Salivary vitamin D levels in children with autism in relation to oral health status and disease severity

Background: Autism spectrum disorder is characterized by difficulties with social interaction and communication, as well as limited patterns of behavior and atypical sensory sensitivity. Although vitamin D insufficiency has previously been observed in autistic children, evidence on the link between...

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Main Authors: Jehan Y Al-Demirchi, Batool H Al-Ghurabi, Waqar AlKubaisy
Format: Article
Language:English
Published: College of Dentistry/ University of Baghdad 2024-12-01
Series:Journal of Baghdad College of Dentistry
Subjects:
Online Access:https://jbcd.uobaghdad.edu.iq/index.php/jbcd/article/view/3822
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author Jehan Y Al-Demirchi
Batool H Al-Ghurabi
Waqar AlKubaisy
author_facet Jehan Y Al-Demirchi
Batool H Al-Ghurabi
Waqar AlKubaisy
author_sort Jehan Y Al-Demirchi
collection DOAJ
description Background: Autism spectrum disorder is characterized by difficulties with social interaction and communication, as well as limited patterns of behavior and atypical sensory sensitivity. Although vitamin D insufficiency has previously been observed in autistic children, evidence on the link between vitamin D deficiency, oral health condition, and autism severity is scarce. The purpose of this study was to investigate vitamin D levels in relation to oral health status of children with autism, as well as the relationship between vitamin D and disease severity. Materials and  methods: Two groups  were  included  in  this study:  40 institutionalized  autistic children as a study group and 40 apparently healthy children as a control group with  age  range  (3-12)  years.  Depending on the severity of autistic symptoms, the group was classified into three subgroups: mild, moderate, and severe. The oral examination was performed using simplified oral hygiene and decayed, missing and filled tooth indices to measure oral health status for both groups. Three millilitres of un-stimulated salivary sample was taken by drooling technique, the salivary level of vitamin D assessed by enzyme-linked immunosorbent assay. The data from the current study were analysed using SPSS version 21. Results: Salivary vitamin D levels were found to be significantly lower in the study group than in the control group. This reduction was not correlated with the severity of autism. 37.5% of the autistic patient group had fair oral hygiene, compared to 20% of the control group; simplified oral hygiene index shows negative significant correlation with vitamin D level while caries experience was significantly higher in patient group and there was a negative non-significant correlation with vitamin D level. Conclusion: The vitamin D level was significantly lower in the patient group with no correlation with disease severity, fair oral hygiene and more caries in both primary and permanent dentition was observed in autistic patients with significant negative correlation between the simplified oral hygiene index and vitamin D, while negative non-significant correlation with dental caries
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spelling doaj-art-b272b2bc00eb4ca3b1fc7e0df544c5652025-08-20T02:39:51ZengCollege of Dentistry/ University of BaghdadJournal of Baghdad College of Dentistry1817-18692311-52702024-12-0136410.26477/jbcd.v36i4.3822Salivary vitamin D levels in children with autism in relation to oral health status and disease severityJehan Y Al-Demirchi0https://orcid.org/0000-0003-1888-2614Batool H Al-Ghurabi1https://orcid.org/0000-0002-6042-314XWaqar AlKubaisy2https://orcid.org/0000-0003-3184-409XDepartment of basic science of Oral Microbiology, College of Dentistry, University of Baghdad. Baghdad 1417, Iraq, Ibn Sina University of Medical and Pharmaceutical Sciences, Baghdad, IraqDepartment of basic science of Oral Microbiology, College of Dentistry, University of Baghdad. Baghdad 1417, IraqFaculty of medicine, Mutah University, Jordan Background: Autism spectrum disorder is characterized by difficulties with social interaction and communication, as well as limited patterns of behavior and atypical sensory sensitivity. Although vitamin D insufficiency has previously been observed in autistic children, evidence on the link between vitamin D deficiency, oral health condition, and autism severity is scarce. The purpose of this study was to investigate vitamin D levels in relation to oral health status of children with autism, as well as the relationship between vitamin D and disease severity. Materials and  methods: Two groups  were  included  in  this study:  40 institutionalized  autistic children as a study group and 40 apparently healthy children as a control group with  age  range  (3-12)  years.  Depending on the severity of autistic symptoms, the group was classified into three subgroups: mild, moderate, and severe. The oral examination was performed using simplified oral hygiene and decayed, missing and filled tooth indices to measure oral health status for both groups. Three millilitres of un-stimulated salivary sample was taken by drooling technique, the salivary level of vitamin D assessed by enzyme-linked immunosorbent assay. The data from the current study were analysed using SPSS version 21. Results: Salivary vitamin D levels were found to be significantly lower in the study group than in the control group. This reduction was not correlated with the severity of autism. 37.5% of the autistic patient group had fair oral hygiene, compared to 20% of the control group; simplified oral hygiene index shows negative significant correlation with vitamin D level while caries experience was significantly higher in patient group and there was a negative non-significant correlation with vitamin D level. Conclusion: The vitamin D level was significantly lower in the patient group with no correlation with disease severity, fair oral hygiene and more caries in both primary and permanent dentition was observed in autistic patients with significant negative correlation between the simplified oral hygiene index and vitamin D, while negative non-significant correlation with dental caries https://jbcd.uobaghdad.edu.iq/index.php/jbcd/article/view/3822Autism spectrum disordervitamin Doral healthneurodevelopmental disorderautism severity
spellingShingle Jehan Y Al-Demirchi
Batool H Al-Ghurabi
Waqar AlKubaisy
Salivary vitamin D levels in children with autism in relation to oral health status and disease severity
Journal of Baghdad College of Dentistry
Autism spectrum disorder
vitamin D
oral health
neurodevelopmental disorder
autism severity
title Salivary vitamin D levels in children with autism in relation to oral health status and disease severity
title_full Salivary vitamin D levels in children with autism in relation to oral health status and disease severity
title_fullStr Salivary vitamin D levels in children with autism in relation to oral health status and disease severity
title_full_unstemmed Salivary vitamin D levels in children with autism in relation to oral health status and disease severity
title_short Salivary vitamin D levels in children with autism in relation to oral health status and disease severity
title_sort salivary vitamin d levels in children with autism in relation to oral health status and disease severity
topic Autism spectrum disorder
vitamin D
oral health
neurodevelopmental disorder
autism severity
url https://jbcd.uobaghdad.edu.iq/index.php/jbcd/article/view/3822
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AT waqaralkubaisy salivaryvitamindlevelsinchildrenwithautisminrelationtooralhealthstatusanddiseaseseverity