Correlation of Serum Vitamin D with Crestal Bone Level in Dental Implant Patients Using CBCT: A Clinical Retrospective Study
Shubhaani Singh, Pankaj Dhawan, Harsimran Kaur
Crestal bone level, Dental implants, Vitamin D
Citation Information :
Singh S, Dhawan P, Kaur H. Correlation of Serum Vitamin D with Crestal Bone Level in Dental Implant Patients Using CBCT: A Clinical Retrospective Study. J Contemp Dent Pract 2023; 24 (7):415-418.
Aim: The purpose of this study is to correlate the role of serum vitamin D levels associated with crestal bone in dental implant patients using cone-beam computed tomography (CBCT).
Materials and methods: This retrospective study enrolled patients among whom implants were placed after a detailed planning using CBCT and the delayed loading protocol was followed. After 3 months and 6 months of loading, CBCT evaluations were carried out, serum vitamin D levels were also tested at the end of 6 months of loading. A total of 30 patients were recruited with 15 patients in each group based on normal and deficient levels of vitamin D to correlate with crestal bone levels using CBCT.
Results: Clinically acceptable crestal bone loss (CBL) was visible with all the implants at different time intervals. Statistical analysis was done for intergroup and intragroup comparisons which showed significant p-value (< 0.05) for CBL at the time of loading, at 3 months, and at 6 months follow-up for both normal and deficient serum values. In the deficient group, the mean value at baseline was 9.69 mm ± 1.10 and the CBL at 6 months follow-up was 8.80 mm ± 1.10 whereas for the normal group at baseline, the mean was 9.08 mm ± 1.21 and at 6 months follow-up was 8.12 mm ± 1.25 which showed meaningful difference.
Conclusion: There is a positive correlation seen between CBL on CBCT and vitamin D serum levels. The success of the implant is significantly affected by vitamin D as it regulates the bone physiology and has systemic effects on accelerating bone formation around titanium implants.
Clinical significance: Vitamin D is essential in maintaining the balance of bone minerals and assists to preserve the crestal bone level making the implant treatment more predictable and successful.
Nandal S, Ghalaut P, Shekhawat H. A radiological evaluation of marginal bone around dental implants: an in-vivo study. Natl J Maxillofac Surg 2014;5:126–137. DOI: 10.4103/0975-5950.154813.
Naveau A, Shinmyouzu K, Moore C, et al. Etiology and measurement of peri-implant crestal bone loss. J Clin Med 2019;8(2):166. DOI: 10.3390/jcm8020166
Gupta S, Sabharwal R, Nazeer J, et al. Platform switching technique and crestal bone loss around the dental implants: A systematic review. Ann Afr Med 2019;18:1–6. DOI: 10.4103/aam.aam_15_18.
Albrektsson T, Zarb G, Worthington P, et al. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants 1986;1:11–25. Corpus ID: 7959540.
Wasserman RH. Vitamin D and the intestinal absorption of calcium: a view and overview. In: vitamin D. 2nd ed. San Diego: Elsevier Academic Press; 2005. p. 411–428.
Tabrizi R, Mohajerani H, Jafari S, et al. Does the serum level of vitamin D affect marginal bone loss around dental implants? Int J Oral Maxillofac Surg 2022;51(6):832–836. DOI: 10.1016/j.ijom.2021. 11.006.
Choi IGG, Cortes ARG, Arita ES, et al. Comparison of conventional imaging techniques and CBCT for periodontal evaluation: a systematic review. Imaging Sci Dent 2018;48:79–86. DOI: 10.5624/isd.2018.48.2.79.
Kalavathy N, Anantharaj N, Sharma A, et al. Effect of serum vitamin D, calcium, and phosphorus on mandibular residual ridge resorption in completely edentulous participants: A clinical study. J Prosthet Dent 2022;127:93–99. DOI: 10.1016/j.prosdent.2020.07.019.
Atwood DA. Postextraction changes in the adult mandible as illustrated by microradiographs of midsagittal sections and serial cephalometric roentgenograms. J Prosthet Dent 1963;13:810–824. DOI: 10.1016/0022-3913(63)90225-7.
Bazal-Bonelli S, Sánchez-Labrador L, Cortés-Bretón Brinkmann J, et al. Influence of serum vitamin D levels on survival rate and marginal bone loss in dental implants: a systematic review. Int J Environ Res Public Health 2022;19:10120. DOI: 10.3390/ijerph191610120.
Garg P, Ghalaut P, Dahiya K, et al. Comparative evaluation of crestal bone level in patients having low level of Vitamin D treated with dental implant with or without Vitamin D3 supplements. Natl J Maxillofac Surg 2020;11:199–206. DOI: 10.4103/njms.NJMS_49_20.
Kwiatek J, Jaroń A, Trybek G. Impact of the 25-hydroxycholecalciferol concentration and vitamin D deficiency treatment on changes in the bone Level at the implant site during the process of osseointegration: A prospective, randomized controlled clinical trial. J Clin Med. 2021;10(3):526. DOI: 10.3390/jcm10030526.
Piccolotto A, Toyama G, Busato M, Togashi AY. Effect of vitamin D supplementation on clinical and radiographic evaluation of oral rehabilitation with osseointegrated implants. J Health Sci 2019; 21:518–522. DOI:10.36959/584/452.
Akdeniz BG, Oksan T, Kovanlikaya I, et al. Evaluation of bone height and bone density by computed tomography and panoramic radiography for implant recipient sites. J Oral Implantol. 2000; 26: 114–119. DOI: 10.1563/1548-1336(2000)026<0114:EOBHAB>2.3.CO;2.
Naje AR, Drobie BF, Falah A. A comparison of cone beam computed tomography and panoramic radiography in the detection of mechanical created peri-implant bone defects. J Res Med Dent Sci. 2019;7:222–225.
Dave M, Davies J, Wilson R, et al. A comparison of cone beam computed tomography and conventional periapical radiography at detecting peri-implant bone defects. Clin Oral Implants Res. 2013; 24:671–678. DOI: 10.1111/j.1600-0501.2012.02473.x.