Assessment of the Antibacterial Effect of Vitamin D3 against Red Complex Periodontal Pathogens: A Microbiological Assay
Ramaprabha Govindarajulu, Nubesh K Syed, Binsu Sukumaran, Pavithra R Seshadri, Senthilkumaran Mathivanan, Narayane Ramkumar
Keywords :
Chronic periodontitis, Polymerase chain reaction, Red complex, Vitamin D
Citation Information :
Govindarajulu R, Syed NK, Sukumaran B, Seshadri PR, Mathivanan S, Ramkumar N. Assessment of the Antibacterial Effect of Vitamin D3 against Red Complex Periodontal Pathogens: A Microbiological Assay. J Contemp Dent Pract 2024; 25 (2):114-117.
Aim: The study aims is to evaluate the antibacterial effect of vitamin D3 against the red complex bacteria, Porphyromonas gingivalis, Treponema denticola, Tannerella forsythia in chronic periodontitis patients.
Materials and methods: The study comprised 98 participants with chronic periodontitis. All clinical parameters including plaque index (PI), gingival bleeding index (GBI), probing pocket depth (PPD), clinical attachment level (CAL), and a microbiological assay of P. gingivalis, T. denticola, T. forsythia were assessed at the baseline. All study participants who underwent scaling and root planning were divided into two groups, A and B, each with 49 patients and only group B patients were advised to take vitamin D supplementation of 60,000 IU granules, once daily for 2 months. All the patients of both the groups were recalled at the end of 2nd month and all the clinical and microbiological parameters were reassessed.
Results: After two months, there was a reduction in all the clinical markers in both groups, but the group B patients showed more improvement following non-surgical treatment vitamin D intake. There was also a statistical reduction in P. gingivalis, T. denticola, and T. forsythia following administration of vitamin D in group B patients compared to group A.
Conclusion: These discoveries proposed that vitamin D has a superb antimicrobial impact against red complex periodontal microbes and might be considered a promising compound in the counteraction of periodontal disease.
Clinical significance: Vitamin D is considered to possess anti-inflammatory and antimicrobial activity, which may help to delay the progression of periodontitis. So, vitamin D3 can be used as a potential supplement that could be employed to stop the advancement of periodontal disease.
Abrahamian L, Pascual A, Barallat L, et al. Intra- and inter-examiner reliability in classifying periodontitis according to the 2018 classification of periodontal diseases. J Clin Periodontol 2022;49(8):732–739. DOI: 10.1111/jcpe.13618.
Sedghi LM, Bacino M, Kapila YL. Periodontal disease: The good, the bad, and the unknown. Front Cell Infect Microbiol 2021;11:766944. DOI: 10.3389/fcimb.2021.766944.
Deo PN, Deshmukh R. Oral microbiome: Unveiling the fundamentals. J Oral Maxillofac Pathol 2019;23(1):122–128. DOI: 10.4103/jomfp.JOMFP_304_18.
Socransky SS, Haffajee AD, Cugini MA, et al. Microbial complexes in subgingival plaque. J Clin Periodontol 1998;25(2):134–144. DOI: 10.1111/j.1600-051x.1998.tb02419.x.
Slots J, Bragd L, Wikström M, et al. The occurrence of actinobacillus actinomycetemcomitans, bacteroides gingivalis and bacteroides intermedius in destructive periodontal disease in adults. J Clin Periodontol 1986;13(6):570–577. DOI: 10.1111/j.1600-051x.1986.tb00849.x.
Shahi S, Vahed SZ, Fathi N, et al. Polymerase chain reaction (PCR)-based methods: Promising molecular tools in dentistry. Int J Biol Macromol 2018;117:983–992. DOI: 10.1016/j.ijbiomac.2018.05.085.
Schenkein HA. Host responses in maintaining periodontal health and determining periodontal disease. Periodontology 2000 2006;40: 77–93. DOI: 10.1111/j.1600-0757.2005.00144.x.
Wang C, Zhao H, Xiao L, et al. Association between vitamin D receptor gene polymorphisms and severe chronic periodontitis in a Chinese population. J Periodontol 2009;80(4):603–608. DOI: 10.1902/jop.2009.080465.
Pittas AG, Lau J, Hu FB, et al. The role of vitamin D and calcium in type 2 diabetes. A systematic review and meta-analysis. J Clin Endocrinol Metab 2007;92(6):2017–2029. DOI: 10.1210/jc.2007-0298.
Dragonas P, El-Sioufi I, Bobetsis YA, et al. Association of vitamin D with periodontal disease: A narrative review. Oral Health Prev Dent 2020;18(1):103–114. DOI: 10.3290/j.ohpd.a44323.
Perić M, Cavalier E, Toma S, et al. Serum vitamin D levels and chronic periodontitis in adult, Caucasian population—A systematic review. J Periodontal Res 2018;53(3):645–656. DOI: 10.1111/jre.12560.
Pinto JPNS, Goergen J, Muniz FWMG, et al. Vitamin D levels and risk for periodontal disease: A systematic review. J Periodontal Res 2018;53(3):298–305. DOI: 10.1111/jre.12531.
Khammissa RAG, Ballyram R, Jadwat Y, et al. Vitamin D deficiency as it relates to oral immunity and chronic periodontitis. Int J Dent 2018;2018:7315797. DOI: 10.1155/2018/7315797.
Dietrich T, Joshipura KJ, Dawson-Hughes B, et al. Association between serum concentrations of 25-hydroxyvitamin D3 and periodontal disease in the US population. Am J Clin Nutr 2004;80(1):108–113. DOI: 10.1093/ajcn/80.1.108.
Becerik S, Türkoğlu O, Emingil G, et al. Antimicrobial effect of adjunctive use of chlorhexidine mouthrinse in untreated gingivitis: A randomized, placebo-controlled study. APMIS 2011;119(6):364–372. DOI: 10.1111/j.1600-0463.2011.02741.x.
Mohan M, Jhingran R, Bains VK. Impact of scaling and root planing on C-reactive protein levels in gingival crevicular fluid and serum in chronic periodontitis patients with or without diabetes mellitus. J Periodontal Implant Sci 2014;44(4):158–168. DOI: 10.5051/jpis.2014.44.4.158.
Cugini MA, Haffajee AD, Smith C, et al. The effect of scaling and root planing on the clinical and microbiological parameters of periodontal diseases: 12-month results. J Clin Periodontol 2000;27(1):30–36. DOI: 10.1034/j.1600-051x.2000.027001030.x.
Haffajee AD, Cugini MA, Dibart S, et al. The effect of SRP on the clinical and microbiological parameters of periodontal diseases. J Clin Periodontol 1997;24(5):324–334. DOI: 10.1111/j.1600-051x.1997.tb00765.x.
Praveen AK, Tabasum ST, Garg N. Evaluation of clinical and metabolic changes after non-surgical periodontal treatment of type 2 diabetes mellitus patients: A clinico biochemical study. J Indian Soc Periodontol 2010;14(4):257–262. DOI: 10.4103/0972-124X.76933.
Zijnge V, Meijer HF, Lie MA, et al. The recolonization hypothesis in a full-mouth or multiple-session treatment protocol: A blinded, randomized clinical trial. J Clin Peridontol 2010;37(6):518–525. DOI: 10.1111/j.1600-051X.2010.01562.x.
Tang X, Pan Y, Zhao Y. Vitamin D inhibits the expression of interleukin-8 in human periodontal ligament cells stimulated with Porphyromonas gingivalis. Arch Oral Biol 2013;58(4):397–407. DOI: 10.1016/j.archoralbio.2012.09.010.
McMahon LC, Schwartz K, Yilmaz O, et al. Vitamin D mediated induction of innate immunity in gingival epithelial cells. Infect Immun 2011;79(6):2250–2256. DOI: 10.1128/IAI.00099-11.
Anna DF, Margherita F, Luigi G, et al. Vitamin D reduces the inflammatory response by Porphyromonas gingivalis infection by modulating human β-defensin-3 in human gingival epithelium and periodontal ligament cells. Int Immunopharmacol 2017;47: 106–117. DOI: 10.1016/j.intimp.2017.03.021.
Grenier D, Morin MP, Fournier-Larente J, et al. Vitamin D inhibits the growth of and virulence factor gene expression by Porphyromonas gingivalis and blocks activation of the nuclear factor kappa B transcription factor in monocytes. J Periodontal Res 2016;51(3): 359–365. DOI: 10.1111/jre.12315.