The Practicon Viewpoint by Ann Page Griffin

PERIODONTAL DISEASE—COULD VITAMIN DEFICIENCY BE A CULPRIT?

Perusing current clinical and management articles as well as online postings helps me stay abreast of new research, theories, methods, and technologies. Recently, I have read articles about the complexity of periodontal disease and the possibility that chronic periodontal disease is indicative of other health issues.

Studies of periodontal disease are now pointing toward interaction between the causative bacteria and the patient’s immune system and overall health, rather than focusing only on the bacteria. Recent findings show that low levels of Vitamin D might be a primary contributing factor in periodontal disease that does not respond to routine treatment (antibiotics, antibacterial rinses, deep cleanings, etc.).

Furthermore, deficiencies in vitamins A, C, E, K, and B can affect gum health. Low levels of vitamin D also affect overall health, increasing risk of cancer, osteoporosis, cardiovascular disease, and several other chronic diseases. Vitamin D deficiency affects approximately 40% of the population; hence, it could be a culprit in a significant number of patients’ periodontal and other health problems.

Suggestion: after reviewing the latest research on the connection between Vitamin D deficiency and ongoing periodontal disease, consider referring those patients with chronic, unresponsive periodontal problems to their physician for lab work. Tests may find low levels of vitamin D and/or other vitamins, calling for supplements prescribed by the physician. Thus, your referral may lead to finding the cause of persistent periodontal disease that has been unresponsive to routine dental treatment and therapies.

Chances are your patient and his/her physician will be well pleased and impressed, “singing your praises” and recommending your practice to others. Your awareness of the possibility of a vitamin D deficiency and subsequent physician referral is a winning combination of a subtle marketing method plus more comprehensive patient care.