Quels compléments pour aider les implants dentaires?

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Do Dietary Supplements and Nutraceuticals Have Effects on Dental Implant Osseointegration? A Scoping Review
Livia Nastri, Nutrients. 2020 Jan; 12(1): 268.


Several factors affect dental implant osseointegration, including surgical issues, bone quality and quantity, and host-related factors, such as patients’ nutritional status. Many micronutrients might play a key role in dental implant osseointegration by influencing some alveolar bone parameters, such as healing of the alveolus after tooth extraction. This scoping review aims to summarize the role of dietary supplements in optimizing osseointegration after implant insertion surgery. A technical expert panel (TEP) of 11 medical specialists with expertise in oral surgery, bone metabolism, nutrition, and orthopedic surgery performed the review following the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) model. The TEP identified micronutrients from the “European Union (EU) Register of nutrition and health claims made on foods” that have a relationship with bone and tooth health, and planned a PubMed search, selecting micronutrients previously identified as MeSH (Medical Subject Headings) terms and adding to each of them the words “dental implants” and “osseointegration”.

The TEP identified 19 studies concerning vitamin D, magnesium, resveratrol, vitamin C, a mixture of calcium, magnesium, zinc, and vitamin D, and synthetic bone mineral. However, several micronutrients are non-authorized by the “EU Register on nutrition and health claims” for improving bone and/or tooth health. Our scoping review suggests a limited role of nutraceuticals in promoting osseointegration of dental implants, although, in some cases, such as for vitamin D deficiency, there is a clear link among their deficit, reduced osseointegration, and early implant failure, thus requiring an adequate supplementation.

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From the micronutrients listed in the “EU Register of nutrition and health claims made on foods”, the TEP selected the following 18 nutraceuticals that may have influence on bone and teeth: calcium, fluorides, magnesium, potassium, resveratrol, vitamin C (ascorbic acid), vitamin D, vitamin E (alpha-tocopherol), vitamin K2 (menaquinone-7, MK7), zinc, vitamin A, vitamin B1 (thiamine), vitamin B2 (riboflavin), vitamin B3 (niacinamide), vitamin B5 (pantothenic acid), vitamin B6, vitamin B7 (biotin), and vitamin B12 (Table 1).

However, according to the “EU Register of nutrition and health claims made on foods”, fluoride is non-authorized for supporting bone mineralization, and potassium is non-authorized for maintaining tooth mineralization, whereas vitamin B2, vitamin E, vitamin A, vitamin B1, vitamin B2, vitamin B3, vitamin B6, vitamin B7, and vitamin B12 are non-authorized for both functions.

Moreover, potassium and zinc are not considered to influence tooth metabolism, while vitamin K2, resveratrol, and vitamin B5 are not recommended for bone and tooth metabolism according to the “EU Register of nutrition and health claims made on foods”.

Among these substances, we found studies concerning nutraceuticals and dental implants or osseointegration only for vitamin D, magnesium, resveratrol, vitamin C, a mixture of calcium, magnesium, zinc, and vitamin D, and synthetic bone mineral (a supplement containing calcium, phosphate, magnesium, zinc, fluoride, and carbonate).

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le lien pour l'étude complète
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019951/

[GuitS13]

J ai posé la question sur le forum numéro 2... J ai ma reponse et même plus que ca merci Super Masse