牙周病中的维生素D

V. Novoshytskyy, I. Mazur
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摘要

广泛性牙周炎是最常见的牙齿疾病之一,可导致牙齿移动和牙齿脱落。菌斑是牙周炎的主要病因,但牙周炎是一种多因素疾病。有数据表明维生素D水平对全身性牙周炎的影响。维生素D通过影响全身性牙周炎发病的各个环节而具有多效性。维生素D刺激抗菌肽的分泌,增强局部免疫力,并对牙周病原体产生不利影响;它调节免疫系统,影响牙周组织的炎症和免疫反应;增加钙的吸收,减少甲状旁腺激素的释放,维生素D刺激骨矿化。维生素D缺乏和不足在世界范围内的高流行率表明,研究其对人体,特别是口腔的影响具有重要意义。
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Vitamin D in periodontology
Generalized periodontitis is one of the most common dental diseases that can lead to tooth mobility and tooth loss. Plaque is main etiological factor, but periodontitis is a multifactorial disease. There are data on the effect of vitamin D levels on generalized periodontitis. Vitamin D has a pleiotropic effect by affecting various links in the pathogenesis of generalized periodontitis. Stimulating the secretion of antimicrobial peptides, vitamin D increases local immunity and adversely affects periodontal pathogens; modulating the immune system, it affects inflammation in periodontal tissues and the immune response; increasing the absorption of calcium and reducing the release of parathyroid hormone, vitamin D stimulates bone mineralization. The high prevalence of vitamin D deficiency and insufficiency worldwide indicates the relevance of studying its effects on the human body in general and the oral cavity in particular.
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