Parodontale gezondheid en vitamine D

De geschiedenis van het ontstaan van scheurbuik bij zeevaarders in de 17^e eeuw toont dat er een duidelijke, positieve, relatie is tussen het gebruik van vitamine C-bevattende voeding en de gezondheid van het parodontium. Deze positieve relatie wordt nog regelmatig in huidig onderzoek bevestigd. Of andere vitaminen ook goed zijn voor de gebitsgezondheid is minder bekend. Recent onderzoek toont dat die positieve relatie wellicht voor vitamine D opgaat.

Vitamin D, an anti-inflammatory mediator, has potential benefits for physical and oral health. Although it is produced endogenously, some individuals have a greater need for dietary and supplemental sources. This repeated-measures cross-sectional study assessed associations between total vitamin D intake and periodontal health in older men. Participants were 562 members of the Department of Veterans Affairs Dental Longitudinal Study, mean age 62.9 years, who were examined 1 to 4 times between 1986 and 1998. A calibrated examiner measured probing pocket depth (PPD) and attachment loss (AL) on each tooth. Alveolar bone loss (ABL) was determined from radiographs. Severe periodontal disease was defined as PPD ≥ 5 mm on ≥ 1 tooth and AL ≥ 6 mm at ≥ 2 sites (not on same tooth), and moderate-to-severe alveolar bone loss as ABL ≥ 40% at ≥ 3 sites. Generalized estimating equations were used to compute the odds ratios (OR) and 95% confidence intervals (95% CI) of having periodontal disease by level of vitamin D intake. Total vitamin D intake ≥ 800 IU was associated with lower odds of severe periodontal disease (OR = 0.67, 95% CI = 0.55-0.81) and moderate-to-severe ABL (OR = 0.54, 95% CI = 0.30-0.96) relative to intake < 400 IU/day. Vitamin D intake may protect against periodontal disease progression.

Bron

Alshouibi EN, Kaye EK, Cabral HJ, Leone CW, Garcia RI. Vitamin D and periodontal health in older men. J Dent Res 2013; 8: 689-693. doi: 10.1177/0022034513495239. Epub 2013 Jun 20.