Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Oral manifestations of nutritional deficiencies

13,269 views

Published on

Oral manifestations of nutritional deficiencies

Published in: Health & Medicine
  • Boost your brainpower with brain pill! find out more... ◆◆◆ https://bit.ly/2GEWG9T
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • New E-book Reveals Unique Holistic Strategies to Cure Acne. Discover How To Quickly And Easily Cure Acne Permanently...Even If Everything Else You Tried had Failed... Without Drugs, Without Over The Counters, and Without Nasty Side Effects - Guaranteed! ●●● http://ishbv.com/buk028959/pdf
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • I am 31 years old and have had severe Yeast Infection for over 8 years. I have been suffering (yes! really suffering for so long) and I have indeed tried every over-the-counter and prescription that you could think of to treat this horrible disease. My wife also suffered from moderate Yeast Infection for years and we both started your Yeast Infection No More system about 4 months ago and I am so excited to report that we are both free from Yeast Infection. Both of us! For the first time ever. The symptoms are gone...completely! And the overall feeling is unbelievable. Thank you for your help... ◆◆◆ http://scamcb.com/index7/pdf
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Holistic Candida Secrets, Eliminate Yeast Infection Fast. Candida cure e-book reveals all  http://scamcb.com/index7/pdf
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • good
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here

Oral manifestations of nutritional deficiencies

  1. 1. Oral Manifestations of Nutritional Deficiencies Dr. Arsalan Wahid Malik M. Phil (Oral Pathology) Dip.(Orthodontics) ِ‫ح‬َّ‫ر‬‫ال‬ ِ‫من‬ْ‫ح‬َّ‫ر‬‫ال‬ ِ‫هللا‬ ِ‫م‬ْ‫س‬ِ‫ب‬ِ‫ميم‬
  2. 2. Cause/Reasons: • Reduced intake • Faulty absorption or metabolism • Increased excretion
  3. 3. Deficiency Systemic effects Oral effects Vitamin A Xerophthalmia Leukoplakia, Hyperkeratosis of oral epithelium Thiamin B1 Neuritis, Cardiac failure, Beriberi None Riboflavin B2 Dermatitis Angular stomatitis, Glossitis Nicotinamide (Niacin B3) Pellagra, CNS, Diarrhoea, Dementia Glossitis, Stomatitis, Gingivitis Vitamin B12 Pernicious anemia Glossitis, Aphthae Vitamin C Scurvy Gingival swelling, Bleeding Folic acid Macrocytic anemia Glossitis, Aphthae, Atrophy of lingual papillae Vitamin D Rickets, Osteomalacia Hypocalcification of teeth, Malformation
  4. 4. Pregnancy: • During pregnancy the hormonal changes effects a previously existing chronic gingivitis which have been symptom free and unrecognized Causes:  Elevated estrogen and progesterone levels  Birth control pills
  5. 5. Pregnancy: Oral manifestations: • Gingiva hyperplasic with purple color • Bleeding from pockets • Food stagnation • Secondary infections • Halitosis • “pregnancy tumor” Treatment: • Maintenance of oral hygiene • Excision of Epulis
  6. 6. Gingival hyperplasia in pregnancy
  7. 7. Management consideration during pregnancy: • Hypotension if laid in supine position so dental treatment in sitting position • Nausea and vomiting • Pregnancy hypertension • Iron/folic acid deficiency
  8. 8. Hazards to fetus from dental treatment: • X-ray • Respiratory depression due to sedatives, diazepam and opioids all these cross placenta • Aspirin causes neonatal hemorrhage • NSAID in high dosages causes pulmonary hypertension • Steroids causes fetal adrenosuppresion
  9. 9. Safe drugs: • Paracetamol • Metronidazole
  10. 10. Diabetes Mellitus: • Hyperglycemia due to deficiency of insulin • Type-1 • Type-11 • Glucose concentration in blood ( mg/100ml) Normal Diabetic • Fasting 100 120 • 2-hr after glucose 120 180 Complications: • Diabetic nephropathy • Diabetic retinopathy • Diabetic neuropathy
  11. 11. Diabetes Mellitus: General signs/symptoms: • Polyuria • Polydipsia • Loss of weight • Tiredness
  12. 12. Diabetes Mellitus: Oral manifestations: • Dry mouth • Increased susceptibility to infections • Periodontal diseases • Glossodynia • Burning mouth syndrome • Sialosis • Lichen planus
  13. 13. Diabetes gingivitis
  14. 14. Scurvy: • Ascorbic acid deficiency • Old aged patients • Vitamin C - synthesis of collagen
  15. 15. Scurvy: Clinical features in scurvy: • Hyperplasic gums • Swollen gingival false pocketing • Tiredness • Malaise • Bleeding gums
  16. 16. Scurvy: Investigations: • Blood examinations Treatment: Ascorbic acid

×