Vitamin K
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
Leafy greens (kale, spinach), Broccoli and Brussels sprouts, Vegetable oils
Typical intake: No formal RDA established; no upper limit set. Typical adequate-intake targets run ~90–120 mcg/day.
Upper limit: No UL established: no well-documented toxicity from natural forms (phylloquinone/menaquinone) at typical intakes.
Dental & oral effects of deficiency
Gingival bleeding / easy bruising
Vitamin K is required for clotting-factor synthesis; deficiency can present as unexpected gingival bleeding independent of any anticoagulant.
Pinpoint red/purple bleeding spots in the mouth (petechiae)
Small hemorrhagic spots on the oral mucosa can reflect a clotting-factor deficiency.
Dental & oral effects of surplus / excess
No well-established oral-specific effect of excess intake on file.
Sources
- Position of the Academy of Nutrition and Dietetics: oral health and nutrition. Touger-Decker R, Mobley C, Academy of Nutrition and Dietetics. Journal of the Academy of Nutrition and Dietetics, 2013.
- Vitamins and oral mucosal diseases: From bench to the bedside. Yesudian RI, Yesudian PD. Clinics in dermatology, 2026.
- A Prescription for Change: Food as Medicine & the Vital Role of Nutrition in Patient Care. teethFirst. Continuing education course material, 2025.