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(562) 421-3747• 5406 E. Village Road • Long Beach, CA 90808
 

Nutritional Affects on Oral Health

Immune system needs nutrients to fight periodontal disease
Although almost any deficiency of any vitamin or mineral can relate to poor oral health, there are a few vitamins that have been selected to be especially helpful to the improvement of periodontal disease.

Vitamins B1, B2 and B6 are coenzymes which help the body to metabolize carbohydrates, energy (FAD and FMN) and amino acid metabolism, respectively.  Each of these processes are essential for cellular repair at the gingival surface when bacterial acids irritate and burn.  Vitamin C (ascorbic acid) maintains the intracellular matrix of cartilage, bone and tooth dentin, it is an important component of collagen synthesis and helps the body in its utilization of iron, calcium and folic acid.  Specific to the gums and supporting structures of the teeth is Vitamin C's relationship with cartilage, bone, dentin and collagen.  The teeth connect to bone with collagen fibers (periodontal ligament) and these are the fibers at risk of destruction with active periodontal disease.  The Coenzyme Q-10 has become popular in skin products, but it also helpful to the outer layers of the body (the exoderm) when ingested.  This coenzyme helps provides cells with the energy they need for cellular repair--similar to the function of Vitamin B2.

So the doses below have been suggested and helpful to some of our clients.  This is not recommended to anybody.  A consultation with Dr. McBride, the hygienist or your physician is recommended before starting any regimen of vitamin supplementation:

  • Vitamins B1, B2 and B6 at 100 mg each per day
  • Vitamin C at 1000 mg per day
  • Co-Enzyme Q-10 at 100 mg per day

Symptoms of Deficiencies
This is an generalized description of vitamin deficiencies and is not intended for a means of diagnosis of a specific problem you may have.  If you think that these symptoms apply to you, consult Dr. McBride, the hygienist or your physician before altering your diet or vitamin intake.

Tongue & Lips (unique characteristic are underlined)
B1--painful, burning tongue; loss of taste acuity
B2--inflammation, fissures and cracks at the corners of mouth/lips; dry, scaly lips; red to purple color tongue; loss or atrophy and inflammation of tongue papillae; enlarged fungiform papillae (the spotty ones on the front 1/2 of the tongue)
Niacin--loss or atrophy of the papillae resulting in a fiery red, smooth, shiny surface; tender and swollen tongue; ulcerations on tongue at central surface; fissures and inflamed dryness in corners of mouth/lips; loss of appetite
B6--inflamed tongue with atrophy of papillae with a red smooth appearance; fissured, inflamed dryness in corners of mouth/lips
B12--inflamed tongue with atrophy of papillae; bright red painful and swollen tongue with glossy appearance; altered taste sensations and decreased appetite
Folic acid--smooth, bright red tongue; patchy surface of tongue with atrophied papillae; ulcerations along the edges of tongue; fissured, inflamed dryness at corners of mouth/lips
Iron--fissured, inflamed dryness at corners of mouth/lips; burning, painful tongue with atrophy of papillae; reddening at the tip of around margins of the tongue; ulcerations of tongue; pallor to ashen grey color of lips and tongue
Zinc--impaired taste; thickening and parakeratotic (callousing) tongue with muscular atrophy
Protein--red, smooth swollen tongue; fissured, inflamed dryness of corners of the mouth/lips; fissures on lower lip; depigmentation along inside border of lips

The most important thing about nutrition is eat a well rounded diet of various meats, fruits, vegetables and grains.  Don't eat too much of one thing or not enough of the variety.  Be careful of empty calorie foods (snacks that are full sugars or fats without nutritious value).  Drink lots of water.  Find a good multi-vitamin that suits your needs and take it as directed regularly.  Consult the hygienist for a periodontal diagnosis and discuss how your diet could relate to it.