The Effect of Vitamin D 3 on the Alignment of Mandibular Anterior Teeth: A Randomized Controlled Clinical Trial
Int J Dent. 2022 Feb 14;2022:6555883. doi: 10.1155/2022/6555883
Ali Al-Attar 1, Mushriq Abid 1
Less pain in each of first 7 days
Objectives: To investigate the effect of vitamin D3 level on the alignment of mandibular anterior teeth in adults and explore the associated root resorption and pain perception. Trial Design. Multicentre, double blinded randomized clinical trial. Subjects and Methods. Adult patients aged 18-30 years, with moderate mandibular incisor crowding [Little's Irregularity index (LII) 3-6 mm], needing nonextraction treatment with fixed orthodontic appliance, were randomly allocated into two groups with 1 : 1 allocation ratio. In the 1st group (normal vitamin D3 level group [ND3G]), vitamin D level was measured and corrected to normal before starting orthodontic treatment, while in the 2nd group [control group (CG)] the vitamin D level was kept unknown until completion of the alignment phase. Outcome measures included mandibular incisor crowding using LII, orthodontically induced root resorption (OIRR), and pain perception. Independent sample t-test was used to compare the duration of treatment, the effectiveness of alignment, and OIRR between groups, while differences in pain perception were analysed by Mann-Whitney U-test (P < 0.05).
Results: Out of 87 patients recruited from four centres, 33 patients were randomly allocated into two groups (17 patients to ND3G and 16 patients to CG). Time elapsed for the complete alignment of the mandibular incisor crowding was one month shorter in ND3G (23.532% faster), and the improvement percentage was significantly higher in all periods when compared to the CG. The amount of OIRR was not significantly different between groups; however, pain during the first three days of alignment was significantly less in ND3G.
Conclusions: Having optimal vitamin D3 level reduced the alignment time and pain associated with orthodontic treatment, but it had no role in reducing OIRR. Registration. The trial was registered with ClinicalTrials.gov on 12th April 2021 (registration number: NCT04837781).
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Study does not indicate which of 100's of protocols were used to raise the vitamin D levels
A typical is 50,000 IU weekly for 8 weeks
French have >100 protocols
Vitamin D Life - Dental category
Some Dental studies
- Vitamin D cut dental caries in half 80 years ago – meta-analysis 2013 80 years ago
- Severe periodontitis is half as likely at 60 ng of vitamin D – Sept 2021
- Risk of Oral Surgery reduced by Vitamin D – scoping review Nov 2021
- Some Dental Malocclusions 5X more likely if low vitamin D – June 2021
- Grinding teeth while sleeping (sleep bruxism) 6 X more likely if low vitamin D – Jan 2021
- Vitamin D Deficiency and Oral Health: A Comprehensive Review – May 2020
- 1.8 X more likely to have additional Dental Implant Failure if poor Vitamin D Receptor – Dec 2019
- Early tooth decay 1.9 X more likely if a poor Vitamin D receptor – July 2017
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17085 | mandibular anterior teeth.pdf | PDF 2022 | admin 24 Feb, 2022 16:48 | 1.97 Mb | 95 |