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Vitamin D and periodontitis: a systematic review and meta-analysis

datacite.subject.fosCiências Médicas
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorMachado, Vanessa
dc.contributor.authorLobo, Sofia
dc.contributor.authorProença, Luís
dc.contributor.authorMendes, José João
dc.contributor.authorBotelho, João
dc.date.accessioned2025-09-05T11:32:27Z
dc.date.available2025-09-05T11:32:27Z
dc.date.issued2020-08
dc.description.abstractTo explore the vitamin D levels of periodontitis patients in comparison with periodontally healthy ones, and to assess the influence of vitamin D supplementation as an adjunctive during nonsurgical periodontal treatment (NSPT). Five databases (Pubmed, Embase, Scholar, Web of Sciences, and Cochrane Library) were searched until May 2020. Mean difference (MD) meta-analysis with corresponding 95% confidence interval (95% CI) and sensitivity tests via meta-regression were used. We followed Strength of Recommendation Taxonomy (SORT) to appraise the strength and quality of the evidence. Sixteen articles were included, fourteen case-control and two intervention studies, all reporting 25-hydroxyvitamin D (25(OH)D) levels. Compared with the healthy controls, the circulating 25(OH)D levels were significantly lower in chronic periodontitis patients (pooled MD = −6.80, 95% CI: −10.59 to −3.02). Subgroup analysis revealed differences among 25(OH)D measurements, with liquid chromatography-mass spectrometry being the most homogeneous method (pooled MD = −2.05, 95% CI: −3.40 to −0.71). Salivary levels of 25(OH)D showed no differences between groups. Due to the low number of studies, conclusions on aggressive periodontitis and in the effect of vitamin D supplementation after NSPT were not possible to ascribe. Compared with healthy controls, 25(OH)D serum levels are significantly lower in chronic periodontitis patients, with an overall SORT A recommendation. Future studies are needed to clarify the effect of vitamin D supplementation and the biological mechanisms linking vitamin D to the periodontium.eng
dc.identifier.citationMachado V, Lobo S, Proença L, Mendes JJ, Botelho J. Vitamin D and Periodontitis: A Systematic Review and Meta-Analysis. Nutrients. 2020; 12(8):2177. https://doi.org/10.3390/nu12082177
dc.identifier.doi10.3390/nu12082177
dc.identifier.issn2072-6643
dc.identifier.urihttp://hdl.handle.net/10400.26/58586
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://doi.org/10.3390/nu12082177
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectvitamin D
dc.subjectvitamin D deficiency
dc.subject25(OH)D
dc.subjectperiodontal disease
dc.subjectperiodontitis
dc.subjectsystematic review
dc.subjectmeta-analysis
dc.titleVitamin D and periodontitis: a systematic review and meta-analysiseng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.issue8
oaire.citation.startPage2177
oaire.citation.titleNutrients
oaire.citation.volume12
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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