Relationship between vitamin D status and caries experience in a group of Egyptian children: a cross-sectional study

Abstract Background Dental caries is one of the most common diseases of childhood. Evidence suggests that malnutrition and vitamin deficiency may increase the risk to dental caries. Aim This study aimed to determine the relationship between vitamin D and dental caries experience in children and whet...

Full description

Bibliographic Details
Main Authors: Manal Ahmed El Shiekh, Rasha Mohamed Hatem Hanafy
Format: Article
Language:English
Published: BMC 2023-06-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-023-03065-0
_version_ 1797806442960388096
author Manal Ahmed El Shiekh
Rasha Mohamed Hatem Hanafy
author_facet Manal Ahmed El Shiekh
Rasha Mohamed Hatem Hanafy
author_sort Manal Ahmed El Shiekh
collection DOAJ
description Abstract Background Dental caries is one of the most common diseases of childhood. Evidence suggests that malnutrition and vitamin deficiency may increase the risk to dental caries. Aim This study aimed to determine the relationship between vitamin D and dental caries experience in children and whether vitamin D deficiency is a risk factor for tooth decay. Participants and methods A cross-sectional study was performed on 51 Egyptian children, aged from three to five years and diagnosed from Abo El-Resh Children’s Hospital as ‘Sufficient’, ‘Insufficient’ or ‘Deficient’ in vitamin D. Children were divided into 3 equal groups. A structured questionnaire, formed of four sections, was answered by the parents. Dental examination was performed under natural daylight. Caries index (dmf), for each group, was calculated then compared. The study was conducted from July 2019 to January 2020. Associations between dmf and different variables were assessed using independent t-test. Correlation between age and dmf was assessed using Spearman’s rank order correlation coefficient. Multiple linear regression model was used to study the effect of different variables on caries. Results There was a weak positive correlation between age and dmf scores (β = 2.00; 95%CI, 0.73:3.26). Children playing outside experienced higher dmf (β = 1.29; 95%CI, -0.35:2.94) than those with no outside play. Children with 25(OH) D below 20 ng / ml had the highest dmfs (β = 1.01; 95%CI, -0.74:2.76). There was a significant association with teeth brushing; children not brushing their teeth showed significantly higher dmf (β = -2.21; 95%CI, -4.14:-0.28) than their counterparts. There were no significant associations of sex (β = -1.05; 95%CI, -2.68:0.59), fluoride tablets intake (β = 2.19; 95%CI, -1.25:5.63), dental visits (β = -1.43; 95%CI, -3.09:0.23), mothers’ vitamin D intake during pregnancy (β = 0.71; 95%CI, -1.13:2.56), snacking (β = -1.18; 95%CI, -4.62:2.26) and parental education (β = 0.62; 95%CI, -1.18:2.42) with caries experience among the study population. Conclusion Vitamin D deficiency does not seem to be associated with dental caries experience of 3–5 years old Egyptian children. Out of the indicator variables, age and tooth brushing contributed significantly to the occurrence of dental caries among the study population.
first_indexed 2024-03-13T06:07:23Z
format Article
id doaj.art-7de16327428446b0a9bb02927041b454
institution Directory Open Access Journal
issn 1472-6831
language English
last_indexed 2024-03-13T06:07:23Z
publishDate 2023-06-01
publisher BMC
record_format Article
series BMC Oral Health
spelling doaj.art-7de16327428446b0a9bb02927041b4542023-06-11T11:27:16ZengBMCBMC Oral Health1472-68312023-06-012311610.1186/s12903-023-03065-0Relationship between vitamin D status and caries experience in a group of Egyptian children: a cross-sectional studyManal Ahmed El Shiekh0Rasha Mohamed Hatem Hanafy1Pediatric Dentistry & Dental Public Health, Faculty of Dentistry, Cairo UniversityPediatric Dentistry & Dental Public Health, Faculty of Dentistry, Cairo UniversityAbstract Background Dental caries is one of the most common diseases of childhood. Evidence suggests that malnutrition and vitamin deficiency may increase the risk to dental caries. Aim This study aimed to determine the relationship between vitamin D and dental caries experience in children and whether vitamin D deficiency is a risk factor for tooth decay. Participants and methods A cross-sectional study was performed on 51 Egyptian children, aged from three to five years and diagnosed from Abo El-Resh Children’s Hospital as ‘Sufficient’, ‘Insufficient’ or ‘Deficient’ in vitamin D. Children were divided into 3 equal groups. A structured questionnaire, formed of four sections, was answered by the parents. Dental examination was performed under natural daylight. Caries index (dmf), for each group, was calculated then compared. The study was conducted from July 2019 to January 2020. Associations between dmf and different variables were assessed using independent t-test. Correlation between age and dmf was assessed using Spearman’s rank order correlation coefficient. Multiple linear regression model was used to study the effect of different variables on caries. Results There was a weak positive correlation between age and dmf scores (β = 2.00; 95%CI, 0.73:3.26). Children playing outside experienced higher dmf (β = 1.29; 95%CI, -0.35:2.94) than those with no outside play. Children with 25(OH) D below 20 ng / ml had the highest dmfs (β = 1.01; 95%CI, -0.74:2.76). There was a significant association with teeth brushing; children not brushing their teeth showed significantly higher dmf (β = -2.21; 95%CI, -4.14:-0.28) than their counterparts. There were no significant associations of sex (β = -1.05; 95%CI, -2.68:0.59), fluoride tablets intake (β = 2.19; 95%CI, -1.25:5.63), dental visits (β = -1.43; 95%CI, -3.09:0.23), mothers’ vitamin D intake during pregnancy (β = 0.71; 95%CI, -1.13:2.56), snacking (β = -1.18; 95%CI, -4.62:2.26) and parental education (β = 0.62; 95%CI, -1.18:2.42) with caries experience among the study population. Conclusion Vitamin D deficiency does not seem to be associated with dental caries experience of 3–5 years old Egyptian children. Out of the indicator variables, age and tooth brushing contributed significantly to the occurrence of dental caries among the study population.https://doi.org/10.1186/s12903-023-03065-0Dental cariesVitamin D25OHD (25 hydroxy vitamin D)DmfOral hygiene
spellingShingle Manal Ahmed El Shiekh
Rasha Mohamed Hatem Hanafy
Relationship between vitamin D status and caries experience in a group of Egyptian children: a cross-sectional study
BMC Oral Health
Dental caries
Vitamin D
25OHD (25 hydroxy vitamin D)
Dmf
Oral hygiene
title Relationship between vitamin D status and caries experience in a group of Egyptian children: a cross-sectional study
title_full Relationship between vitamin D status and caries experience in a group of Egyptian children: a cross-sectional study
title_fullStr Relationship between vitamin D status and caries experience in a group of Egyptian children: a cross-sectional study
title_full_unstemmed Relationship between vitamin D status and caries experience in a group of Egyptian children: a cross-sectional study
title_short Relationship between vitamin D status and caries experience in a group of Egyptian children: a cross-sectional study
title_sort relationship between vitamin d status and caries experience in a group of egyptian children a cross sectional study
topic Dental caries
Vitamin D
25OHD (25 hydroxy vitamin D)
Dmf
Oral hygiene
url https://doi.org/10.1186/s12903-023-03065-0
work_keys_str_mv AT manalahmedelshiekh relationshipbetweenvitamindstatusandcariesexperienceinagroupofegyptianchildrenacrosssectionalstudy
AT rashamohamedhatemhanafy relationshipbetweenvitamindstatusandcariesexperienceinagroupofegyptianchildrenacrosssectionalstudy