Abstract

Purpose Dental caries is a multifactorial infectious disease. In this study, we investigated whether single nucleotide polymorphisms (SNPs) in vitamin D receptor (VDR) gene were associated with susceptibility to permanent tooth caries in Chinese adolescents. Method A total of 200 dental caries patients and 200 healthy controls aged 12 years were genotyped for VDR gene polymorphisms using the PCR-restriction fragment length polymorphism (PCR-RFLP) assay. All of them were examined for their oral and dental status with the WHO criteria, and clinical information such as the Decayed Missing Filled Teeth Index (DMFT) was evaluated. Genomic DNA was extracted from the buccal epithelial cells. The four polymorphic SNPs (Bsm I, Taq I, Apa I, and Fok I) in VDR were assessed for both genotypic and phenotypic susceptibilities. Results Among the four examined VDR gene polymorphisms, the increased frequency of the CT and CC genotype of the Fok I VDR gene polymorphism was associated with dental caries in 12-year-old adolescent, compared with the controls (X2 = 17.813, p ≤ 0.001). Moreover, Fok I polymorphic allele C frequency was significantly increased in the dental caries cases, compared to the controls (X2 = 14.144, p ≤ 0.001, OR = 1.730, 95% CI = 1.299–2.303). However, the other three VDR gene polymorphisms (Bsm I, Taq I, and Apa I) showed no statistically significant differences in the caries groups compared with the controls. Conclusion VDR-Fok I gene polymorphisms may be associated with susceptibility to permanent tooth caries in Chinese adolescent.

Highlights

  • Dental caries is a polyfactorial infectious disease involving interplay between environmental factors and multiple genetic factors

  • There were no significant differences between case group and control group among these several factors (Table 2)

  • This result offered support to the hypothesis that the differences of caries experience between cases and controls were possibly associated with genetic factors

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Summary

Introduction

Dental caries is a polyfactorial infectious disease involving interplay between environmental factors and multiple genetic factors. Despite more than 100 years of continued prevention of this disease, caries is still a major oral problem throughout the world, affecting 60%–90% of schoolchildren [1]. As the economy is booming and sugar consumption is increasing in China, caries is nowadays the most popular oral disease in China [2]. The microbiological and environmental factors causing dental caries have been extensively studied. Cariogenic microbial and environmental exposures are not sufficient to explain susceptibility to caries. Host susceptibility is highlighted by potential genetic factors for caries risk. More than 20 candidate genes have been reported, including enamel formation genes, immune response genes, and genes related to saliva, taste, and others [3]

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