4Bruxism, and vitamin D level related factors in periodontal disease in Duhok city
DOI:
https://doi.org/10.56056/amj.2025.387Keywords:
Bruxism, Demographic distribution, Periodontal disease indicators, Vitamin DAbstract
Background and objective: Periodontal disease is a highly prevalent and persistent, inflammatory condition that affects the gums and supporting tissues of the teeth. This study investigates the relationship between bruxism, vitamin D levels, and periodontal health in the Duhok city.
Methods: This cross-sectional study of 400 individuals conducted from December 2022 to December 2023 in the Duhok city. The teeth Plaque Index, Gingival Index and Clinical Attachment Level were comprised in (47.5%) females and (52.5%) males across various age groups were bruxism and non-bruxism disease participants. The values of serum calcium and phosphate were measured by colorimetric method, the former with Arsenazo III and the latter with the molybdate method.
Results: Forty percent of participants were found to have been diagnosed with bruxism. 40% of participants indicated mean Periodontal Disease severity of patients with bruxism was clearly higher than that of patients without bruxism (7.5 vs 5.0) p. value less than 0.05. Regarding the levels of vitamin D among respondents, 12.5% were deficient, 50% were sufficient, and 37.5% had optimal levels. Periodontal Disease severity was significant in patients than in control group.
Conclusion: There is a significant link between bruxism, periodontal status and vitamin D levels, indicating that higher levels of Vitamin D correlated with other periodontal outcomes, and the presence of bruxism is seen to worsen periodontal diseases. This stresses the importance of assessing nutritional and behavioral factors in the management of periodontal health.
Downloads
References
1. An Ibraheem M, Nahidh M. Diet and orthodontics-A review. J Baghdad Coll Dent. 2021;33(3):30-8.
2. Acipinar S, Karsiyaka Hendek M, Olgun E, Kisa U. Evaluation of FGF?23 and 25 (OH) D3 levels in peri?implant sulcus fluid in peri?implant health and diseases. Clin Implant Dent Relat Res.2019;21(5):1106-12.
3. Al-Hindi M, Al-Fotawi R, Al-Tamimi A, Khalil O, Al-Osaimi N, Al-Ghamdi K, et al. Effect of hypothyrodism’s medication (T4) on implant osteointegration: A case series and literature search. Int J Surg Case Rep 2021; 79:255-62.
4. AL-Nuaimy KM. Lactating Women and Oral Health. J Coast Life Med. 2022; 10:48-52.
5. Arango J, Darena Z, Morales V, Catalina L, Juliana V, Mayra A et al. Relationship of obstructive sleep apnea with periodontal condition and its local and systemic risk factors. Clin Oral Investing. 2023;27(6):2823-32.
6. Alsadi W, AbouSulaiman A, AlSabbagh MM. Association of dental implants success in bone density classification of postmenopausal women with osteoporosis-a clinical and radiographic prospective study. J Indian Acad Oral Med Radiol. 2021;33(4):428-34.
7. Amalia R, Arifin R, Sari GD. The relationship between anxiety and bruxism in adults. Dentin. 2023;7(1). https://ppjp.ulm.ac.id/journals/index.php/dnt/article/view/8329/
8. Blufstein A, Behm C, Kubin B, Gahn J, Rausch?Fan X, Moritz A, et al. Effect of vitamin D3 on the osteogenic differentiation of human periodontal ligament stromal cells under inflammatory conditions. J. Periodontal Res., (2021). 56(3), 579-588.
9. Arora G, Freeman R. Oral health and addiction: Consequences of substance use. In: Textbook of Addiction Treatment: Springer, Cham: Int. Perspect. 2021. p. 1061-76.
10. Auffret M, Meuric V, Boyer E, Bonnaure-Mallet M, Vérin M. Oral health disorders in Parkinson’s disease: more than meets the eye. J Parkinsons Dis. 2021;11(4):1507-35.
11. Ayele S, Sharo N, Chrcanovic BR. Marginal bone loss around dental implants: comparison between diabetic and non-diabetic patients—a retrospective clinical study. Clin Oral Investig. 2023:1-9.
12. Çelik B, Arslan Z. Fractal analysis and radiomorphometric indices: comparison of mandibular bone structure changes on digital panoramic radiographs of smokers. Pamukkale Med. J., (2024). 17(1), 117-128.?
13. Kim J, Lee S, Moodley Y, Yagnik L, Birnie D, Dwivedi G. The role of the host-microbiome and metabolomics in sarcoidosis. Am J Physiol Cell Physiol. 2023;325(5):C1336-C53.
14. Medina-Martínez J, Saus-Ortega C, Sánchez-Lorente MM, Sosa-Palanca EM, García-Martínez P, Mármol-López MI. Health inequities in LGBT people and nursing interventions to reduce them: A systematic review. Int J Environ Res Public Health. 2021;18(22):11801. doi: 10.3390/ijerph182211801. PMID: 34831556; PMCID: PMC8624572.
15. Grant WB, van Amerongen BM, Boucher BJ. Periodontal Disease and Other Adverse Health Outcomes Share Risk Factors, including Dietary Factors and Vitamin D Status. Nutrients. 2023;15(12):2787.
16. Bingham K, Gutmann JL. Historical and contemporary reflections on evolutionary concepts that challenge the classification of endo-perio lesions. Endodontology. 2023;35(1):3-8.
17. Ray RR. Periodontitis: An oral disease with severe consequences. Appl Biochem Biotechnol. 2023;195(1):17-32.
18. Shah M, Poojari M, Nadig P, Kakkad D, Dutta SB, Sinha S, et al. Vitamin D and Periodontal Health: A Systematic Review. Cureus. 2023 Oct;15(10): e47773. doi: 10.7759/cureus.47773. PMID: 37899906; PMCID: PMC10612541.
19. Paiva GLA, de Campos WG, Rocha AC, Júnior CA, Migliorati CA, dos Santos Silva AR. Can the prophylactic use of pentoxifylline and tocopherol before dental extractions prevent osteoradionecrosis A systematic review. Oral Surg Oral Med Oral Pathol Oral Radiol. 2023;136(1):33-41.
20. Alkhatatbeh MJ, Hmoud ZL, Abdul-Razzak KK, Alem EM. Self-reported sleep bruxism is associated with vitamin D deficiency and low dietary calcium intake: a case-control study. BMC oral health. 2021; 21:1-10.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Banar Sideeq Darweesh, Hashim Dawood Mousa

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The copyright on any article published in AMJ (The Scientific Journal of Kurdistan Higher Council of Medical Specialties )is retained by the author(s) in agreement with the Creative Commons Attribution Non-Commercial ShareAlike License (CC BY-NC-SA 4.0)










