Dreizen S
Department of Oral Oncology, University of Texas Dental Branch, Houston.
Pediatrician. 1989;16(3-4):139-46.
The mouth is a uniquely sensitive repository of nutritional information reflecting past and present nutritional insults with a speed and to a degree unmatched by almost any other body site. Changes in the structural integrity of the teeth provide a history of exposure to deficiencies of vitamin A, vitamin C, vitamin D and iodine and to an excess of fluorides during the years of tooth formation. Changes in the structural integrity of the oral mucosa may signal ongoing deficiencies of riboflavin, niacin, folic acid, vitamin B6, vitamin B12, biotin, vitamin C, vitamin K, iron and protein calories. The evidence is readily accessible and painlessly procured. The clinician alert to and familiar with the stomatological reactions to prolonged deprivation of many of the essential nutrients is in a privileged position for the early diagnosis and effective management of the nutritional deficiency states.
口腔是一个独特的营养信息敏感储存库，它能以几乎任何其他身体部位都无法比拟的速度和程度反映过去和现在的营养损伤。牙齿结构完整性的变化记录了在牙齿形成的几年中，个体接触维生素A、维生素C、维生素D和碘缺乏以及氟过量的情况。口腔黏膜结构完整性的变化可能表明正在缺乏核黄素、烟酸、叶酸、维生素B6、维生素B12、生物素、维生素C、维生素K、铁和蛋白质热量。这些证据很容易获取，而且获取过程无痛。临床医生若能警觉并熟悉许多必需营养素长期缺乏所引起的口腔反应，就能在营养缺乏状态的早期诊断和有效管理方面占据有利地位。
