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Influence of Maternal Prenatal Vitamin D Status on Infant Oral Health

Influence of Maternal Prenatal Vitamin D Status on Infant Oral Health

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important nutrient. However, many <str<strong>on</strong>g>of</str<strong>on</strong>g> these studies have limitati<strong>on</strong>s as they did not report<br />

whether they c<strong>on</strong>trolled for other factors related to caries such as oral hygiene practices<br />

and bacterial levels. Further, most were not randomized trials and dental assessments<br />

were made by n<strong>on</strong>-blinded individuals.<br />

In 1931, an interim report by the Committee Up<strong>on</strong> Dental Disease provided initial<br />

experimental evidence that children benefiting from a daily intake <str<strong>on</strong>g>of</str<strong>on</strong>g> cod liver oil had<br />

significantly lower incidence and extent <str<strong>on</strong>g>of</str<strong>on</strong>g> caries after two years than children in groups<br />

receiving treacle or olive oil. 99 Children in the cod liver oil group had significantly lower<br />

increase in the incidence <str<strong>on</strong>g>of</str<strong>on</strong>g> caries involving primary teeth than those in the treacle and<br />

olive oil groups. 99 Likewise, the same findings were also found in relati<strong>on</strong> to permanent<br />

teeth am<strong>on</strong>g children in the cod liver oil group. 99 In additi<strong>on</strong>, this report provided early<br />

evidence that children receiving radiostol (vitamin D) had significantly lower incidence<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> caries after two years than a c<strong>on</strong>trol group <str<strong>on</strong>g>of</str<strong>on</strong>g> children who <strong>on</strong>ly received olive oil. 99<br />

Similarly, children receiving radiostol had a significantly lower incidence and extent <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

caries in the permanent dentiti<strong>on</strong> than c<strong>on</strong>trols after two years. 99<br />

An early study by the Committee <strong>on</strong> Dental Disease for the British Medical<br />

Research Council was undertaken to determine whether nutriti<strong>on</strong>, particularly vitamin D,<br />

had a predominant impact <strong>on</strong> the structure <str<strong>on</strong>g>of</str<strong>on</strong>g> teeth and their resistance to caries. 100<br />

Results from this group’s work indicated that there was a lower incidence <str<strong>on</strong>g>of</str<strong>on</strong>g> dental decay<br />

am<strong>on</strong>g those receiving vitamin D in the form <str<strong>on</strong>g>of</str<strong>on</strong>g> cod liver oil. 100 Adding vitamin D to the<br />

diets during periods <str<strong>on</strong>g>of</str<strong>on</strong>g> tooth development prior to the complete erupti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> the permanent<br />

teeth reduced the incidence <str<strong>on</strong>g>of</str<strong>on</strong>g> dental caries. 100 Likewise, the additi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> vitamin D during<br />

the development <str<strong>on</strong>g>of</str<strong>on</strong>g> primary teeth also lowered the risk for caries and hindered the<br />

1.3-22

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