Dmitry I. Trukhan , Anatoly F. Sulimov , Larisa Yu. Trukhan
Abstract
Periodontitis is a disease of the dental system, characterized by the development of an acute or chronic inflammatory process, destruction of periodontal tissue and atrophy of the bone tissue of the alveoli. Periodontitis is the sixth most common disease in the world and the leading cause of tooth loss in adults. The attention of internists to the problem of periodontitis and periodontal diseases is associated with the concept of “periodontal medicine,” which was formed at the beginning of the 21st century, and considers the bidirectional connection of periodontal pathology with systemic diseases of the body. Nutritional status is now widely recognized as a possible contributing factor in the development of many inflammatory conditions such as periodontal disease. We searched for publications devoted to the study of the influence of microelements selenium, zinc, vitamins A, E, C on the physiology and pathology of periodontal disease. The search was carried out in the PubMed and Scopus information databases; sources up to March 31, 2024 were included. The data presented in the review indicate a deficiency of the microelements selenium, zinc and vitamins A, C, E in periodontitis and suggest the advisability of their correction as part of the adjuvant therapy of periodontal diseases. A number of studies reviewed noted that increased levels of microelements and vitamins lead to clinical improvement in periodontal health. The most pronounced deficiency of microelements and vitamins is observed in patients with periodontitis in the presence of concomitant diabetes mellitus.
Keywords: periodontal diseases, periodontitis, selenium, zinc, vitamin A, beta-carotene, vitamin E, vitamin C, vitamin-mineral complexes, adjuvant therapy, diabetes mellitus.
Keywords: periodontal diseases, periodontitis, selenium, zinc, vitamin A, beta-carotene, vitamin E, vitamin C, vitamin-mineral complexes, adjuvant therapy, diabetes mellitus.
About the Author
Dmitry I. Trukhan 1 , Anatoly F. Sulimov 1 , Larisa Yu. Trukhan 11 Omsk State Medical University, Omsk, Russia
References
1. Клинические рекомендации (протоколы лечения) при диагнозе пародонтит. URL: http://www.e-stomatology.ru/director/protokols_30-09-2014
Clinical guidelines (treatment protocols) in the diagnosis of periodontitis. URL: http://www.e-stomatology.ru/director/protokols_30-09-2014 (in Russian).
2. Balta MG, Papathanasiou E, Blix IJ, Van Dyke TE. Host Modulation and Treatment of Periodontal Disease. J Dent Res. 2021;100(8):798-809. DOI: 10.1177/0022034521995157
3. Трухан Д.И., Трухан Л.Ю. Взаимоотношения болезней пародонта и сердечно-сосудистых заболеваний. Международный журнал сердца и сосудистых заболеваний. 2016;11:15-24. DОI: 10.24412/ 2311-1623-2016-11-15-24
Trukhan D.I., Trukhan L.Yu. Relationship between periodontal and cardiovascular diseases. International Heart and Vascular Disease Journal. 2016;11:15-24. DOI: 10.24412/2311-1623-2016-11-15-24 (in Russian).
4. Van Dyke TE, Starr JR. Unraveling the link between periodontitis and cardiovascular disease. J Am Heart Assoc. 2013;2(6):e000657. DOI: 10.1161/JAHA.113.000657
5. O’Dwyer MC, Furgal A, Furst W et al. The Prevalence of Periodontitis Among US Adults with Multimorbidity Using NHANES Data 2011-2014. J Am Board Fam Med. 2023;36(2):313-24. DOI: 10.3122/ jabfm.2022.220207R1
6. Del Pinto R, Landi L, Grassi G et al; Italian working group on Hypertension, Periodontitis (Hy-Per Group). Hypertension and periodontitis: A joint report by the Italian society of hypertension (SIIA) and the Italian society of periodontology and implantology (SIdP). Oral Dis. 2023;29(2):803-814. DOI: 10.1111/odi.14009
7. Pietropaoli D, Cairo F, Citterio F et al; Italian working group on Hypertension and Periodontitis (Hy-Per Group). High Blood Press Cardiovasc Prev. 2023;30(1):7-16. DOI: 10.1007/s40292-022-00553-2
8. Williams RC, Offenbacher S. Periodontal medicine: The emergence of a new branch of periodontology. Periodontology. 2000;23:9-12. DOI: 10.1034/j.1600-0757.2000.2230101.x
9. Трухан Д.И., Трухан Л.Ю. Пародонтит и сердечно-сосудистые заболевания: параллельно или в одной связке? Consilium Medicum. 2015;5:73-9. URL: https://elibrary.ru/item.asp?id=23762074
Trukhan D.I., Trukhan L.Yu. Parodontit i serdechno-sosudisty`e zabolevaniya: parallel`no ili v odnoj svyazke? Consilium Medicum. 2015;5:73-9. URL: https://elibrary.ru/item.asp?id=23762074 (in Russian).
10. Трухан Д.И., Трухан Л.Ю. Некоторые аспекты коморбидности пародонтита и сердечно-сосудистых заболеваний. Медицинский совет. 2015;17:12-6. URL: https://elibrary.ru/item.asp?id=25450351
Trukhan D.I., Trukhan L.Yu. Nekotory`e aspekty` komorbidnosti parodontita i serdechno-sosudisty`x zabolevanij. Medicinskij sovet. 2015;17:12-6. URL: https://elibrary.ru/item.asp?id=25450351 (in Russian).
11. Трухан Д.И., Трухан Л.Ю., Иванова Д.С. Коморбидность заболеваний сердечно-сосудистой системы и болезней органов пищеварения с изменениями органов и тканей полости рта. Клинический разбор в общей медицине. 2021;3:6-17. DOI: 10.47407/kr2021. 2.3.00044
Trukhan D.I., Trukhan L.Yu, Ivanova D.S. Comorbidity of diseases of the cardiovascular system and diseases of the digestive organs with changes in organs and tissue of the oral cavity. Clinical review for general practice. 2021; 3: 6–17. DOI: 10.47407/kr2021.2.3.00044 (in Russian).
12. Трухан Д.И., Сулимов А.Ф., Трухан Л.Ю. Коморбидность артериальной гипертензии и пародонтита: стоматологическая гипертензия. Клинический разбор в общей медицине. 2023;4(6):62-8. DOI: 10.47407/kr2023.4.5.00273
Trukhan D.I., Sulimov A.F., Trukhan L. Yu. Comorbidity of arterial hypertension and periodontitis: dental hypertension. Clinical review for general practice. 2023;4(6):62-8. DOI: 10.47407/kr2023.4.5.00273 (in Russian).
13. Трухан Д.И., Сулимов А.Ф., Трухан Л.Ю. Ассоциация артериальной гипертензии и патологии пародонта: обзор новых данных. Фарматека. 2023;30(9-10):40-51. DOI: 10.18565/pharmateca.2023.9-10.40-51
Trukhan D.I., Sulimov A.F., Trukhan L.Yu. Association of arterial hypertension and periodontal disease: a review of new data. Farmateka. 2023;30(9-10):40-51. DOI: 10.18565/pharmateca.2023.9-10.40-51 (in Russian).
14. Трухан Д.И., Сулимов А.Ф., Трухан Л.Ю. Взаимосвязь преэклампсии и патологии пародонта. Клинический разбор в общей медицине. 2023;4(9):115-21. DOI: 10.47407/kr2023.4.9.00317
Trukhan D.I., Sulimov A.F., Trukhan L.Yu. The relationship between preeclampsia and periodontal pathology. Clinical review for general practice. 2023;4(9):115-21 DOI: 10.47407/kr2023.4.9.00317 (in Russian).
15. Kuraji R, Sekino S, Kapila Y, Numabe Y. Periodontal disease-related nonalcoholic fatty liver disease and nonalcoholic steatohepatitis: An emerging concept of oral-liver axis. Periodontol. 2021;87:204-40. DOI: 10.1111/prd.12387
16. Chen TP, Yu HC, Lin WY, Chang YC. J Dent Sci. 2023;18(3):972-75. DOI: 10.1016/j.jds.2023.03.012.
17. Zhang Y, Qiao D, Chen R et al. Biomed Res Int. 2021;2021:6692420. DOI: 10.1155/2021/6692420
18. Lorenzo-Pouso AI, Castelo-Baz P, Rodriguez-Zorrilla S et al. Association between periodontal disease and inflammatory bowel disease: a systematic review and meta-analysis. Acta Odontologica Scandinavica. 2020;79(5):344-53. DOI: 10.1080/00016357.2020.1859132
19. Трухан Д.И., Сулимов А.Ф., Трухан Л.Ю. Коморбидность ревматоидного артрита и заболеваний пародонта. Медицинский совет. 2024;18(5):60-9. DOI: 10.21518/ms2024-079
Trukhan D.I., Sulimov A.F., Trukhan L.Yu. Comorbidity of rheumatoid arthritis and periodontal diseases. Meditsinskiy Sovet. 2024;18(5):60-9. DOI: 10.21518/ms2024-079 (in Russian).
20. Kaye EK. Nutrition, dietary guidelines and optimal periodontal health. Periodontology. 2012;58:93-111. DOI: 10.1111/j.1600-0757.2011.00418.x
21. Nasri H, Baradaran A, Shirzad H, Rafieian-Kopaei M. New concepts in nutraceuticals as alternative for pharmaceuticals. Int J Prev Med. 2014;5:1487-99. URL: https://pubmed.ncbi.nlm.nih.gov/25709784/
22. Toczewska J, Konopka T. Activity of enzymatic antioxidants in periodontitis: A systematic overview of the literature. Dent Med Probl. 2019;56(4):419-26. DOI: 10.17219/dmp/112151
23. Toczewska J, Zalewska A, Konopka T, Maciejczyk M. Enzymatic antioxidants activity in gingival crevicular fluid and saliva in advanced periodontitis. Oral Dis. 2023;29(8):3559-70. DOI: 10.1111/odi.14287
24. Bains VK, Bains R. Dent Res J (Isfahan). 2015;12(5):389-405. DOI: 10.4103/1735-3327.166169
25. Toczewska J, Maciejczyk M, Zalewska A, Konopka T. Gingival fluid and saliva concentrations of selected non-enzymatic antioxidants in periodontitis. Dent Med Probl. 2022;59(4):555-64. DOI: 10.17219/dmp/ 148051
26. Abou Sulaiman AE, Shehadeh RM. Assessment of total antioxidant capacity and the use of vitamin C in the treatment of non-smokers with chronic periodontitis. J Periodontol. 2010;81(11):1547-54. DOI: 10.1902/jop.2010.100173
27. Nisha S, Bettahalli Shivamallu A, Prashant A et al. Effect of non-surgical periodontal therapy and vitamin C supplementation on total antioxidant capacity in patients with chronic generalised periodontitis – A randomised controlled trial. J Oral Biol Craniofac Res. 2023;13(4):511-6. DOI: 10.1016/j.jobcr.2023.05.003
28. Barchielli G, Capperucci A, Tanini D. The Role of Selenium in Pathologies: An Updated Review. Antioxidants (Basel). 2022;11(2):251. DOI: 10.3390/antiox11020251
29. Huang H, Yao J, Yang N, Yang L et al. Association between levels of blood trace minerals and periodontitis among United States adults. Front Nutr. 2022;9:999836. DOI: 10.3389/fnut.2022.999836
30. Inonu E, Hakki SS, Kayis SA, Nielsen FH. The Association Between Some Macro and Trace Elements in Saliva and Periodontal Status. Biol Trace Elem Res. 2020;197(1):35-42. DOI: 10.1007/s12011-019-01977-z
31. Thomas B, Ramesh A, Suresh S, Prasad BR. A comparative evaluation of antioxidant enzymes and selenium in the serum of periodontitis patients with diabetes mellitus type 2. Contemp Clin Dent. 2013;4(2):176-80. DOI: 10.4103/0976-237X.114867
32. Thomas B, Prasad BR, Kumari NS et al. A comparative evaluation of the micronutrient profile in the serum of diabetes mellitus Type II patients and healthy individuals with periodontitis. J Indian Soc Periodontol. 2019;23(1):12-20. DOI: 10.4103/jisp.jisp_398_18
33. Livingstone C. Zinc: physiology, deficiency, and parenteral nutrition. Nutr Clin Pract. 2015;30(3):371-82. DOI: 10.1177/0884533615570376
34. Shankar AH, Prasad AS. Zinc and immune function: the biological basis of altered resistance to infection. Am J Clin Nutr. 1998;68(2 Suppl):447S-463S. DOI: 10.1093/ajcn/68.2.447S
35. Overbeck S, Rink L, Haase H. Modulating the immune response by oral zinc supplementation: a single approach for multiple diseases. Arch Immunol Ther Exp (Warsz). 2008;56(1):15-30. DOI: 10.1007/s00005-008-0003-8
36. Jarosz M, Olbert M, Wyszogrodzka G et al. Antioxidant and anti-inflammatory effects of zinc. Zinc-dependent NF-kappaB signaling. Inflammopharmacology. 2017; 25(1):11-24. DOI: 10.1007/s10787-017-0309-4
37. Skalny AV, Rink L, Ajsuvakova OP et al. Int J Mol Med. 2020;46(1):17-26. DOI: 10.3892/ijmm.2020.4575
38. Uwitonze AM, Ojeh N, Murererehe J et al. Zinc Adequacy Is Essential for the Maintenance of Optimal Oral Health. Nutrients. 2020;12(4): 949. DOI: 10.3390/nu12040949
39. Liu Y, Li X, Liu S et al. The changes and potential effects of zinc homeostasis in periodontitis microenvironment. Oral Dis. 2023;29(8):3063-77. DOI: 10.1111/odi.14354
40. Aziz J, Rahman MT, Vaithilingam RD. Dysregulation of metallothionein and zinc aggravates periodontal diseases. J Trace Elem Med Biol. 2021;66:126754. DOI: 10.1016/j.jtemb.2021.126754
41. Kim J, Kim S, Jeon S et al. Anti-inflammatory effects of zinc in PMA-treated human gingival fibroblast cells. Med Oral Patol Oral Cir Bucal. 2015;20(2):e180-7. DOI: 10.4317/medoral.19896
42. Poleník P. Zinc in etiology of periodontal disease. Med Hypotheses. 1993;40(3):182-5. DOI: 10.1016/0306-9877(93)90208-8
43. Caruso S, Valenti C, Marinucci L et al. Systematic Review of Zinc’s Benefits and Biological Effects on Oral Health. Materials (Basel). 2024;17(4):800. DOI: 10.3390/ma17040800
44. Zaĭchk VE, Bagirov ShT. The chemical element content of mixed unstimulated saliva in periodontal diseases. Stomatologiia (Mosk). 1994;73(1):8-11. URL:
45. Thomas B, Kumari S, Ramitha K et al. Comparative evaluation of micronutrient status in the serum of diabetes mellitus patients and healthy individuals with periodontitis. J Indian Soc Periodontol. 2010;14(1):46-9. DOI: 10.4103/0972-124X.65439
46. Aziz J, Vaithilingam RD, Radzi Z, Rahman MT. Inflammatory Responses in Periodontitis with or Without Rheumatoid Arthritis Alter Salivary Metallothionein and Zinc. Biol Trace Elem Res. 2023;201(7):3162-74. DOI: 10.1007/s12011-022-03416-y
47. Costa PD, Canaan JCR, Midori Castelo P et al. Influence of Micronutrient Intake, Sociodemographic, and Behavioral Factors on Periodontal Status of Adults Assisted by a Public Health Care System in Brazil: A Cross-Sectional Multivariate Analysis. Nutrients. 2021;13(3):973. DOI: 10.3390/nu13030973
48. Thomas B, Gautam A, Prasad BR, Kumari S. Evaluation of micronutrient (zinc, copper and iron) levels in periodontitis patients with and without diabetes mellitus type 2: a biochemical study. Indian J Dent Res. 2013;24(4):468-73. DOI: 10.4103/0970-9290.118400
49. Pushparani DS, Anandan SN, Theagarayan P. Serum zinc and magnesium concentrations in type 2 diabetes mellitus with periodontitis. J Indian Soc Periodontol. 2014;18(2):187-93. DOI: 10.4103/0972124X.131322
50. Pushparani DS. Serum Zinc and β D Glucuronidase Enzyme Level in Type 2 Diabetes Mellitus with Periodontitis. Curr Diabetes Rev. 2016;12(4):449-53. DOI: 10.2174/1573399811666150724094525
51. Willershausen B, Ross A, Försch M et al. The influence of micronutrients on oral and general health. Eur J Med Res. 2011;16(11):514-8. DOI: 10.1186/2047-783x-16-11-514
52. Kim J, Kim S, Jeon S et al. Anti-inflammatory effects of zinc in PMA-treated human gingival fibroblast cells. Med Oral Patol Oral Cir Bucal. 2015;20(2):e180-7. DOI: 10.4317/medoral.19896
53. Baima G, Iaderosa G, Corana M et al. Macro and trace elements signature of periodontitis in saliva: A systematic review with quality assessment of ionomics studies. J Periodontal Res. 2022;57(1):30-40. DOI: 10.1111/jre.12956
54. Fiorino S, Gallo C, Zippi M et al. Cytokine storm in aged people with CoV-2: possible role of vitamins as therapy or preventive strategy. Aging Clin Exp Res. 2020;32(10):2115-31. DOI: 10.1007/s40520-020-01669-y
55. Diyya ASM, Thomas NV. Biomed Res Int. 2022;2022:3323825. DOI: 10.1155/2022/3323825
56. Stephensen CB, Lietz G. Vitamin A in resistance to and recovery from infection: relevance to SARS-CoV2. Br J Nutr. 2021;126(11):1663-72. DOI: 10.1017/S0007114521000246
57. Pino-Lagos K, Benson MJ, Noelle RJ. Retinoic acid in the immune system. Ann NY Acad Sci. 2008;1143:170-87. DOI: 10.1196/annals. 1443.017
58. Burton GW, Ingold KU. Beta-Carotene: An unusual type of lipid antioxidant. Science. 1984;224:569–73. DOI: 10.1126/science.6710156
59. Mathews-Roth MM, Pathak MA, Fitzpatrick TB et al. Beta carotene therapy for erythropoietic protoporphyria and other photosensitivity diseases. Arch Dermatol. 1977;113:1229-32. URL: https://pubmed.ncbi. nlm.nih.gov/900968/
60. Mathews-Roth MM. Beta-carotene therapy for erythropoietic protoporphyria and other photosensitivity diseases. Biochimie. 1986;68(6):875-84. DOI: 10.1016/s0300-9084(86)80104-3
61. Gutierrez Gossweiler A, Martinez-Mier EA. Chapter 6: Vitamins and Oral Health. Monogr Oral Sci. 2020;28:59-67. DOI: 10.1159/ 000455372
62. Zhou S, Chen J, Cao R. Association between retinol intake and periodontal health in US adults. BMC Oral Health. 2023;23(1):61. DOI: 10.1186/s12903-023-02761-1
63. Hans M, Malik PK, Hans VM et al. Serum levels of various vitamins in periodontal health and disease- a cross sectional study. J Oral Biol Craniofac Res. 2023;13(4):471-75. DOI: 10.1016/j.jobcr.2023.05.009
64. Luo PP, Xu HS, Chen YW, Wu SP. Periodontal disease severity is associated with micronutrient intake. Aust Dent J. 2018;63(2):193-201. DOI: 10.1111/adj.12606
65. Li W, Shang Q, Yang D et al. Abnormal Micronutrient Intake Is Associated with the Risk of Periodontitis: A Dose-response Association Study Based on NHANES 2009–2014. Nutrients. 2022;14(12):2466. DOI: 10.3390/nu14122466
66. Chapple ILC, Milward MR, Dietrich T. The prevalence of inflammatory periodontitis is negatively associated with serum antioxidant concentrations. J Nutr. 2007;137:657-64. DOI: 10.1093/jn/137.3.657
67. Ebersole JL, Lambert J, Bush H et al. Nutrients. 2018;10(12):1986. DOI: 10.3390/nu10121986
68. Linden GJ, McClean KM, Woodside JV et al. Antioxidants and periodontitis in 60-70-year-old men. J Clin Periodontol. 2009;36(10):843-9. DOI: 10.1111/j.1600-051X.2009.01468.x
69. Mi N, Zhang M, Ying Z et al. Vitamin intake and periodontal disease: a meta-analysis of observational studies. BMC Oral Health. 2024;24(1):117. DOI: 10.1186/s12903-024-03850-5
70. Iddir M, Brito A, Dingeo G et al. Strengthening the Immune System and Reducing Inflammation and Oxidative Stress through Diet and Nutrition: Considerations during the COVID-19 Crisis. Nutrients. 2020;12(6):1562. DOI: 10.3390/nu12061562
71. Diyya ASM, Thomas NV. Biomed Res Int. 2022;2022:3323825. DOI: 10.1155/2022/3323825
72. Ebrahimzadeh-Attari V, Panahi G, Hebert JR et al. Nutritional approach for increasing public health during pandemic of COVID-19: A comprehensive review of antiviral nutrients and nutraceuticals. Health Promot Perspect. 2021;11(2):119-136. DOI: 10.34172/hpp.2021.17
73. Tavakol S, Seifalian AM. Biotechnol Appl Biochem. 2021 May 2:10.1002/bab.2176. DOI: 10.1002/bab.2176
74. Lai YJ, Chang HS, Yang YP et al. The role of micronutrient and immunomodulation effect in the vaccine era of COVID-19. J Chin Med Assoc. 2021;84(9):821-826. DOI: 10.1097/JCMA.0000000000000587
75. Varela-López A, Battino M, Bullón P, Quiles JL. Dietary antioxidants for chronic periodontitis prevention and its treatment. A review on current evidences from animal and human studies. Ars Pharm. 2015;56:131-40. URL: https://www.researchgate.net/publication/ 283026550_Dietary_antioxidants_for_chronic_periodontitis_prevention_and_its_treatment_A_review_on_current_evidences_from_animal_and_human_studies
76. Zong G, Scott AE, Griffiths et al. Serum α-tocopherol has a nonlinear inverse association with periodontitis among US adults. J Nutr. 2015;145:893-99. DOI: 10.3945/jn.114.203703
77. Iwasaki M, Moynihan P, Manz MC et al. Dietary antioxidants and periodontal disease in community-based older Japanese: A 2-year follow-up study. Public Health Nutr. 2013;16:330-38. DOI: 10.1017/ S1368980012002637
78. Traber MG, Atkinson J, Vitamin E. Antioxidant and nothing more. Free Radic Biol Med. 2007;43:4-15. DOI: 10.1016/j.freeradbiomed. 2007.03.024
79. Wong RSY, Radhakrishnan AK. Tocotrienol research: Past into present. Nutr Rev. 2012;70:483-90. DOI: 10.1111/j.1753-4887.2012.
00512.x
80. Shadisvaaran S, Chin KY, Shahida MS et al. Effect of vitamin E on periodontitis: Evidence and proposed mechanisms of action. J Oral Biosci. 2021;63(2):97-103. DOI: 10.1016/j.job.2021.04.001
81. Nizam N, Discioglu F, Saygun I et al. The effect of alpha-tocopherol and selenium on human gingival fibroblasts and periodontal ligament fibroblasts in vitro. J Periodontol. 2014;85(4):636-44. DOI: 10.1902/jop.2013.130184
82. Derradjia A, Alanazi H, Park HJ et al. α-tocopherol decreases interleukin-1β and -6 and increases human β-defensin-1 and -2 secretion in human gingival fibroblasts stimulated with Porphyromonas gingivalis lipopolysaccharide. J Periodontal Res. 2016;51(3):295-303. DOI: 10.1111/jre.12308
83. Figueroa-Méndez R, Rivas-Arancibia S. Vitamin C in health and disease: its role in the metabolism of cells and redox state in the brain. Front Physiol. 2015;6:397. DOI: 10.3389/fphys.2015.00397
84. Ustianowski Ł, Ustianowska K, Gurazda K et al. The Role of Vitamin C and Vitamin D in the Pathogenesis and Therapy of Periodontitis-Narrative Review. Int J Mol Sci. 2023;24(7):6774. DOI: 10.3390/ijms 24076774
85. Padh, H. Vitamin C: Newer insights into its biochemical functions. Nutr Rev. 1991, 49, 65–70. DOI: 10.1111/j.1753-4887.1991.tb07407.x
86. Varela-López A, Navarro-Hortal MD, Giampieri F et al. Molecules. 2018;23(5):1226. DOI: 10.3390/molecules23051226
87. Rubinoff AB, Latner PA, Pasut LA. Vitamin C and oral health. J Can Dent Assoc. 1989;55:705-7. URL: https://pubmed.ncbi.nlm. nih.gov/2676112/
88. Woollard KJ, Loryman CJ, Meredith E et al. Effects of oral vitamin C on monocyte: endothelial cell adhesion in healthy subjects. Biochem Biophys Res Commun. 2002;294:1161-8. DOI: 10.1016/S0006-291X(02)00603-4
89. Nishida M, Grossi SG, Dunford RG et al. J Periodontol. 2000;71(8):1215-23. DOI: 10.1902/jop.2000.71.8.1215
90. Amarasena N, Ogawa H, Yoshihara A et al. Serum vitamin C-periodontal relationship in community-dwelling elderly Japanese. J Clin Periodontol. 2005;32:93-7. DOI: 10.1111/j.1600-051X.2004.00643.x
91. Amaliya MF, Timmerman MF, Abbas F et al. Java project on periodontal diseases: The relationship between vitamin C and the severity of periodontitis. J Clin Periodontol. 2007;34:299-304. DOI: 10.1111/j.1600-051X.2007.01053.x
92. Kuzmanova D, Jansen IDC, Schoenmaker T et al. Vitamin C in plasma and leucocytes in relation to periodontitis. J Clin Periodontol. 2012;39:905-12. DOI: 10.1111/j.1600-051X.2012.01927.x
93. Pussinen PJ, Laatikainen T, Alfthan G et al. Periodontitis is associated with a low concentration of vitamin C in plasma. Clin Diagn Lab Immunol. 2003;10:897-902. DOI: 10.1128/cdli.10.5.897-902.2003
94. Lee JH, Shin MS, Kim EJ et al. The association of dietary vitamin C intake with periodontitis among Korean adults: Results from KNHANES Ⅳ. PLoS One. 2017;12(5):e0177074. DOI: 10.1371/journal. pone. 0177074
95. Bogdan M, Meca AD, Boldeanu MV et al. Possible Involvement of Vitamin C in Periodontal Disease-Diabetes Mellitus Association. Nutrients. 2020;12(2):553. DOI: 10.3390/nu12020553
96. Tada A, Miura H. The Relationship between Vitamin C and Periodontal Diseases: A Systematic Review. Int J Environ Res Public Health. 2019;16(14):2472. DOI: 10.3390/ijerph16142472
97. Fageeh HN, Fageeh HI, Prabhu A et al. Efficacy of vitamin C supplementation as an adjunct in the non-surgical management of periodontitis: a systematic review. Syst Rev. 2021;10(1):5. DOI: 10.1186/s13643-020-01554-9
98. Zhang MF, Chen RJ, Tang W, Zhang HF. The relationship between dietary factors and susceptibility of periodontal disease. Shanghai Kou Qiang Yi Xue. 2012;21(1):99-103. URL:
99. O’Connor JP, Milledge KL, O’Leary F et al. Poor dietary intake of nutrients and food groups are associated with increased risk of periodontal disease among community-dwelling older adults: a systematic literature review. Nutr Rev. 2020;78(2):175-88. DOI: 10.1093/nutrit/ nuz035
100. Reider CA, Chung RY, Devarshi PP et al. Nutrients. 2020;12(6):1735. DOI: 10.3390/nu12061735
101. Zhang T, Hao Y, Zhang R, Lin S. Association between dietary antioxidant quality score and periodontitis: A cross-sectional study. J Dent Sci. 2024;19(1):92-9. DOI: 10.1016/j.jds.2023.05.021
102. Laky B, Bruckmann C, Blumenschein J et al. Effect of a multinutrient supplement as an adjunct to nonsurgical treatment of periodontitis: A randomized placebo-controlled clinical trial. J Periodontol. 2024;95(2):101-13. DOI: 10.1002/JPER.23-0115
103. Sanz M, Ceriello A, Buysschaert M et al. Scientific evidence on the links between periodontal diseases and diabetes: Consensus report and guidelines of the joint workshop on periodontal diseases and diabetes by the International diabetes Federation and the European Federation of Periodontology. Diabetes Res Clin Pract. 2018;137:231-41. DOI: 10.1016/j.diabres.2017.12.001
104. Трухан Д.И., Викторова И.А., Иванова Д.С., Голошубина В.В. Острые респираторные вирусные инфекции: возможности витаминно-минеральных комплексов в лечении, профилактике и реабилитации. Фарматека. 2023;30(1-2):136-45. DOI: 10.18565/pharmateca.2023.1-2.136-145
Trukhan D.I., Viktorova I.A., Ivanova D.S., Goloshubina V.V. Acute respiratory viral infections: possibilities of vitamin and mineral complexes in treatment, prevention and rehabilitation. Farmateka. 2023;30(1-2):136-45. DOI: 10.18565/pharmateca.2023.1-2.136-145 (in Russian).
105. Трухан Д.И., Рожкова М.Ю., Иванова Д.С., Голошубина В.В. Сезон простуд: возможности витаминно-минеральных комплексов в профилактике и лечении острых респираторных вирусных инфекций. Фарматека. 2024;31(1):138-48. DOI: 10.18565/pharmateca.2024.1.138-148
Trukhan D.I., Rozhkova M.Yu., Ivanova D.S., Goloshubina V.V. Cold season: the potential of vitamin-mineral complexes in the prevention and treatment of acute respiratory viral infections. Farmateka. 2024;31(1):138-48. DOI: 10.18565/pharmateca.2024.1.138-148 (in Russian).
For citation:Trukhan D.I., Sulimov A.F., Trukhan L.Yu. Possibilities of vitamin-mineral complexes in adjuvant therapy of comorbid patients with periodontal diseases, diabetes and other systemic diseases of the body. Clinical review for general practice. 2024; 5 (5): 91–100 (In Russ.). DOI: 10.47407/kr2024.5.5.00412
All accepted articles publish licensed under a Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.