{"id":356,"date":"2021-08-26T09:01:44","date_gmt":"2021-08-26T09:01:44","guid":{"rendered":"https:\/\/medinaz.com\/blog\/?p=356"},"modified":"2022-01-04T06:46:49","modified_gmt":"2022-01-04T06:46:49","slug":"oral-manifestations-of-vitamin-deficiency-high-yield-notes","status":"publish","type":"post","link":"https:\/\/medinaz.com\/blog\/2021\/08\/26\/oral-manifestations-of-vitamin-deficiency-high-yield-notes\/","title":{"rendered":"Oral manifestations of Vitamin Deficiency &#8211; High yield notes"},"content":{"rendered":"\n<p>Oral manifestations of vitamin deficiency illustrated high yield Oral medicine notes<\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_55 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<p class=\"ez-toc-title\">Table of Contents<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-69e91c38f053d\"><span class=\"\"><span style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-69e91c38f053d\"  aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/medinaz.com\/blog\/2021\/08\/26\/oral-manifestations-of-vitamin-deficiency-high-yield-notes\/#Oral_manifestations_of_Vitamin_A_deficiency\" title=\"Oral manifestations of Vitamin A deficiency\">Oral manifestations of Vitamin A deficiency<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/medinaz.com\/blog\/2021\/08\/26\/oral-manifestations-of-vitamin-deficiency-high-yield-notes\/#Oral_manifestations_of_Vitamin_D_deficiency\" title=\"Oral manifestations of Vitamin D deficiency\">Oral manifestations of Vitamin D deficiency<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/medinaz.com\/blog\/2021\/08\/26\/oral-manifestations-of-vitamin-deficiency-high-yield-notes\/#Vitamin_K_deficiency\" title=\"Vitamin K deficiency\">Vitamin K deficiency<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/medinaz.com\/blog\/2021\/08\/26\/oral-manifestations-of-vitamin-deficiency-high-yield-notes\/#Vitamin_C_deficiency\" title=\"Vitamin C deficiency\">Vitamin C deficiency<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/medinaz.com\/blog\/2021\/08\/26\/oral-manifestations-of-vitamin-deficiency-high-yield-notes\/#_Vitamin_B1_Thiamin_deficiency\" title=\"&nbsp;Vitamin B1 (Thiamin) deficiency\">&nbsp;Vitamin B1 (Thiamin) deficiency<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/medinaz.com\/blog\/2021\/08\/26\/oral-manifestations-of-vitamin-deficiency-high-yield-notes\/#Vitamin_B2_Riboflavin_deficiency\" title=\"Vitamin B2 (Riboflavin) deficiency\">Vitamin B2 (Riboflavin) deficiency<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/medinaz.com\/blog\/2021\/08\/26\/oral-manifestations-of-vitamin-deficiency-high-yield-notes\/#Vitamin-_B3_niacin_deficiency\" title=\"Vitamin- B3 (niacin) deficiency\">Vitamin- B3 (niacin) deficiency<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/medinaz.com\/blog\/2021\/08\/26\/oral-manifestations-of-vitamin-deficiency-high-yield-notes\/#Vitamin_-B6_Pyridoxine_deficiency\" title=\"Vitamin -B6 (Pyridoxine) deficiency\">Vitamin -B6 (Pyridoxine) deficiency<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/medinaz.com\/blog\/2021\/08\/26\/oral-manifestations-of-vitamin-deficiency-high-yield-notes\/#Folic_acid_deficiency_deficiency\" title=\"Folic acid deficiency deficiency\">Folic acid deficiency deficiency<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/medinaz.com\/blog\/2021\/08\/26\/oral-manifestations-of-vitamin-deficiency-high-yield-notes\/#Ora_manifestations_of_Vitamin_B_12_deficiency\" title=\"Ora manifestations of Vitamin B 12 deficiency\">Ora manifestations of Vitamin B 12 deficiency<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/medinaz.com\/blog\/2021\/08\/26\/oral-manifestations-of-vitamin-deficiency-high-yield-notes\/#Biotin_deficiency\" title=\"Biotin deficiency\">Biotin deficiency<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/medinaz.com\/blog\/2021\/08\/26\/oral-manifestations-of-vitamin-deficiency-high-yield-notes\/#Reference\" title=\"Reference:\">Reference:<\/a><\/li><\/ul><\/nav><\/div>\n<h2 style=\"line-height:1.3\"><span class=\"ez-toc-section\" id=\"Oral_manifestations_of_Vitamin_A_deficiency\"><\/span>Oral manifestations of <strong>Vitamin A<\/strong> deficiency<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul><li><strong>Keratinizing metaplasia<\/strong> of epithelium resulting in increased keratin formation<\/li><\/ul>\n\n\n\n<ul><li>Occlusion of salivary gland ducts with <strong>keratin<\/strong><\/li><\/ul>\n\n\n\n<ul><li><strong>Enamel hypoplasia<\/strong>, <strong>atypical dentin formation<\/strong> and <strong>epithelial invasion of pulpal tissue<\/strong> are characteristic features<\/li><\/ul>\n\n\n\n<ul><li>It affects <strong>Enamel<\/strong> more seriously than dentin<\/li><\/ul>\n\n\n\n<ul><li><strong>Delayed eruption<\/strong> of teeth<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" width=\"1000\" height=\"563\" src=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/08\/Squamous-metaplasia-in-Vitamin-A-deficiency.jpg\" alt=\" Squamous metaplasia in Vitamin A deficiency\" class=\"wp-image-357\" srcset=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/08\/Squamous-metaplasia-in-Vitamin-A-deficiency.jpg 1000w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/08\/Squamous-metaplasia-in-Vitamin-A-deficiency-300x169.jpg 300w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/08\/Squamous-metaplasia-in-Vitamin-A-deficiency-768x432.jpg 768w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><figcaption><strong><span class=\"has-inline-color has-black-color\">Squamous metaplasia in Vitamin A deficiency<\/span><\/strong><\/figcaption><\/figure>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"Oral_manifestations_of_Vitamin_D_deficiency\"><\/span><meta charset=\"utf-8\">Oral manifestations of <strong>Vitamin D<\/strong> <meta charset=\"utf-8\">deficiency<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul><li><strong>Delayed eruption<\/strong> of primary and permanent teeth<\/li><\/ul>\n\n\n\n<ul><li><strong>Malalignment<\/strong> of the teeth in the Jaws<\/li><\/ul>\n\n\n\n<ul><li>Developmental anomalies of dentin and enamel of the teeth shows <strong>wide pre dentine zone<\/strong> with <strong>much interglobular dentin<\/strong><\/li><\/ul>\n\n\n\n<ul><li>The <strong>pulp horns are elongated<\/strong> and extend high, reaching the DE junction<\/li><\/ul>\n\n\n\n<ul><li>The enamel does not appear to be weekend but the rough surface may <strong>facilitate adherence of dental plaque<\/strong> and food Residue.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full\"><img loading=\"lazy\" width=\"600\" height=\"600\" src=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/08\/Changes-in-Vit-D-deficiency.jpg\" alt=\"Tooth Changes in Vit D deficiency\" class=\"wp-image-358\" srcset=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/08\/Changes-in-Vit-D-deficiency.jpg 600w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/08\/Changes-in-Vit-D-deficiency-300x300.jpg 300w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/08\/Changes-in-Vit-D-deficiency-150x150.jpg 150w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/08\/Changes-in-Vit-D-deficiency-370x370.jpg 370w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/08\/Changes-in-Vit-D-deficiency-45x45.jpg 45w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><figcaption><strong><span class=\"has-inline-color has-black-color\">Changes in Vit D deficiency<\/span><\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"Vitamin_K_deficiency\"><\/span>Vitamin K <meta charset=\"utf-8\">deficiency<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul><li>Prothrombin level <strong>(below 35%) <\/strong>results in gingival bleeding after tooth brushing<\/li><\/ul>\n\n\n\n<ul><li><strong>Spontaneous gingival bleeding<\/strong> occurs when the prothrombin levels fall &lt;20%<\/li><\/ul>\n\n\n\n<ul><li>Spontaneous bleeding during minor dental, surgical procedure<\/li><\/ul>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"Vitamin_C_deficiency\"><\/span>Vitamin C <meta charset=\"utf-8\">deficiency<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul><li>The pathognomonic sign is <strong>swollen and spongy gums<\/strong>, particularly the <strong>intendental papilla<\/strong> is involved producing the appearance of <strong>scurvy buds<\/strong><\/li><\/ul>\n\n\n\n<ul><li>In severe cases, hemorrhage to periodontal membrane, weakened collagen formation followed by resorption of alveolar bone and loosening of teeth occurs.<\/li><\/ul>\n\n\n\n<ul><li><strong>Scurvy<\/strong> occurs in as quickly as <strong>20 days<\/strong><\/li><\/ul>\n\n\n\n<ul><li><strong>Gingival hemorrhage<\/strong> and <strong>petechiae<\/strong> are also evident<\/li><\/ul>\n\n\n\n<ul><li><strong>Scrobutic changes<\/strong> in the teeth because of changes in <strong>ameloblasts<\/strong> and <strong>odontoblasts<\/strong> also seen<\/li><\/ul>\n\n\n\n<ul><li><strong>Trismus<\/strong> due to <strong>hemorrhage in TMJ<\/strong><\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full\"><img loading=\"lazy\" width=\"700\" height=\"460\" src=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/08\/scorbutic-gingivitis-scurvy.jpg\" alt=\"scorbutic gingivitis\" class=\"wp-image-360\" srcset=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/08\/scorbutic-gingivitis-scurvy.jpg 700w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/08\/scorbutic-gingivitis-scurvy-300x197.jpg 300w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><figcaption><strong><span class=\"has-inline-color has-black-color\">Scorbutic gingivitis<\/span><\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"_Vitamin_B1_Thiamin_deficiency\"><\/span>&nbsp;Vitamin B1 (Thiamin) <meta charset=\"utf-8\">deficiency<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul><li>Flabby, red and edematous tongue<\/li><\/ul>\n\n\n\n<ul><li>The <strong>fungiform papillae<\/strong> enlarge and become <strong>hyperemic<\/strong><\/li><\/ul>\n\n\n\n<ul><li>Gingival tissue sometimes present an \u201c<strong>old rose<\/strong>\u201d color.<\/li><\/ul>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"Vitamin_B2_Riboflavin_deficiency\"><\/span>Vitamin B2 (Riboflavin) <meta charset=\"utf-8\">deficiency<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul><li>Glossitis- The filiform papillae become atrophic while the fungiform papillae become engorged and mushroom shaped, resulting in <strong>magenta coloured tongue<\/strong><\/li><\/ul>\n\n\n\n<ul><li>Angular cheilosis and ocular lesion<\/li><\/ul>\n\n\n\n<ul><li><strong>Non-specific bilateral angular cheilosis<\/strong> may be seen in association with <strong>faulty dentures<\/strong> or in patient with <strong>reduced vertical dimension<\/strong> due to attrition<\/li><\/ul>\n\n\n\n<ul><li>Lips may become extremely <strong>red<\/strong> and <strong>smooth<\/strong><\/li><\/ul>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"Vitamin-_B3_niacin_deficiency\"><\/span>Vitamin- B3 (niacin) <meta charset=\"utf-8\">deficiency<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul><li><strong>Bald tongue with Sandwith<\/strong> on <strong>Raw beefy tongue<\/strong> due to loss of <strong>filliform<\/strong> and <strong>fungiform papillae<\/strong><\/li><\/ul>\n\n\n\n<ul><li>Oral mucosa become <strong>fiery red<\/strong> and <strong>painf<\/strong><strong>ul<\/strong><\/li><\/ul>\n\n\n\n<ul><li><strong>Painful stomatitis<\/strong> causes diminished food intake<\/li><\/ul>\n\n\n\n<ul><li><strong>Pellagrous glossitis<\/strong> begins with swelling of the papillae at the <strong>tip of the tongue<\/strong> and <strong>later<\/strong><strong>al borders<\/strong><\/li><\/ul>\n\n\n\n<ul><li>Salivation is profuse<\/li><\/ul>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"Vitamin_-B6_Pyridoxine_deficiency\"><\/span>Vitamin -B6 (Pyridoxine) <meta charset=\"utf-8\">deficiency<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul><li>Pyridoxine deficiency induced glossitis is associated with <strong>pain<\/strong>, <strong>edema<\/strong> and <strong>papillary changes<\/strong><\/li><\/ul>\n\n\n\n<ul><li>Initially the tongue has a <strong>scalded sensation<\/strong>, followed by <strong>reddening<\/strong> and <strong>hypertrophy<\/strong> of the <strong>filliform papillae<\/strong> at the tip, margins and dorsum.<\/li><\/ul>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"Folic_acid_deficiency_deficiency\"><\/span>Folic acid deficiency <meta charset=\"utf-8\">deficiency<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul><li>Glossitis &#8211; Tongue becomes <strong>fiery red<\/strong> and <strong>papillae are absent<\/strong>.<\/li><\/ul>\n\n\n\n<ul><li><strong>Initially filliform papilla<\/strong> are involved and in <strong>advanced<\/strong> cases <strong>fungiform papillae<\/strong> are involved<\/li><\/ul>\n\n\n\n<ul><li>Marked <strong>chronic periodontitis<\/strong> and loosening of tooth<\/li><\/ul>\n\n\n\n<ul><li><strong>Superimposed candidiasis<\/strong> is due to impaired immune response of mucosa.<\/li><\/ul>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"Ora_manifestations_of_Vitamin_B_12_deficiency\"><\/span>Ora manifestations of Vitamin B 12 <meta charset=\"utf-8\">deficiency<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul><li><strong>Beefy red tongue<\/strong> with glossopyrosis, glossitis and glossodynia.<\/li><\/ul>\n\n\n\n<ul><li><strong>Hunter\u2019s glossitis<\/strong> or <strong>Moeller&#8217;s glossitis<\/strong> which is similar to <strong>Bald tongue of Sandwith<\/strong> seen in Pellagra.<\/li><\/ul>\n\n\n\n<ul><li>An oral examination may reveal stomatitis on a pale or yellowish mucosa, Xerostomia, cheilosis, Hemorrhage gingiva and bone loss.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full\"><img loading=\"lazy\" width=\"695\" height=\"482\" src=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/08\/Beefy-red-tongue-in-Vitamin-B12-deficiency.jpg\" alt=\"Beefy red tongue\" class=\"wp-image-363\" srcset=\"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/08\/Beefy-red-tongue-in-Vitamin-B12-deficiency.jpg 695w, https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/08\/Beefy-red-tongue-in-Vitamin-B12-deficiency-300x208.jpg 300w\" sizes=\"(max-width: 695px) 100vw, 695px\" \/><figcaption><strong><span class=\"has-inline-color has-black-color\">Beefy red tongue in Vitamin B12 deficiency<\/span><\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"Biotin_deficiency\"><\/span>Biotin <meta charset=\"utf-8\">deficiency<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul><li><strong>Pallor<\/strong> of the tongue and <strong>patchy atrophy<\/strong> of the lingual papillae<\/li><\/ul>\n\n\n\n<ul><li>Although pattern resembles <strong>geographic tongue<\/strong> it is continued to lateral margins is generalised to the entire dorsum.<\/li><\/ul>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"Reference\"><\/span>Reference:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><a href=\"https:\/\/amzn.to\/2UMyRHe\" target=\"_blank\" rel=\"noreferrer noopener\">Oral and maxillofacial pathology; Neville; 4th ed<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/amzn.to\/3mNRg2f\" target=\"_blank\" rel=\"noreferrer noopener\">Shafer&#8217;s Textbook of Oral Pathology<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/amzn.to\/3yiwE4e\" target=\"_blank\" rel=\"noreferrer noopener\">Burket&#8217;s Oral Medicine; 12th ed<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Oral manifestations of vitamin deficiency illustrated high yield Oral medicine notes Oral manifestations of Vitamin A deficiency Keratinizing metaplasia of epithelium resulting in increased keratin formation Occlusion of salivary gland ducts with keratin Enamel hypoplasia, atypical dentin formation and epithelial invasion of pulpal tissue are characteristic features It affects Enamel more seriously than dentin Delayed<\/p>\n","protected":false},"author":1,"featured_media":362,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ub_ctt_via":""},"categories":[45,52],"tags":[75,76,74,50,73],"featured_image_src":"https:\/\/medinaz.com\/blog\/wp-content\/uploads\/2021\/08\/Oral-Manifestations-of-Vitamin-Deficiency.jpg","author_info":{"display_name":"Medinaz Academy","author_link":"https:\/\/medinaz.com\/blog\/author\/medinaz-blog-admin\/"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Oral manifestations of Vitamin Deficiency - High yield notes - Medinaz Blog<\/title>\n<meta name=\"description\" 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