Relationship between Maternal Prenatal Vitamin D Status and Early Childhood Caries in Their Children: A Cross-sectional Survey.

Gauri Kalra, Yaman Kumar, Carrolene Langpoklakpam, Twinkle Chawla, Tharani Thangaraju, Rashika Singhania
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Abstract

Background: Vitamin D deficiency in expectant mothers is very common in India. As a consequence, the possibility of hypoplasia of teeth and resultant propensity for faster progression of early childhood caries (ECC) is expected to be higher in Indian children.

Aim: This study aimed to determine the relationship between prenatal vitamin D intake of mothers and dental caries experience in their preschool children, and whether vitamin D deficiency in mothers could be a risk factor for tooth decay in their children.

Design: This cross-sectional study included 120 mothers of children aged up to 71 months with dental caries attending the Department of Pediatric Dentistry in India. Mothers were surveyed about their prenatal vitamin D intake and their practices regarding vitamin D and sunlight exposure. Children were clinically examined, and their caries status was recorded using the decayed, extracted, filled teeth (deft) index.

Results: Data were analyzed descriptively and correlated using an independent t-test. Binary logistic regression was employed to predict the effects of the duration of sun exposure and vitamin D deficiency on dental decay. The correlation of mothers' prenatal vitamin D intake was significantly associated weekly with children's caries experience. Their sun exposure (p = 0.002) and practices adopted (p = 0.0001) regarding vitamin D levels were statistically significant for children's caries status. Improper brushing frequency was also significantly associated with higher deft scores.

Conclusion: The association between mothers' prenatal vitamin D intake and health practices related to vitamin D with dental caries was not confirmed. Subjects with vitamin D deficiency and their children had significantly higher odds of developing dental decay. However, our findings suggest that 25-hydroxyvitamin D insufficiency may be a risk factor for developing dental caries in children.

How to cite this article: Kalra G, Kumar Y, Langpoklakpam C, et al. Relationship between Maternal Prenatal Vitamin D Status and Early Childhood Caries in Their Children: A Cross-sectional Survey. Int J Clin Pediatr Dent 2024;17(8):860-863.

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母亲产前维生素 D 状态与子女幼儿期龋齿之间的关系:一项横断面调查。
背景:在印度,孕妇缺乏维生素 D 的现象非常普遍。目的:本研究旨在确定母亲产前维生素 D 摄入量与其学龄前儿童龋齿经历之间的关系,以及母亲缺乏维生素 D 是否会成为其子女龋齿的风险因素:这项横断面研究包括在印度儿童牙科就诊的 71 个月以下龋齿儿童的 120 位母亲。研究调查了母亲们产前维生素 D 的摄入情况,以及她们在维生素 D 和阳光照射方面的做法。对儿童进行临床检查,并使用蛀牙、拔牙、补牙(deft)指数记录他们的龋齿状况:结果:对数据进行了描述性分析,并使用独立 t 检验对数据进行了相关性分析。采用二元逻辑回归预测日晒时间和维生素 D 缺乏对龋齿的影响。母亲产前维生素 D 的摄入量与儿童每周的龋齿发生率显著相关。母亲的日晒时间(p = 0.002)和在维生素 D 水平方面采取的做法(p = 0.0001)对儿童的龋齿状况具有统计学意义。不正确的刷牙频率与较高的畸形评分也有显著相关性:结论:母亲产前维生素 D 摄入量和与维生素 D 有关的保健措施与龋齿之间的关系未得到证实。缺乏维生素 D 的受试者及其子女患龋齿的几率明显更高。然而,我们的研究结果表明,25-羟基维生素D不足可能是儿童患龋齿的一个风险因素:Kalra G, Kumar Y, Langpoklakpam C, et al:横断面调查。Int J Clin Pediatr Dent 2024;17(8):860-863.
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