Vitamin D Deficiency Clinical Trial
Official title:
Principal Investigator
Background. Vitamin D has both direct effects on bone metabolism and an antimicrobial effect
on periodontopathogens. It also inhibits inflammatory mediators that contribute to
periodontal destruction. The purpose of this study was to evaluate the association between
serum 1.25-hydroxyvitamin D (1.25(OH)2D3) and 25(OH)D levels and periodontal inflammation.
Methods. This study included 28 subjects with chronic gingivitis, 29 subjects with chronic
periodontitis and 25 periodontally healthy subjects. Blood samples were collected from the
participants to determine serum levels of 25(OH)D, 1.25(OH)2D3, tumour necrosis factor α
(TNF-α), C-reactive protein (CRP) and interleukin 6 (IL-6). Clinical parameters were
recorded. Results were statistically analysed with a Shapiro-Wilk's test, Mann-Whitney U
test, Kruskal-Wallis H test, Wilcoxon test and post-hoc multiple comparison test.
The subjects included in the study were selected from among patients who applied to our
clinic, for routine periodontal examinations. Individuals who had been using
immunosuppressive drugs and antibiotics for the past three months, smokers, individuals who
had periodontal treatment within the past six months, and individuals with additional or
supplementary vitamin D and systemic diseases were excluded from the study. In addition,
since the region's level of sunlight exposure may have an effect on the level of vitamin D,
participants were required to live in the region for the last five years.
A total of 82 subjects, including 25 as a periodontally healthy control group, 28 with
chronic gingivitis and 29 with chronic periodontitis, were included in the study. Clinical
criteria for chronic periodontitis are the formation of plaque and calculus and ≥ 5 milimeter
(mm) pocket depth or attachment loss in more than 30% of the teeth. Diagnosis criteria for
chronic gingivitis are the formation of plaque and/or calculus in the mouth, bleeding, and no
loss of pocket or attachment. The diagnosis criteria for periodontally healthy individuals
are having clinically healthy periodontal tissues or minimal periodontal inflammation, with
no loss of pocket or attachment.
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