Copper
Likelihood in at-risk patientsLow
Likelihood of deficiency within an at-risk group, not the general population.
Evidence confidenceLow
Strength of the peer-reviewed evidence.
Food sources
Shellfish, Nuts and seeds, Whole grains, Organ meats
Typical intake: 900 mcg/day for most adults (RDA).
Upper limit: 10,000 mcg (10 mg)/day for adults.
Dental & oral effects of deficiency
No well-established oral-specific sign of deficiency on file.
Associated with deficiency
- Anemia: Impaired iron metabolism causes anemia that doesn't respond to iron alone.
- Bone abnormalities / immune dysfunction: Connective-tissue and immune effects from copper deficiency.
Dental & oral effects of surplus / excess
No well-established oral-specific effect of excess intake on file.
General toxicity (not necessarily oral-specific)
- Copper accumulation toxicity: GI upset and, with chronic very high intake or impaired excretion (e.g. Wilson's disease), liver damage. No well-established oral-specific effect.
Sources
- Copper: Health Professional Fact Sheet. National Institutes of Health, Office of Dietary Supplements. NIH Office of Dietary Supplements, 2026.
- A Prescription for Change: Food as Medicine & the Vital Role of Nutrition in Patient Care. teethFirst. Continuing education course material, 2025.