Vitamin D in the prevention and treatment of periodontal diseases: an integrative review
DOI:
https://doi.org/10.33448/rsd-v10i13.20738Keywords:
Calcitriol receptors; Oral pathology; Pathologic bone demineralization; Periodontal diseases; Vitamin D.Abstract
Introduction: Vitamin D is synthesized from 7-dehydrocholesterol during a photochemical reaction, under the effect of ultraviolet radiation on the skin, obtained from food. It is hydroxylated in the liver to 25-hydroxyvitamin D3 (25(OH)D3). It is an active metabolite, which maintains the balance of calcium and phosphorus concentration in the blood, in addition to helping bone remodeling. Vitamin D deficiency promotes rickets in children and osteoporosis in adults, with a risk of bone fracture. Vitamin D acts in the pathogenesis of periodontal diseases via immunomodulation, increases mineral density and reduces bone resorption, which is important in combating agents that cause periodontal diseases. Objectives: Evaluate the importance of vitamin D in the prevention and treatment of periodontal diseases. Methods: A search was carried out in the PubMed/Medline, Scopus, Scielo, Embase, Web of Science and Google Scholar databases on scientifically proven evidence on the subject. Results: The present review demonstrated the importance of vitamin D in the prevention and treatment of periodontitis and the consequences of its deficiency on the oral health of patients. Conclusion: Vitamin D plays an important role in oral homeostasis and vitamin deficiency results in periodontal disease.
References
Adams, J. S., & Hewison, M. (2010). Update in vitamin D. J Clin Endocrinol Metab. 95:471-478.
Al Habashneh, R., Alchalabi, H., Khader, Y. S., Hazza’a, A. M., Odat, Z., & Johnson, G. K. (2010). Association between periodontal disease and osteoporosis in postmenopausal women in Jordan. J. Periodontol. 81:1613-1621.
Alshouibi, E. N., Kaye, E. K., Cabral, H. J., Leone, C. W., & Garcia, R. I. (2013). Vitamin D and periodontal health in older men. J. Dent. Res. 92:689-693.
Amano, Y., Komiyama, K., & Makishima, M. (2009). Vitamin D and periodontal disease. J. Oral Sci. 51:11-20.
Andresen, C., Olson, E., Nduaka, C., Pero, R., & Bagi, C. M. (2006). Action of calciotropic hormones on bone metabolism – Role of Vitamin D3 in bone remodeling events. Am J Immunol. 2:40‑51.
Bashutski, J. D., Eber, R. M., Kinney, J. S., & Benavides, A. L. (2011). The impact of vitamin D status on periodontal surgery outcomes. J. Dent. Res. 90:1007-1012.
Bikle, D. D. (2008). Vitamin D and the immune system: Role in protection against bacterial infection. Curr. Opin. Nephrol. Hypertens. 17:348-352.
Brett, P. M., Zygogianni, P., & Griffiths, G. S. (2005). Functional gene polymorphisms in aggressive and chronic periodontitis. J Dent Res. 84:1149-1153.
Chen, L. L., Li, H., & Zhang, P. P. (2012). Association between vitamin D receptor polymorphisms and periodontitis: a meta-analysis. J Periodontol. 83:1095-103.
Chen, T. C., Chimeh, F., Lu, Z., Mathieu, J., Person, K. S., & Zhang, A. (2007). Factors that influence the cutaneous synthesis and dietary sources of vitamin D. Arch Biochem Biophys. 460:213‑217.
Cheng, J. B., Motola, D. L., Mangelsdorf, D. J., & Russell, D. W. (2003). De-orphanization of cytochrome P450 2R1:a microsomal vitamin D 25-hydroxylase. J Biol Chem. 278:38084-38093.
Garcia, M. N.; Hildebolt, C. F., Miley, D., Dixon, D. A., Couture, R. A., & Spearie, C. L. A. (2011). One-year effects of vitamin D and calcium supplementation on chronic periodontitis. J Periodontol. 82(1):25-32.
Giovannucci, E., Liu, Y., Rimm, E. B., Hollis, B. W., Fuchs, C. S., Stampfer, M. J., & Willett, W. C. (2006). Prospective study of predictors of vitamin D status and câncer incidence and mortality in men. J Natl Cancer Inst. 98:451-459
Gunes, S., Sumer, A. P., & Keles, G. C. (2008). Analysis of vitamin D receptor gene polymorphisms in patients with chronic periodontitis. Indian J Med Res. 127:58-64.
Haussler, M. R., Whitfield, G. K., Haussler, C. A., Hsieh, J. C., Thompson, P. D., Selznick, S. H., Dominguez, C. E., & Jurutka, P. W. ( 1998) . The nuclear vitamin D receptor: biological and molecular regulatory properties revealed. J Bone Miner Res. 13:325-349.
Heaney, R. P., Davies, K. M., Chen, T. C., Holick, M. F., & Barger‑Lux, M. J. (2003). Human serum 25‑hydroxycholecalciferol response to extended oral dosing with cholecalciferol. Am J Clin Nutr. 77:204‑10.
Hennig, B. J., Parkhill, J. M., Chapple, I. L., Heasman, P. A., & Taylor, J. J. (1999). Association of a vitamin D receptor gene polymorphism with localized early‑onset periodontal diseases. J Periodontol. 70:1032‑1038.
Hildebolt, C. F. (2005). Effect of vitamin D and calcium periodontitis. J. Periodontol. 76: 1576-1587.
Hiremath, V. P., Rao, C. B., Naiak, V., & Prasad, K. V. (2013). Anti-inflammatory effect of vitamin D on gingivitis: A dose response randomized controlled trial. Indian J. Public Health. 57: 29-32.
Holick, M. F. (2007). Vitamin D deficiency. N Engl J Med. 357:266‑281.
Holick, M. F. (2009). Vitamin D status: measurement, interpretation, and clinical application. Ann Epidemiol. 19:73-78.
Holick, M. F. (2004). Vitamin D: Importance in the prevention of cancers, type 1 diabetes, heart disease, and osteoporosis. Am J Clin Nutr. 79:362‑71.
Huet, T., Laverny, G., & Ciesielski, F. (2015). A vitamin D receptor selectively activated by gemini analogs reveals ligand dependent and independent effects. Cell Rep. 10:516-526.
Jabbar, S., Drury, J., Fordham, J., Datta, H. K., Francis, R. M., & Tuck, S. P. (2011). Plasma vitamin D and cytokines in periodontal disease and postmenopausal osteoporosis. J. Periodontal Res. 46:97-104.
Jones, G. (2008). Pharmacokinetics of vitamin D toxicity. Am J Clin Nutr. 88:582-586.
Kitazawa, S., Kajimoto, K., & Kondo T. (2001). Vitamin D3 supports osteoclastogenesis via functional parathyroid growth arrest by vitamin D and high calcium. Kidney Int. 60:2109‑17.
Lacey, D. L., Timms, E., Tan, H. L., Kelley, M. J., Dunstan, C. R., & Burgess, T. (1998). Osteoprotegerin ligand is a cytokine that regulates osteoclast differentiation and activation. Cell. 93:165‑176.
Laine, M. L., Crielaard, W., & Loos, B. G. (2012). Genetic susceptibility to periodontitis. Periodontol. 58:37-68.
Liu, K, Meng, H., & Hou, J. (2012). Activity of 25-hydroxylase in human gingival fibroblasts and periodontal ligament cells. PLoS ONE. 7:e52053.
Liu, K, Meng H, Tang X, Xu L, Zhang L, Chen Z, Shi D, Feng X & Lu R. (2009). Elevated plasma calcifediol is associated with aggressive periodontitis. J. Periodontol. 80:1114-1120.
Lou Y. R, Molnár F & Peräkylä M. (2010). 25-Hydroxyvitamin D(3) is an agonistic vitamin D receptor ligand. J Steroid Biochem Mol Biol. 118:162-170.
Makishima M., & Yamada S. (2005). Targeting the vitamin D receptor: advances in drug discovery. Expert Opin Ther Pat. 15:1133-1145.
Martelli F. S, Martelli M, & Rosati C. (2014). Vitamin D: relevance in dental practice. Clin Cases Miner Bone Metab. 11:15.
McMahon L, Schwartz K, Yilmaz O, Brown E, Ryan L. .K, & Diamond G. (2011). Vitamin D-mediated induction of innate immunity in gingival epithelial cells. Infect. Immun. 79:2250-2256.
Millen A. E, Hovey K. M, LaMonte M. J, Swanson M, Andrews, C. .A & Kluczynski M. A. (2013). Plasma 25-hydroxyvitamin D concentrations and periodontal disease in postmenopausal women. J. Periodontol. 84:1243-1256.
Nagpal S., & Rathnachalam R. (2005). Noncalcemic actions of vitamin D receptor ligands. Endocr Rev. 26:662-687.
Nibali L, Di Iorio A., & Tu Y. K. (2017). Host genetics role in the pathogenesis of periodontal disease and caries. J Clin Periodontol. 44(18): S52-S78.
Nibali L, Parkar M., & D'Aiuto F. (2008). Vitamin D receptor polymorphism (-1056 Taq-I) interacts with smoking for the presence and progression of periodontitis. J Clin Periodontol. 35:561-567.
Pereira, A. S., Shitsuka, D. M., Parreira, F. J. & Shitsuka, R. (2018). Metodologia Da Pesquisa Científica (1st ed.). Santa Maria: Universidade Federal de Santa Maria.
Schwalfenberg G. K. (2011). A review of the critical role of vitamin D in the functioning of the immune system and the clinical implications of vitamin D deficiency. Mol. Nutr. Food Res. 55:96-108.
Stein S. H., & Tipton D. A. (2011). Vitamin D and its impact on oral health – An update. J. Tenn. Dent. Assoc. 91:30-33.
Stewart S., & Hanning R. (2012). Building osteoporosis prevention into dental practice. J. Can. Dent. Assoc. 78:c29.
Sun J. L, Meng H. X., & Cao C. F. (2002). Relationship between vitamin D receptor gene polymorphism and periodontitis. J Periodontal Res. 37:263-267.
Tachi Y, Shimpuku H., & Nosaka Y. (2003). Vitamin D receptor gene polymorphism is associated with chronic periodontitis. Life Sci. 73:3313-3321.
Tang X, Pan Y & Zhao Y. (2013). Vitamin D inhibits the expression of interleukin-8 in human periodontal ligament cells stimulated with Porphyromonas gingivalis. Arch. Oral Biol. 58:397-407.
Teles F. R, Teles R. P, Martin L, Socransky S. S., & Haffajee A. D. (2012). Relationships among interleukin-6, tumor necrosis factor-a, adipokines, vitamin D, and chronic periodontitis. J. Periodontol. 83:1183-1191.
Valdivielso J. M., & Fernandez E. (2006). Vitamin D receptor polymorphisms and diseases. Clin Chim Acta. 371:1‑12.
Van der Velden U, Kuzmanova D & Chapple I. L. (2011). Micronutritional approaches to periodontal therapy. J. Clin. Periodontol. 38(11):142-158.
Wactawski-Wende J, Hausmann E, Hovey K, Trevisan M, Grossi S & Genco R. J. (2005). The association between osteoporosis and alveolar crestal height in postmenopausal women. J. Periodontol. 76(11):2116-2124.
Wang . TJ, Pencina M. J, Booth S. L, Jacques P. F, Ingelsson E, Lanier K, Benjamin E. J, D’Agostino R. B, Wolf, M., & Vasan R. S. (2008). Vitamin D deficiency and risk of cardiovascular disease. Circulation. 117:503-511.
Wang Y., Zhu J., & DeLuca H. F. (2012). Where is the vitamin D receptor? Arch Biochem Biophys. 523:123-33.
Zerwekh, J. E. (2008). Blood biomarkers of vitamin D status. Am J Clin Nutr. 87:1087-1091.
Zhang X, Meng H, Sun X, Xu L, Zhang L., & Shi D. (2013). Elevation of vitamin D-binding protein levels in the plasma of patients with generalized aggressive periodontitis. J. Periodontal Res. 48:74-79.
Zhanyi, G, Kaining, L., & Huanxin, M. (2018). Preliminary investigation of the vitamin D pathway in periodontal connective tissue cells. 89(3):294-302.
Zittermann A. (2003). Vitamin D in preventive medicine: Are we ignoring the evidence? Br J Nutr. 89:552‑72.
Zuk A. M, Quiñonez C. R., & Saarela O. (2018). Joint effects of serum vitamin D insufficiency and periodontitis on insulin resistance, pre-diabetes, and type 2 diabetes: results from the National Health and Nutrition Examination Survey (NHANES) 2009–2010. BMJ Open Diab Res Care. 6:e000535.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Marlon Mezadri Layber; Alyne Barreto Mesquita de Goés; Camila Vilar de Oliveira Villarim; Diego Maia Diógenes Rabelo Caldas; Irami Araújo-Neto; Laura Cristina Costa e Silva; Amália Cinthia Meneses Rêgo; Irami Araújo-Filho
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.