STUDY OF THE FEATURES OF PHOSPHORUS-CALCIUM METABOLISM IN THE STATE OF DENTAL AND BONE TISSUE IN CHILDREN WITH OSTEOGENESIS IMPERFACTA
Abstract and keywords
Abstract:
Background. Osteogenesis imperfecta (OI) is a hereditary connective tissue disorder affecting skeletal and dental tissues. The aim: to assess the dental status and content of vitamin D, osteocalcin, osteoprotegerin, bone alkaline phosphatase, and parathyroid hormone in mixed saliva, and to study the relationship between clinical and laboratory parameters and bone tissue status in children with osteogenesis imperfecta. Materials and Methods: A study was conducted at the Department of Pediatric Dentistry "CS and Maxillofacial Surgery" of the A.I. Evdokimov Scientific Research Institute of Dentistry. The study involved 20 apparently healthy children (health groups 1 and 2) aged 8–17 years (average age 12 years) seeking dental care (comparison group) and 26 children of the same age with a genetically diagnosed condition, osteogenesis imperfecta (study group), referred from the GMSClinic in Moscow. The study was approved by the Ethics Committee of the Russian University of Medicine (Extract from Protocol No. 02-24 of the Interuniversity Ethics Committee dated February 15, 2024). The study consisted of clinical and biochemical phases. The dental status was assessed using standard dental indices. The content of mineralization markers in mixed saliva was determined using enzyme-linked immunosorbent assay (ELISA). Results: Compared with healthy children, children with osteogenesis imperfecta had higher dental status indicators associated with a deficiency of vitamin D and bone metabolism regulatory factors (ABP, OST, TFR), possibly indicating impaired mineralization of the skeleton, dental tissues, and periodontium in children with this pathology. From a clinical point of view, the established relationships between the studied clinical and laboratory parameters determine the need to classify children with imperfect osteogenesis as a high-risk group for dental problems.

Keywords:
children, osteogenesis imperfecta, dental status, phosphorus-calcium metabolism, mineralization markers
References

1. Taqi D., Moussa H., Schwinghamer T., Ducret M., Dagdeviren D., Retrouvey J.M., et al. Osteogenesis imperfecta tooth level phenotype analysis: Cross-sectional study. Bone. 2021;147:115917. https://doi.org/10.1016/j.bone.2021.115917

2. Prado H.V., Soares E.C.B., Carneiro N.C.R., Vilar I.C.O., Abreu L.G., Borges-Oliveira A.C. Dental anomalies in individuals with osteogenesis imperfecta: a systematic review and meta-analysis of prevalence and comparative studies. Journal of applied oral science. 2023;31:e20230040. https://doi.org/10.1590/1678-7757-2023-0040

3. Cho T.J., Lee K.E., Lee S.K., Song S.J., Kim K.J., Jeon D. et al. A single recurrent mutation in the 5’-UTR of IFITM5 causes osteogenesis imperfecta type V. American journal of human genetics. 2012;91(2):343–348. https://doi.org/10.1016/j.ajhg.2012.06.005

4. Marini J.C., Reich A., Smith S.M. Osteogenesis imperfecta due to mutations in noncollagenous genes: lessons in the biology of bone formation. Current opinion in pediatrics. 2014;26(4):500–507. https://doi.org/10.1097/MOP.0000000000000117

5. Kisel'nikova L.P., Cymlyanskaya V.V. Sravnitel'naya harakteristika morfologicheskoy struktury zubov u detey s I i III tipom nesovershennogo osteogeneza (invitro). Stomatologiya detskogo vozrasta i profilaktika. 2020;20(4):271-274. [Kiselnikova L.P., Tsymlyanskaya V.V. Comparative characteristics of the morphological structure of teeth in children with I and III types of osteogenesis imperfecta (in vitro). Pediatric dentistry and dental prophylaxis. 2020;20(4):271-274. (In Russ.)]. https://doi.org/10.33925/1683-3031-2020-20-4-271-274

6. Defabianis P., Ninivaggi R., Bocca N., De Sanctis L., Tessaris D., Romano F. Impaired salivary gland function in children with osteogenesis imperfecta: a case-control study. Clinical oral investigations. 2024;29(1):14. https://doi.org/10.1007/s00784-024-06100-8

7. Garcete Delvalle C.S., De Nova García M.J., Mourelle Martínez M.R. Eruptive Process in Children with Osteogenesis Imperfecta. Calcified tissue international. 2025;116(1):37. https://doi.org/10.1007/s00223-025-01345-1

8. Kisel'nikova L.P., Alekseeva I.A., Danilova I.G., Gette I.F., Ozhgihina N.V. Izuchenie osobennostey fosforno-kal'cievogo obmena v patogeneze kariesa u detey podrostkovogo vozrasta. Rossiyskiy medicinskiy zhurnal. 2014;20(2):27-30. [Kiselnikova L.P., Alekseyeva I.A., Danilova I.G., Gette I.F., Ojgikhina N.V. The analysis of characteristics of phosphoric calcium metabolism in pathogenesis of caries in children of adolescent age. Russian Medicine. 2014;20(2):27-30. (In Russ.)]. https://elibrary.ru/item.asp?id=21486935

9. Nesterova I.V., Mitropanova M.N., Chudilova G.A., Lomtatidze L.V., Gayvoronskaya T.V. Vliyanie disbalansa regulyatornyh citokinov i osteokal'cina na osteogenez u detey s vrozhdennoy rasschelinoy guby i neba v postnatal'nom ontogeneze. Stomatologiya. 2020;99(1):77‑81. [Nesterova I.V., Mitropanova M.N., Chudilova G.A., Lomtatidze L.V., Gaivoronskaya T.V. The impact of disbalance of regulatory cytokines and osteocalcin on osteogenesis in children with congenital cleft lip and palate in postnatal ontogenesis. Stomatology. 2020;99(1):77‑81. (In Russ.)]. https://doi.org/10.17116/stomat20209901177

10. Thimmegowda U., Kuri P.N. Estimation and Correlation of Alkaline Phosphatase Enzymatic Activity in Saliva with and without Early Childhood Caries in South Indian Children: A Randomized Clinical Trial. International journal of clinical pediatric dentistry. 2024;17(5):528-531. https://doi.org/10.5005/jp-journals-10005-2838

11. Titanji K. Beyond antibodies: B cells and the OPG/RANK-RANKL pathway in health, non-HIV disease and HIV-induced bone loss. Frontiers in immunology. 2017;8:1851. https://doi.org/10.3389/fimmu.2017.01851

12. Lien G., Ueland T., Godang K., Selvaag A.M., Førre O.T., Flatø B. Serum levels of osteoprotegerin and receptor activator of nuclear factor -κB ligand in children with early juvenile idiopathic arthritis: a 2-year prospective controlled study. Pediatric rheumatology online journal. 2010;8:30. https://doi.org/10.1186/1546-0096-8-30

13. Zeynalov Yu.L., D'yachkova G.V., Sutyagin I.V., Larionova T.A., D'yachkov K.A. Pokazateli kal'cievogo obmena i markery kosteobrazovaniya u bol'nyh idiopaticheskim skoliozom v zavisimosti ot vozrasta. Zabaykal'skiy medicinskiy vestnik. 2021;(2):47–55. [Zeynalov Yu.L., DyachkovaG.V., Sutyagin I.V., Larionova T.A., Dyachkov K.A. Indicators of calcium metabolism and markers of bone formation in patients with idiopathic scoliosis depending on age. Transbaikalian Medical Bulletin. 2021;(2):47–55. (In Russ.)]. https://doi.org/10.52485/19986173_2021_2_47

14. Baron R., Gertner J.M., Lang R., Vignery A. Increased bone turnover with decrease bone formation by osteoblastsin children with osteogenesis imperfecta. Pediatric research. 1983;17(3):204-207. https://doi.org/10.1203/00006450-198303000-00007

15. Iwamoto J., Takeda T., Ichimura S. Increased bone resorption with decreased activity and increased recruitment of osteoblasts in osteogenesis imperfecta type I. Journal of bone and mineral metabolism. 2002;20(3):174-179. https://doi.org/10.1007/s007740200025

16. Coccia F., Pietrobelli A., Zoller T., Guzzo A., Cavarzere P., Fassio A. et al. Vitamin D and Osteogenesis Imperfecta in Pediatrics. Pharmaceuticals (Basel). 2023;16(5):690. https://doi.org/10.3390/ph16050690

17. Bishop N. Bone Material Properties in Osteogenesis Imperfecta. Journal of bone and mineral research. 2016;31(4):699-708. https://doi.org/10.1002/jbmr.2835

18. Pike J.W., Christakos S. Biology and Mechanisms of Action of the Vitamin D Hormone. Endocrinology and metabolism clinics of North America. 2017;46(4):815-843. https://doi.org/10.1016/j.ecl.2017.07.001

19. Chagas C.E., Roque J.P., Santarosa Emo Peters B., Lazaretti-Castro M., Martini L.A. Do patients with osteogenesis imperfecta need individualized nutritional support? Nutrition. 2012;28(2):138-142. https://doi.org/10.1016/j.nut.2011.04.003

20. Gnoli M., Brizola E., Tremosini M., Di Cecco A., Sangiorgi L. Vitamin D and Bone fragility in Individuals with Osteogenesis Imperfecta: A Scoping Review. International journal of molecular sciences. 2023;24(11):9416. https://doi.org/10.3390/ijms24119416

21. Aksornthong S., Patel P., Komarova S.V. Osteoclast indices in osteogenesis imperfecta: systematic review and meta-analysis. JBMR Plus. 2024;8(11):ziae112. https://doi.org/10.1093/jbmrpl/ziae112


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