Vitamins Minerals Chapter 12

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1 DH 250 Water soluble B1 Thiamin B2 Riboflavin B3 Niacin Vitamins Minerals Chapter 12 Role RDA Source Deficiency Toxicity Clinical Use intermediary coenzymes 1.2mg 1.1mg 1.2mg 1.1mg 16mg 14mg dairy B6 Pyridoxine mg eggs folic acid 400μg s fruits B12 Cyanocobalimin Pantothenic acid fats, carbs make acetyl-co-a gluconeogenisis hormones veggies 2.4 μg microorganisms 5-7 mg bran yeast Biotin 25-35μg milk GI microbes Vitamin C (ascorbic acid) CT synthesis 90mg 70mg Lipid soluble Vitamin A vision RE citrus fruits Vitamin D bone formation 5-15 μg sunlight / skin Vitamin E antioxidant mg vegetable oils fish oil Vitamin K synthesis of clotting factors μg Selected Minerals Iron (Fe) hemoglobin - O2 8mg 8-27mg Zinc (Zn) Calcium (Ca) transport of CO2 elimination of lactic acid proper function of: nervous system muscular system skeletal system 11mg 8mg mg beriberi tx: alcoholism peripheral neuritis angular cheilosis seen in alcoholics pellagra (rough skin) GI distress tx: hyperlipidemia 3-D s pruitis (diarrhea,dermatitis,dementia) flushing angular cheilosis stomatitis glossitis megaloblastic anemia (most common in USA) megaloblastic anemia ( can result from pernicious anemia) rare in humans ( can develop with disease or alcoholism) rare antiinfectives can create scurvy (neuropathy with IV OD), possible allergy, possible allergy stones in urinary tract carotenes night blindness hypervitaminosis A hyperostosis gingivitis abnormal Ca ++, abnormal green veggies red s organ s yeast seafood dairy products drug interactions can create B6 can create B12 vegans, gastrectomy =B12 GI motility infant dermatitis used with Fe supplement (cold? cancer?) Pregnancy Cat X acne tx: rickets rickets Ca ++ anemia? hemolytic anemia (newborn) much use with no clinical evidence hypoprothrombinemia hemorrhage anemia slow growth slow healing osteoporosis tetany paresthesias cramps convulsions rare, hemolytic anemia, hemolysis GI distress bleeding hemochromatosis impaired lymphocyte and PMN function tx :hypothrombinemia from coumadin, clot factors in hepatic disease tx: duration of cold wound healing tx:

2 DH 250 Oral Conditions & Treatment Chapter 13 INFECTIOUS LESIONS 1. ANUG (Acute Necrotizing Ulcerative Gingivitis) 2. Herpes Infections Primary infection: Recurrent infection: 3. Candidiasis Topical: Systemic: 4. Angular Chelitis / Chelosis 5. Alveolar Osteitis

3 IMMUNE REACTIONS 1. Recurrent Aphthous Stomatitis 2. Lichen Planus MISCELLANEOUS ORAL CONDITIONS 1. Geographic Tongue (Benign Migratory Glossitis) 2. Burning Mouth or Tongue Decsription: INFLAMMATION 1. Pericoronitis: 2. Postirradiation Caries

4 3. Root Sensitivity 4. Actinic Lip Changes DRUG-INDUCED ORAL SIDE EFFECTS 1. Xerostomia 2. Lichenoid-Like Lesions 3. Lupus-Like Lesions 4. Erythema Multiforme - Like 5. Stains 6. Gingival Enlargement (Gingival Hyperplasia) Drugs:

5 DRUGS USED TO TREAT ORAL LESIONS Corticosteroids Antiinfectives Antibiotics Antifungals Antivirals Palliative Tx Topical local anesthetics Systemic analgesics DH 250 Hygiene-Related Oral Disorders Chapter 14 Dental Caries Gingivitis Tooth Hypersensitivity Periodontal Disease???!!!

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