Evidence map›Paper›PMID 33350177›Full record

ArticleJournal of periodontal & implant science2020

Low serum 25-hydroxyvitamin D levels, tooth loss, and the prevalence of severe periodontitis in Koreans aged 50 years and older.

Hyunju Kim, Min Ho Shin, Suk Ja Yoon, Sun Seog Kweon, Young Hoon Lee, Chang Kyun Choi, OkJoon Kim, Young Joon Kim, HyunJu Chung, Ok Su Kim

Abstract read
In one paragraph

Article in Journal of periodontal & implant science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hyunju KimDepartment of Periodontology, Dental Science Research Institute, Chonnam National University School of Dentistry, Gwangju, Korea.ORCID https://orcid.org/0000-0001-6228-8415
Min Ho ShinDepartment of Preventive Medicine, Chonnam National University Medical School, Gwangju, Korea. mhshinx@paran.com.ORCID https://orcid.org/0000-0002-2217-5624
Suk Ja YoonDepartment of Oral and Maxillofacial Radiology, Dental Science Research Institute, Chonnam National University School of Dentistry, Gwangju, Korea.ORCID https://orcid.org/0000-0001-9975-255X
Sun Seog KweonDepartment of Preventive Medicine, Chonnam National University Medical School, Gwangju, Korea.ORCID https://orcid.org/0000-0003-2378-8550
Young Hoon LeeDepartment of Preventive Medicine, Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, Korea.ORCID https://orcid.org/0000-0003-1367-025X
Chang Kyun ChoiDepartment of Preventive Medicine, Chonnam National University Medical School, Gwangju, Korea.ORCID https://orcid.org/0000-0002-8257-3114
OkJoon KimDepartment of Oral Pathology, Dental Science Research Institute, Chonnam National University School of Dentistry, Gwangju, Korea.ORCID https://orcid.org/0000-0002-6347-1411
Young Joon KimDepartment of Periodontology, Dental Science Research Institute, Chonnam National University School of Dentistry, Gwangju, Korea.ORCID https://orcid.org/0000-0003-1397-8166
HyunJu ChungDepartment of Periodontology, Dental Science Research Institute, Chonnam National University School of Dentistry, Gwangju, Korea.ORCID https://orcid.org/0000-0001-8461-5093
Ok Su KimDepartment of Periodontology, Dental Science Research Institute, Chonnam National University School of Dentistry, Gwangju, Korea. periodrk@chonnam.ac.kr.ORCID https://orcid.org/0000-0001-8528-9314

Funding

National Research Foundation of Korea 2019R1A5A2027521
6 · The paper itself

Abstract

purposeVitamin D deficiency may cause bone loss and increased inflammation, which are well-known symptoms of periodontal disease. This study investigated whether serum 25-hydroxyvitamin D (25(OH)D) levels are associated with periodontal disease status and tooth loss.

methodsCross-sectional data from 5,405 individuals aged ≥50 years (2,253 males and 3,152 females) were obtained from the 2008-2010 Dong-gu study, a prospective cohort study of risk factors for chronic diseases. Periodontal examinations were conducted to evaluate the number of remaining teeth, the periodontal probing depth (PPD), the clinical attachment level (CAL), and bleeding on probing. The percentages of sites with PPD ≥4 mm and CAL ≥4 mm were recorded for each participant. The severity of periodontitis was classified using the Centers for Disease Control and Prevention and the American Academy of Periodontology case definitions. Serum 25(OH)D levels were classified as reflecting severe deficiency, deficiency, insufficiency, or sufficiency. Multivariate linear regression analysis was performed to assess the associations of serum 25(OH)D levels with periodontal parameters and the number of remaining teeth after adjusting for confounders including age, smoking status, alcohol consumption status, month of blood collection, and physical activity. Multivariate logistic regression was used to evaluate the association between serum vitamin D levels and severe periodontitis. An overall statistical analysis and a stratified analysis by sex were performed.

resultsOverall, the rates of severe deficiency, deficiency, insufficiency, and sufficiency were 6.5%, 67.9%, 22.4%, and 3.2%, respectively. After adjustment for confounders, vitamin D levels were directly associated with the number of remaining teeth, an association that was significant in males, but not in females. Sufficient serum 25(OH)D was associated with a low frequency of severe periodontitis.

conclusionsThis population-based cross-sectional study indicates that low serum 25(OH)D is significantly associated with tooth loss and severe periodontitis in Koreans aged 50 years and older.

Indexed as

Cross-sectional studiesPeriodontitisTooth lossVitamin D

Identifiers

PMID33350177
PMCPMC7758301

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.