Calcium and vitamin D use among adults in periodontal disease maintenance programmes

Abstract

Objectives Determine the level of calcium and vitamin D oral supplementation in patients in periodontal disease maintenance programs. Design Convenience survey. Setting St. Louis Metropolitan region. Subjects and Methods Patients (n=228) in two university-based, periodontal-disease maintenance programs. Main Outcome Measures Reported amounts of oral calcium and vitamin D supplementation were tested for differences based on gender and race. Results The last published recommended daily intakes from the United States (U.S.) Food and Nutrition Board (FNB) for adults >50 years of age are 1200 mg calcium and 400 IU vitamin D (or 600 IU if over 70). The mean age of the 228 patients (125 females and 103 males) was 63.6±11.0 years (standard deviation). Of the 228 patients surveyed: (1) 204(89%) were >50 years of age, and of these, only 15(7%) met the U.S. FNB’s recommended intakes of calcium and vitamin D from supplementation, (2) 138(66%) reported that they took no oral supplementation, with significantly more males (n=82) than females (n=56) not taking supplementation (p=0.03), (3) 88(39%) took calcium supplementation, with females (947±511mg/day) taking significantly (p<0.001) more than males (632±907mg/day), and (4) 66(29%) took vitamin D supplementation, with females(420±227 IU/day) taking approximately the same amount as males (443±317 IU/day, p>0.05). The amounts of oral supplementation did not vary with race (p>0.05). Conclusion The use of calcium and vitamin D supplementation has been promoted for years; yet the numbers of adults taking supplements remains low and the level of supplementation varies greatly. Knowledge of the benefits of supplementation needs to be better disseminated and research needs to be conducted to determine optimal levels of calcium and vitamin D supplementation.

Efficacy of Vitamin D3 Supplementation on Osseointegration of Implants

“…14,31,32 VD3 also stimulates calcium absorption in the intestine, thereby maintaining normal calcium homeostasis, and indirectly regulating osseous mineralization. 33,34 It was therefore tempting to speculate that VD3 exhibits the potential to regenerate bone in areas with periimplant osseous defects. However, it is pertinent to mention that all the studies [22][23][24][25]27,28 which assessed the effect of VD3 supplementation on osteogenesis around implants were performed in animals and the methodologies used markedly varied among the studies included.…”

The Impact of Vitamin D Status on Periodontal Surgery Outcomes

“…A recent survey of periodontal maintenance patients found that only 7% had vitamin D intake levels that met published guidelines (Dixon et al, 2009). In cross-sectional studies, low vitamin D levels have been associated with increased gingival inflammation, tooth loss, clinical attachment loss, and maternal periodontal disease Figure. Clinical and radiographic outcomes of vitamin-D-sufficient and -deficient participants supplemented with placebo or teriparatide for 6 wks.…”

Intakes of calcium, vitamin D, and dairy servings and dental plaque in older Danish adults

“…However, most populations consume substantially less dairy-foods than are recommended for provision of adequate intakes of calcium [9]. Furthermore, vitamin D is essential for calcium absorption [10], and promotes oral health through its effects on bone metabolism and innate immunity [11]. Our previous findings showed associations between tooth loss and calcium intake below recommendations [12] [data not examined for stratification with vitamin D status] and of periodontitis with low dairy calcium intakes with no variation with vitamin D intake [13].…”