Correlation between Dental Caries, Dental Plaque, Gingival Diseases and Vitamin. B12 level in serum in 10-13-years old Children: A Cross-sectional Study

Section: Research Paper

Abstract

Aims: The present study aimed to assess the value of vitamin B12 blood levels in children and their effect on the general health of teeth and gums. Materials and Methods: Across sectional study was carried out by collecting data from 60 children. The data were collected by using the DMFT index, the gingival index (GI), the plaque index (PI) by Loe and Silness, and measuring serum vitamin B12 level in pg/ml. The data about serum B12 levels were obtained through referring the children into Hivi Pediatric Teaching Hospital for investigating the vitamin B12 level. The reference range value of vitamin B12 level for children aged 10-13 was 250-900 pg/ml. The group investigating below the level of 250 pg/ml was recorded as the vitamin B12-deficient group. All data were recorded and analyzed using Statistical Package for Social Science (SPSS, IBM, Chicago, USA, version 28). The Pearson correlation coefficient (r) method was used to find out the strength of correlation of vitamin B12 levels with DMFT, GI, and PI scores. Results: Among the randomly recruited 60 children, 84% of the participants observed deficient vitamin B12 levels 69.7% of them were boys, and 78.4% of them were girls. After group adjustment, in the deficient group, the vitamin B12 levels were observed to have a significant negative correlation with DMFT or dmf, while with GI, vitamin B12 levels were observed to have a highly significant negative correlation and no significant correlation with PI. In the normal group, the vitamin B12 levels showed no significant correlation with DMFT or dmf, while with GI, vitamin B12 levels showed a significant negative correlation and no significant correlation with PI. Conclusion: This study demonstrates a clear correlation between Vitamin B12 deficiency and poor oral health outcomes in children aged 10 to 13 years.

References

  1. Bačun B, Galić D, Pul L, Tomas M, Kuiš D. Manifestations and Treatment of Hypovitaminosis in Oral Diseases: A Systematic Review. Dent J (Basel) .2024; 21;12(6):152. doi:10.3390/dj12060152
  2. Albagieh H, Aldrees MN, Alshamrani AH, Alnadhari SM, Almuwayni RM, Alotaibi KF, et al. Role of Laboratory Tests in Enhancing Diagnosis and Treatment Planning for Dentists: A Review of Evidence-Based Practices. Cureus. 2024; 14; 16(11): e73671. doi:10.7759/cureus.73671
  3. Nolden AA and Forde CG. The nutritional quality of plant-based foods. Sustainability. 2023. 15(4), 3324. doi:10.3390/su15043324
  4. Lešić, S, Ivanišević Z, Špiljak B, Tomas M, Šoštarić M, Včev A. The Impact of Vitamin Deficiencies on Oral Manifestations in Children. Dent J. 2024; 17;12(4):109. doi:10.3390/dj12040109
  5. Guéant JL, Guéant-Rodriguez RM., Alpers DH. Vitamin B12 absorption and malabsorption. Vitamins and hormones. 2022. 119:241-274
  6. Anigelni A, Cappuccilli ML, Magnoni G, Croci Chiocchini AL, Aiello V, Napoletano A , et al. The link between homocysteine, folic acid and vitamin B12 in chronic kidney disease. G Ital Nefrol. 2021; 30;38(4):1-7.
  7. Guéant JL, Guéant-Rodriguez RM, Kosgei VJ, Coelho D. Causes and consequences of impaired methionine synthase activity in acquired and inherited disorders of vitamin B12 metabolism. Critical reviews in biochemistry and molecular biology. 2022; 4;57(2):133-55.
  8. Mascarenhas R, Ruetz M, Gouda H, Heitman N, Yaw M, Banerjee R. Architecture of the human G-protein-imethylmalonyl-CoA mutase nanoassembly for B12 delivery and repair. Nature Communications. 2023; 19;14(1):4332.
  9. Tarhan B, Rahman S, Joseph N, Hyder D, Zingariello C, Borum PR. et al., Vitamins are indeed vital amines: a discussion of 3 deficiencies with neurologic manifestations. Child Neurology Open. 2021; 8:2329048X211046440.
  10. Boachie J, Adaikalakoteswari A, Samavat J, Saravanan P. Low vitamin B12 and lipid metabolism: evidence from pre-clinical and clinical studies. Nutrients. 2020; 29;12(7):1925. doi;10.3390/nu12071925
  11. Martinez-Torres V, Torres N, Davis JA, Corrales-Medina FF. Anemia and associated risk factors in pediatric patients. Pediatric health, medicine and therapeutics. 2023; 31:267-80. doi:10.2147/PHMT.S389105
  12. Tan Y, Zhou L, Gu K, Xie C, Wang Y, Cha L, et al. Correlation between Vitamin B12 and Mental Health in Children and Adolescents: A Systematic Review and Meta-analysis. Clinical Psychopharmacology and Neuroscience. 2023; 11;21(4):617. doi:10.9758/cpn.22.1040
  13. Sharma NK, Bhattarai M, Baral K, Poudel S, Hassan NF, Dhakal TR, et al., Vitamin B12 deficiency in an infant with neurological and hematological findings: A case report. Clinical Case Reports. 2023; 7;11(8):e7770. doi:10.1002/ccr3.7770
  14. Nyvad B, Takahashi N. Integrated hypothesis of dental caries and periodontal diseases. J oral microbiology. 2020; 7;12(1):1710953. doi:10.1080/20002297.2019.1710953
  15. Barbosa MC, Reis CLB, Lopes CMCF, Madalena IR, Küchler EC, Baratto-Filho F, et. al. Assessing the association between nutritional status, caries, and gingivitis in schoolchildren: a cross-sectional study. Global pediatric health. 2021; 12:8:2333794X211001237. doi:10.1177/2333794X211001237
  16. Sim JY. The Relationship between Vitamin B and Periodontal Disease: The Scientific Literature Review. M.Sc. Thesis. Lithuanian University of Health Sciences. 2024.
  17. Hans M, Malik PK, Hans VM, Chug A, Kumar M. Serum levels of various vitamins in periodontal health and disease-a cross sectional study. JOBCR. 2023; 1;13(4):471-5.
  18. Mineva K, Georgieva-Dimitrova M. Influence of water-and fat-soluble vitamins on oral health in adolescence. Scripta Scientifica Medicinae Dentalis. 2024; 10(1):14-21
  19. Hung M, Blazejewski A, Lee S, Lu J, Soto A, Schwartz C, et al., Nutritional Deficiencies and Associated Oral Health in Adolescents: A Comprehensive Scoping Review. Children. 2024; 18;11(7):869.
  20. Greco AM., Validation of new methodology to assess vitamin B12 in human milk and concentrations in Canadian donor milk. M.Sc. Thesis University of Toronto. 2023.
  21. Kamath DG, Nadimpalli H, Nayak SU, Rajendran V, Srikant Natarajan. Comparison of antiplaque and anti‐gingivitis effects of aloe vera mouthwash with chlorhexidine in fixed orthodontic patients—A randomized controlled. trial. nt J Dent Hyg. 2023; 21(1):211-218. doi:10.1111/idh.12654
  22. Gatrelnada MM. Dental Caries by Decayed, Missed and Filled Teeth (DMFT) System and International Caries Diagnosis and Assessment System (ICDAS) on Some Dental Students. 2021.
  23. Kim DJ, Venkataraman A, JainPC, Wiesler EP, DeBlasio M, Klein J, et al. Vitamin B12 and folic acid alleviate symptoms of nutritional deficiency by antagonizing aryl hydrocarbon receptor. Proceedings of the National Academy of Sciences. 2020; 7;117(27):15837-45. doi:10.1073/pnas.2006940117
  24. Ge Y, Zadeh M, Sharma C, Lin Y, Soshnev AA, Mohamadzadeh M. Controlling functional homeostasis of ileal resident macrophages by vitamin B12 during steady state and Salmonella infection in mice. Mucosal Immunology. 2024; 17(6):1314-1325. doi:10.1038/s41385-024-00839-8
  25. Vermund SH, Scott ME, Humphries D. Public health and clinical implications of nutrition-infection interactions. Nutrition and Infectious Diseases: Shifting the Clinical Paradigm. 2021: 459-481
  26. Dayanithi BS, Prakash SMR, Guntaka S, Kumar AS, Kumar VA, Tyagi S. Vitamin B12 Levels in Oral Cancer Patients: An Investigation into Altered Serum Biomarkers. JAMDSR. 2023; 1;11(10):89-94.
  27. Cagetti MG, Wolf TG, Tennert C, Camoni N, Lingström P, Campus G. The role of vitamins in oral health. A systematic review and meta-analysis. Int. J. Environ. Res. Public Health. 2020; 17(3):938. doi:10.3390/ijerph17030938
  28. Georgakouli K, Manthou E, Fatouros IG, Deli CK, Koutedakis Y, Theodorakis Y, et al. HPA-Axis Activity and Nutritional Status Correlation in Individuals with Alcohol Use Disorder. Nutrients. 2022; 23;14(23):4978. doi:10.3390/nu14234978
  29. Hernández-Olivos R, Muñoz M, Núñez E, Camargo-Ayala PA, Garcia-Huidobro J, Pereira A, et al. Salivary proteome of aphthous stomatitis reveals the participation of vitamin metabolism, nutrients, and bacteria. Scientific reports. 2021; 2;11(1):15646.
  30. Silness J, Löe H. Periodontal disease in pregnancy II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand. 1964; 22 (1): 121-135.
  31. Löe H, Silness J. Periodontal disease in pregnancy I. Prevalence and severity. Acta Odontol Scand. 1963; 21: 533-551.
  32. Syed S, Yassin SM, Dawasaz AA., Amanullah M, Alshahrani I, Togoo RA. Salivary 1,5-Anhydroglucitol and Vitamin Levels in Relation to Caries Risk in Children. Biomed. Res. Int. 2019:4503450. doi:10.1155/2019/4503450
  33. Cagetti MG, Wolf TG, Tennert C, Camoni N, Lingström P, Guglielmo Campus G. The Role of Vitamins in Oral Health. A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health 2020; 17, 938. doi:10.3390/ijerph17030938
  34. Mistry L, Dhariwal NS, Majeed A. Assessment of Vitamin B12 and Its Correlation with Dental Caries and Gingival Diseases in 10- to 14-year-old Children: A Cross-sectional Study. Int J Clin Pediatr Dent 2017; 10 (2):142-146.
  35. Jimenez M,Giovannucci E, Kaye EK, Joshipura KJ, Dietrich T. Predicted vitamin D status and incidence of tooth loss and periodontitis Publ Health Nutr, 2014; 17(4):844-52. doi:10.1017/S1368980013001286
Download this PDF file
##submission.supplementaryFiles##

Statistics

Copyright and Licensing