Possible Roles of Vitamin D in Bone Grafting.

bone graft substitutes osseointegration vitamin d supplementation vitamin-d vitamin-d deficiency

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
26 Apr 2021
Historique:
entrez: 31 5 2021
pubmed: 1 6 2021
medline: 1 6 2021
Statut: epublish

Résumé

Bone grafting is one of the most commonly used options to treat large bone defects. Evidence has shown that vitamin D may affect osseointegration, a major component for successful bone grafting. In vitro studies have proved that implants coated with activated vitamin D stimulate bone production and reduce bone resorption around implants. Animal studies have noticed that oral administration of vitamin D may stimulate bone formation as well as strengthen and support the interaction between bone and implants. Vitamin D insufficiency may affect negatively the cortical peri-implant bone formation, suggesting a negative effect in graft incorporation. Few clinical studies have observed that vitamin D administration enhanced graft incorporation and bone formation, while severe vitamin D deficiency is associated with failed implant osseointegration. Even though there are encouraging results of vitamin D supplementation on graft incorporation in animal studies, the use of vitamin D as an adjuvant in bone grafting procedures cannot be fully supported at the moment. However, there is theoretical support in the use of vitamin D after surgery and the use of bone grafts to support the bone structure, relieve pain and increase graft absorption. Further experimental and clinical studies are required to support the administration of vitamin D and its analogues in such cases.

Identifiants

pubmed: 34055532
doi: 10.7759/cureus.14688
pmc: PMC8150679
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

e14688

Informations de copyright

Copyright © 2021, Markopoulos et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Georgios Markopoulos (G)

Second Department of Orthopaedics, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.

Panagiotis Lepetsos (P)

Department of Trauma and Orthopaedics, Athens Medical Center, Athens, GRC.

Despina N Perrea (DN)

Laboratory of Experimental Surgery and Surgical Research, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.

Dimitrios C Iliopoulos (DC)

Laboratory of Experimental Surgery and Surgical Research, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.

Vasileios S Nikolaou (VS)

Second Department of Orthopaedics, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.

Classifications MeSH