The effect of vitamin D and calcium supplement on overall body bone density and implant stability in posterior maxilla

Purpose: The present study aimed to assess the effect of vitamin D and calcium supplement on improving overall body bone density and stability of implant placed in posterior maxilla.
Methods: The study was conducted on twelve vitamin D deficient patients indicated for posterior maxillary rehabilitation. Patients were divided into two groups: Group A received vitamin D and calcium supplement while Group B was a control group. vitamin D and calcium levels were assessed for both groups before implant placement and after a follow up period of 6 months. Two evaluation parameters were in included in this study. First parameter was overall body bone density using Dual-energy X-ray absorptiometry (DXA) while second parameter was implant stability quotient (ISQ) using Osstell device. Both parameters were measured immediately post-operative and at loading time after 6 months.
Results: Group A showed a significant increase in vitamin D levels (from 12.75 to 26.64 ng/ml). this increase in vitamin D was accompanied by increase in bone density of spine (from – 1.48 to – 1.08 T-score), and increase in stability of implants (from 44 to 74 ISQ). On the other hand, group B did not show similar improvements either at vitamin D or bone density while ISQ showed minor increase (from 58 to 69 ISQ).
Conclusion: Vitamin D and calcium supplement can play an important role on increasing overall body bone density and subsequently improving implant stability in posterior maxilla.
Key Words Dental implant, Vitamin D, Calcium, Bone stability, Bone density and DXA.