Vitamin D and Temporomandibular Disorders: What Do We Know So Far?

Nutrients. 2021 Apr 14;13(4):1286. doi: 10.3390/nu13041286.

Abstract

Background and aims: Vitamin D is synthesized in the skin with the aid of ultraviolet-B radiation, playing a variety of roles in the body. Temporomandibular disorders (TMDs) are a group of pathological conditions involving the temporomandibular joints as well as the masticatory muscles and othersurrounding tissues. In the present narrative review, we investigated the potential role of vitamin D in the etiology of temporomandibular disorders in order todetermine whether the current knowledge supports 25-hidroxyvitamin D (25-OHD) supplementation in temporomandibular disorders associated with insufficient or deficient levels of vitamin D.

Methods: A literature research was performed in PubMed, Scopus, Science Direct, and Google Scholar databases, and a total of 10 articles were included for analysis.

Results: Among the observational studies published to date, investigating the role for vitamin D in the etiology of TMDs, six of them suggest that there is a connection between the two aspects. In this context, patients suffering from TMD, with deficient levels of vitamin D (<30 ng/mL), are most likely to benefit from supplementation, whereas individuals with vitamin D level >50ng/mL probably have little benefit from supplementation.

Conclusion: Vitamin D might be a safe, simple, and potentially beneficial way to prevent TMDs or to reduce pain; however, more randomized and placebo-controlled trials are required before any firm conclusions can be drawn.

Keywords: 25-hidroxyvitamin D; osteoarthritis; temporomandibular disorders; vitamin D.

Publication types

  • Review

MeSH terms

  • Dietary Supplements*
  • Humans
  • Masticatory Muscles / physiopathology*
  • Observational Studies as Topic
  • Temporomandibular Joint Disorders / blood
  • Temporomandibular Joint Disorders / diet therapy*
  • Temporomandibular Joint Disorders / etiology
  • Temporomandibular Joint Disorders / physiopathology
  • Treatment Outcome
  • Vitamin D / administration & dosage
  • Vitamin D / analogs & derivatives*
  • Vitamin D / blood
  • Vitamin D Deficiency / blood
  • Vitamin D Deficiency / complications
  • Vitamin D Deficiency / diagnosis
  • Vitamin D Deficiency / diet therapy*

Substances

  • Vitamin D
  • 25-hydroxyvitamin D