J Periodontal Res:非手术牙周治疗后短期给予维生素D的疗效

2020-02-10 lishiting MedSci原创

这篇研究的目的是为了评估对含中等和深牙周袋的患者在实施非手术牙周治疗后应用维生素D疗法的有效性和安全性。

这篇研究的目的是为了评估对含中等和深牙周袋的患者在实施非手术牙周治疗后应用维生素D疗法的有效性和安全性。

在非手术牙周治疗3个月之后,360名有中等或深牙周袋的患者随机给予2000 international unit (IU)/d vitamin D3, 1000 IU/d vitamin D3或安慰剂。在给药前以及干预后3个月进行临床牙周检查,内容包括:探诊深度(PD), 出血指数(BI), 菌斑指数(PLI), 附着丧失(AL)和牙槽嵴高度(ACH)。

结果显示,对于中等和深牙周袋的患者来说,与安慰剂组相比,2个vitamin D组的AL和PD均有轻微但显著减少。2000 IU/d vitamin D3组、1000 IU/d vitamin D3组和安慰剂组的AL 在中等(-0.4 mm vs -0.4 mm vs -0.3 mm)和深牙周袋(-1.1 mm vs -1.1 mm vs -1.0 mm)的患者中均明显降低(all P < .05)。相似的,PD在中等和深牙周袋的3组中也明显降低(all P < .05)。此外,给予vitamin D的疗法应用良好,未见任何不良反应。

结论:尽管应用vitamin D后出现了显著性差异,但是影响范围的强度趋于中等,临床效果有限,并且其长期的疗效及安全性还需要进一步明确。

原始出处:

Weimin Gao, Huilin Tang, et al. Effect of Short-Term Vitamin D Supplementation After Nonsurgical Periodontal Treatment: A Randomized, Double-Masked, Placebo-Controlled Clinical Trial. J Periodontal Res. 2020 Jan 20[Online ahead of print] PMID: 31960448  DOI: 10.1111/jre.12719

本文系梅斯医学(MedSci)原创编译整理,转载需授权!

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (4)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1728294, encodeId=c1861e28294b7, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Sun Dec 06 17:27:00 CST 2020, time=2020-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1451193, encodeId=03b4145119393, content=<a href='/topic/show?id=f0476e49582' target=_blank style='color:#2F92EE;'>#牙周#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67495, encryptionId=f0476e49582, topicName=牙周)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=医者仁心, createdTime=Wed Feb 12 10:27:00 CST 2020, time=2020-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1493535, encodeId=d05a149353545, content=<a href='/topic/show?id=dc4c6e51457' target=_blank style='color:#2F92EE;'>#牙周治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67514, encryptionId=dc4c6e51457, topicName=牙周治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dc259064725, createdName=cooco, createdTime=Wed Feb 12 10:27:00 CST 2020, time=2020-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032405, encodeId=aaf11032405f0, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Mon Feb 10 22:27:00 CST 2020, time=2020-02-10, status=1, ipAttribution=)]
    2020-12-06 feather89
  2. [GetPortalCommentsPageByObjectIdResponse(id=1728294, encodeId=c1861e28294b7, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Sun Dec 06 17:27:00 CST 2020, time=2020-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1451193, encodeId=03b4145119393, content=<a href='/topic/show?id=f0476e49582' target=_blank style='color:#2F92EE;'>#牙周#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67495, encryptionId=f0476e49582, topicName=牙周)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=医者仁心, createdTime=Wed Feb 12 10:27:00 CST 2020, time=2020-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1493535, encodeId=d05a149353545, content=<a href='/topic/show?id=dc4c6e51457' target=_blank style='color:#2F92EE;'>#牙周治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67514, encryptionId=dc4c6e51457, topicName=牙周治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dc259064725, createdName=cooco, createdTime=Wed Feb 12 10:27:00 CST 2020, time=2020-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032405, encodeId=aaf11032405f0, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Mon Feb 10 22:27:00 CST 2020, time=2020-02-10, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=1728294, encodeId=c1861e28294b7, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Sun Dec 06 17:27:00 CST 2020, time=2020-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1451193, encodeId=03b4145119393, content=<a href='/topic/show?id=f0476e49582' target=_blank style='color:#2F92EE;'>#牙周#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67495, encryptionId=f0476e49582, topicName=牙周)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=医者仁心, createdTime=Wed Feb 12 10:27:00 CST 2020, time=2020-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1493535, encodeId=d05a149353545, content=<a href='/topic/show?id=dc4c6e51457' target=_blank style='color:#2F92EE;'>#牙周治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67514, encryptionId=dc4c6e51457, topicName=牙周治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dc259064725, createdName=cooco, createdTime=Wed Feb 12 10:27:00 CST 2020, time=2020-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032405, encodeId=aaf11032405f0, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Mon Feb 10 22:27:00 CST 2020, time=2020-02-10, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=1728294, encodeId=c1861e28294b7, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Sun Dec 06 17:27:00 CST 2020, time=2020-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1451193, encodeId=03b4145119393, content=<a href='/topic/show?id=f0476e49582' target=_blank style='color:#2F92EE;'>#牙周#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67495, encryptionId=f0476e49582, topicName=牙周)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=医者仁心, createdTime=Wed Feb 12 10:27:00 CST 2020, time=2020-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1493535, encodeId=d05a149353545, content=<a href='/topic/show?id=dc4c6e51457' target=_blank style='color:#2F92EE;'>#牙周治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67514, encryptionId=dc4c6e51457, topicName=牙周治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dc259064725, createdName=cooco, createdTime=Wed Feb 12 10:27:00 CST 2020, time=2020-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032405, encodeId=aaf11032405f0, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Mon Feb 10 22:27:00 CST 2020, time=2020-02-10, status=1, ipAttribution=)]
    2020-02-10 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

相关资讯

JAMA:“受追捧”的维生素D,一次次令人失望的研究结果

近年来,维生素D一直备受关注。除了体内钙平衡和骨骼健康相关作用,动物研究还发现维生素D缺乏与许多慢性病(高血压,糖尿病,自身免疫性疾病,恶性肿瘤等)有关。观察性研究也表明,维生素D缺乏与高血压,糖尿病,心血管疾病、自身免疫性疾病、癌症风险增加存在相关性。

“受追捧”的维生素D,一次次令人失望的研究结果

近年来,维生素D一直备受关注。除了体内钙平衡和骨骼健康相关作用,动物研究还发现维生素D缺乏与许多慢性病(高血压,糖尿病,自身免疫性疾病,恶性肿瘤等)有关。观察性研究也表明,维生素D缺乏与高血压,糖尿病,心血管疾病、自身免疫性疾病、癌症风险增加存在相关性。近日,JAMA刊登了一篇文章,提到了维生素D和不同疾病相关性的众多RCT,但结果并不如预期的那样乐观,多项试验都未能证明补充维生素D的明显益处

Cell Death Dis:维生素D可增强口腔鳞状细胞癌对顺铂化疗的敏感性!

化疗药物耐受性是癌症发生发展及癌症患者死亡率提高的一个主要原因。开发提高化疗药物敏感性的安全策略是目前生物医学研究所面临的挑战。近期研究表明,补充维生素D可以降低多种癌症的患病风险。但是在化疗过程中维生素D所行使的作用目前仍不明确。研究人员发现维生素D能够促使口腔癌细胞对顺铂敏感,并可部分逆转对顺铂的耐药性。通过RNA序列研究发现LCN2(脂质运载蛋白2)是一个重要的调控因子。顺铂可以通过减少LC

2020年ASCO-SITC:维生素D可降低免疫疗法引起的结肠炎风险

根据2020年美国临床肿瘤学会(ASCO)上提出的一项研究,摄入维生素D可降低免疫疗法引起的结肠炎风险。

Cell Death Dis:口腔扁平苔藓的守护因子:MicroRNA-26a/b

口腔扁平苔藓(OLP)是一种以角质形成细胞凋亡及炎症反应为特征的口腔上皮疾病。 目前OLP的发病机制仍未完全明确。研究人员发现与健康对照相比,OLP患者的口腔黏膜活检、血清及唾液中的miR-26a/b表达水平严重下调。此外,研究人员还在miR-26a/b基因的启动子区域中发现了维生素D受体(VDR)的结合位点,并证实miR-26a/b的诱导表达是VDR依赖性的。在维生素D缺乏或VDR敲除小鼠的口腔

Anesthesiology:术前维生素D水平与非心脏手术患者术后心脏、肾脏及感染性疾病发病率的关系

术前维生素D水平与患者术后30天心血管事件预后无相关性。然而,维生素D缺乏与感染性并发症和肾功能下降之间存在显著的相关性。虽然对肾脏的影响没有临床意义,但补充维生素D对感染性并发症的影响需要进一步研究。