Dental and Medical Problems
2018, vol. 55, nr 4, October-December, p. 419–424
doi: 10.17219/dmp/99051
Publication type: review
Language: English
License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)
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The role of vitamin D in the human body with a special emphasis on dental issues: Literature review
Rola witaminy D w organizmie ze szczególnym uwzględnieniem jej znaczenia w patologiach jamy ustnej – przegląd piśmiennictwa
1 Department of Oral Surgery, Faculty of Dentistry, Wroclaw Medical University, Poland
Abstract
The aim of the study was to review the current literature on the role of vitamin D in dentistry. The term vitamin D is defined as a group of compounds which are cholesterol derivatives with a similar chemical structure. It is produced in the human body and passes through many stages of synthesis. Vitamin D affects our body through the immune, muscular, nervous, and cardiovascular systems. It is also relevant in dentistry and in the carbohydrate metabolism. Nowadays, vitamin D deficiency levels are high in both the Polish and the world population as a whole. This is due to many factors: latitude, diseases and lifestyle. The data shows that over 90% of people of color (black, Latino, Asian, etc.) and nearly 3/4 of whites living in the United States suffer from a shortage of 25-hydroxycholecalciferol (25(OH) vitamin D). Meanwhile, studies performed in Poland report that a concentration of vitamin D <20 ng/mL (50 nmol/mL) occurs in 70% of the population. Preliminary reports suggest that vitamin D, through the maintenance of normal bone metabolism, as well as its antibacterial and anti-inflammatory activity, modulates periodontal disease. A normal level of vitamin D is important in the treatment of periodontitis. More and more studies are focusing on the problem of vitamin D deficiency and its role in the human body. It is very important to maintain normal levels of vitamin D in the blood and supplement it in the case of shortfalls.
Key words
periodontitis, vitamin D, vitamin D deficiency, calcitriol
Słowa kluczowe
zapalenie przyzębia, witamina D, niedobór witaminy D, kalcytriol
References (41)
- August R, Gumprecht J, Karasek D, et al. Polymorphism A, B and T of the receptor gene for vitamin D and bone density in diabetic patients with terminal renal failure treated with renal replacement therapy [in Polish]. Diabetol Doświad Klin. 2003;3:61–70.
- Tuchendler D, Bolanowski M. Seasonality of changes in vitamin D concentrations in the human body [in Polish]. Endokrynol Otył Zab Przem Mat. 2010;6:36–41.
- Alpert PT, Shaikh U. The effects of vitamin D deficiency and insufficiency on the endocrine and paracrine systems. Biol Res Nurs. 2007;9:117–129.
- DeLuca HF. Overview of general physiologic features and functions of vitamin D. Am J Clin Nutr. 2004;80:1689–1696.
- Grygiel-Górniak B, Puszczewicz M. Vitamin D – a new look in medicine and rheumatology [in Polish]. Postepy Hig Med Dosw. 2014;68:359–368.
- Kaleta B, Walicka M, Sawicka A, et al. Vitamin D receptor gene polymorphism in Polish patients with morbid obesity [in Polish]. Post Nauk Med. 2014;1:65–69.
- Uitterlinden A, Fang Y, Van Meurs J, Pols H, Van Leeuwen J. Genetics and biology of vitamin D receptor polymorphisms. Gene. 2004;338:143–156.
- Yang C, Li J, Li Y, et al. The vitamin D receptor gene ApaI polymorphism is associated with increased risk of renal cell carcinoma in Chinese population. Sci Rep. 2016;6:25987.
- Alegretto EA, Pike JW. Tripsin cleavage of chick 1.25-dihydroxyvitamin D receptors. Generation of discrete polypeptides which retain hormone but are uncreative to DNA and monoclonal antibody. J Biol Chem. 1985;260:10139–10145.
- Haussler MR, Norman A. Chromosomal receptor for a vitamin D metabolite. Proc Natl Acad Sci USA. 1969;62:155–162.
- Norman AW. Minireview: Vitamin D receptor: New assignments for an already busy receptor. Endocrinol. 2006;147:5542–5548.
- Sprague SM, Popovtzer MM. Is beta2-microglobulin a mediator of bone disease? Kidney Int. 1995;47:1–7.
- Freedman LP, Luisi BF, Korszun ZR. The function and structure of metal coordination sites within the glucocorticoid receptor DNA binding domain. Nature. 1988;334:543–546.
- Olędzka R. Vitamin D in the light of recent studies [in Polish]. Bromat Chem Toksykol. 2013;46:121–131.
- Adams JS, Hewison M. Update in vitamin D. J Clin Endocrinol Metab. 2010;95:471–478.
- Holick MF. Ressurection of vitamin D deficiency and rickets. J Clin Invest. 2006;116:2062–2072.
- Płudowski P, Karczmarewicz E, Chlebna-Sokół D, et al. Vitamin D supplementation in healthy population and risk groups of vitamin D deficiency – practice guidelines for Central Europe 2013 [in Polish]. Stand Med Pediatr. 2013;10:573–578.
- Karczmarewicz E, Czekuć- Kryśkiewicz E, Płudowski P. Effect of vitamin D status on pharmacological treatment efficiency. Impact on cost-effective management in medicine. Dermatoendocrinol. 2013;5:299–304.
- Żukowska-Szczechowska E, Kiszka B. Vitamin D deficiency – diagnosis and management in order to reduce cardiovascular risk in patients with diabetes [in Polish]. Forum Zab Metabol. 2011;2:151–157.
- Holick M. Vitamin D deficiency. N Engl J Med. 2007;357:266–281.
- Płudowski P, Karczmarewicz E, Bayer M, et al. Practical guidelines for the supplementation of vitamin D and the treatment of deficits in Central Europe – recommended vitamin D intakes in the general population and groups at risk of vitamin D deficiency. Endokrynol Pol. 2013;64:319–327.
- van Groningen L, Opdenoordt S, van Sorge A, Telting D, Giesen A, de Boer H. Cholecalciferol loading dose guideline for vitamin D-deficient adults. Eur J Endocrinol. 2010;162:805–811.
- Hujoel P. Vitamin D and dental caries in controlled clinical trials: Systematic review and meta-analysis. Nutr Rev. 2013;71:88–97.
- Kosińska J, Billing-Marczak K, Krotkiewski M. New unknown functions of vitamin D [in Polish]. Med Rodz. 2008;2:34–47.
- Glerup H, Mikkelsen K, Poulsen L, et al. Hypovitaminosis D myopathy without biochemical signs of osteomalacic bone involvement. Calcif Tissue Int. 2000;66:419–424.
- Arai H, Miyamoto KI, Taketani Y. A vitamin D receptor gene polymorphism in the translation initiation codon: Effect on protein activity and relation to bone mineral density in Japanese women. J Bone Miner Res. 1997;12:915–921.
- Geusens P, Vandevyver C, Vanhoof J, Cassiman JJ, Boonen S, Raus J. Quadriceps and grip strength are related to vitamin D receptor genotype in elderly non-obese women. J Bone Miner Res. 1997;12:2082–2088.
- Mahjoubi S, Kandara H, Mekni S, et al. Vitamin D status in acromegaly: A comparative study. Endocrine Abstracts. 2018;56:P844.
- Halupczok-Żyła J, Jawiarczyk-Przybyłowska A, Bolanowski M. Patients with active acromegaly are at high risk of 25(OH)D deficiency. Front Endocrinol (Lausanne). 2015;6:89.
- Ilhan M, Toptas-Hekimoglu B, Yaylim I, et al. Investigation of the vitamin D receptor polymorphisms in acromegaly patients. Biomed Res Internat. 2015;2015:625981.
- Dawson-Hughes B, Heaney RP, Holick MF, Lips P, Meunier PJ, Vieth R. Estimates of optimal vitamin D status. Osteoporos Int. 2005;16:713–716.
- McMahon L, Schwartz K, Yilmaz O, Brown E, Ryan LK, Diamond G. Vitamin D-mediated induction of innate immunity in gingival epithelial cells. Infect Immun. 2011;79:2250–2256.
- Miley DD, Garcia MN, Hildebolt CF, et al. Cross-sectional study of vitamin D and calcium supplementation effects on chronic periodontitis. J Periodontol. 2009;80:1433–1439.
- Hildebolt CF. Effect of vitamin D and calcium on periodontitis. J Periodontol. 2005;76:1576–1587.
- Garcia MN, Hildebolt CF, Miley DD, et al. One-year effects of vitamin D and calcium supplementation on chronic periodontitis. J Periodontol. 2011;82:25–32.
- Dietrich T, Joshipura KJ, Dawson-Hughes B, Bischoff-Ferrari HA. Association between serum concentrations of 25-hydroxyvitamin D3 and periodontal disease in the US population. Am J Clin Nutr. 2004;80:108–113.
- Stein SH, Livada R, Tipton DA. Re-evaluating the role of vitamin D in the periodontium. J Periodont Res. 2013;49:545–553.
- Perayil J, Menon KS, Kurup S, et al. Influence of vitamin D & calcium supplementation in the management of periodontitis. J Clin Diagn Res. 2015;9:35–38.
- Hiremath VP, Rao CB, Naik V, Prasad KV. Anti-inflammatory effect of vitamin D on gingivitis: A dose-response randomised control trial. Oral Health Prev Dent. 2013;11:61–69.
- Krall EA, Wehler C, Garcia RI, Harris SS, Dawson-Hughes B. Calcium and vitamin D supplements reduce tooth loss in the elderly. Am J Med. 2001;111:452–456.
- Mangano F, Mortellaro C, Mangano N, Mangano C. Is low serum vitamin D associated with early dental implant failure? A retrospective evaluation on 1625 implants placed in 822 patients. Mediat Inflamm. 2016;2016:5319718.



