamin D3-deficient group, the mandibular bone of both males and females demonstrated lower bone densities; however, there was no significant correlation between bone density and vitamin D3 serum levels in either the maxilla or the mandible.

CONCLUSION

This study could not find a correlation between the serum levels of vitamin D3 and the bone density of the jaws. Further studies are necessary in this respect.

摘要

背景

关于维生素D对颌骨密度的影响,现有信息较少,且针对该问题的人体研究稀缺。维生素D缺乏会削弱骨再生,并引发许多全身性疾病,如慢性肾病、糖尿病等。

方法

在大不里士医科大学牙科学院种植科随机选取50名年龄在20至60岁之间的牙种植治疗候选人。其中15名患者为男性,35名患者为女性,对他们进行了维生素D3血清水平检测。所有患者均有锥形束计算机断层扫描(CBCT)影像学图像。根据他们的维生素D3水平,将其分为三组:缺乏组、不足组和充足组,并使用Planmeca Romexis软件计算的平均亨氏单位来评估骨密度。

结果

在维生素D3缺乏组中,男性和女性的下颌骨骨密度均较低;然而,在上颌骨或下颌骨中,骨密度与维生素D3血清水平之间均无显著相关性。

结论

本研究未发现维生素D3血清水平与颌骨骨密度之间存在相关性。在这方面需要进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ae/12128212/52c1a855a50a/joddd-19-40-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ae/12128212/fbc0d87cc8c8/joddd-19-40-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ae/12128212/52c1a855a50a/joddd-19-40-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ae/12128212/fbc0d87cc8c8/joddd-19-40-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ae/12128212/52c1a855a50a/joddd-19-40-g002.jpg

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本文引用的文献

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Nutrients. 2024 Jan 9;16(2):209. doi: 10.3390/nu16020209.
2
Correlation of Serum Vitamin D with Crestal Bone Level in Dental Implant Patients Using CBCT: A Clinical Retrospective Study.利用 CBCT 评估血清维生素 D 与牙种植患者牙槽嵴顶骨水平的相关性:一项临床回顾性研究。
J Contemp Dent Pract. 2023 Jul 1;24(7):415-418. doi: 10.5005/jp-journals-10024-3537.
3
Extracorporeal Shock Wave Therapy as a Helpful Method for Rapid Osseointegration of Dental Implants: Animal Study.
体外冲击波疗法作为促进牙种植体快速骨整合的一种有效方法:动物研究
Biomimetics (Basel). 2023 Mar 27;8(2):137. doi: 10.3390/biomimetics8020137.
4
Influence of Serum Vitamin D Levels on Survival Rate and Marginal Bone Loss in Dental Implants: A Systematic Review.血清维生素 D 水平对种植牙存活率和边缘骨丧失的影响:系统评价。
Int J Environ Res Public Health. 2022 Aug 16;19(16):10120. doi: 10.3390/ijerph191610120.
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Does vitamin D have an effect on osseointegration of dental implants? A systematic review.维生素 D 对牙种植体的骨整合有影响吗?系统评价。
Int J Implant Dent. 2022 Apr 11;8(1):16. doi: 10.1186/s40729-022-00414-6.
6
Prevention of benign paroxysmal positional vertigo with vitamin D supplementation: A randomized trial.维生素 D 补充预防良性阵发性位置性眩晕:一项随机试验。
Neurology. 2020 Sep 1;95(9):e1117-e1125. doi: 10.1212/WNL.0000000000010343. Epub 2020 Aug 5.
7
Alveolar Bone Density and Width Affect Primary Implant Stability.牙槽骨密度和宽度影响种植体初期稳定性。
J Oral Implantol. 2020 Aug 1;46(4):389-395. doi: 10.1563/aaid-joi-D-19-00028.
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Evaluation of FGF-23 and 25(OH)D levels in peri-implant sulcus fluid in peri-implant health and diseases.评估种植体周围健康和疾病中种植体周围沟液中 FGF-23 和 25(OH)D 水平。
Clin Implant Dent Relat Res. 2019 Oct;21(5):1106-1112. doi: 10.1111/cid.12832. Epub 2019 Aug 13.
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