Oral health, vitamins, and biomarker tests at CityMed dental clinic

Periodontitis (inflammation of the gums and tooth root surroundings) is one of the most common chronic inflammatory diseases, leading to the deterioration of the alveolar bone and tooth loss. It not only affects the mouth – studies link periodontitis to heart diseases, diabetes, heart attacks, strokes, pregnancy complications, rheumatism, premature birth, and overall inflammation levels in the body.

a white and brown object
a white and brown object

  1. To maintain healthy gums, you need:

• sufficient levels of vitamin D,

• balance of magnesium and vitamin K2,

• control of inflammation through the immune system and fatty acid profile,

• regular early monitoring.


2. Nutrients and their role in periodontal health

Vitamin D

• Regulates calcium and phosphorus metabolism →strength of alveolar bone.

• Activates antimicrobial peptides → protection against periodontopathogens.

• Inhibits excessive inflammation and supports gum healing.

• Optimal level: 75–125 nmol/L (30–50 ng/mL).

• Recommendation: 2000–4000 IU daily (especially in winter).

Magnesium

• Necessary for the activation of vitamin D in the liver and kidneys.

• Participates in bone mineralization and collagen synthesis.

• Inhibits inflammation related to tissue breakdown.

• Normal serum level: 0.70–1.05 mmol/L (RBC-Mg 1.65–2.65 mmol/L).

• Recommendation: 300–400 mg daily, prefer citrate or glycinate, take in the evening.

Vitamin K (especially K2)

• Directs calcium absorbed with the help of vitamin D to the right places (bones, teeth).

• Activates osteocalcin and MGP proteins → protection of alveolar bone.

• Recommendation: 100–200 µg MK-7 daily.

• Sources: hard cheese, egg yolk, and butter.


3. Recommended scheme

• In the morning/afternoon: Vitamin D (2000–4000 IU) + K2 (100–200 µg) with food.

• In the evening: Magnesium (300–400 mg).

• Calcium: preferably from food (dairy products, greens).


4. Necessary tests

Test Normal Optimal for periodontal health

25(OH)D (Vitamin D) 75–100 nmol/L 75–125 nmol/L

Calcium (serum) 2.15–2.55 mmol/L Normal range

Magnesium (serum) 0.70–1.05 mmol/L Rather upper limit

RBC-Mg 1.65–2.65 mmol/L Average–upper limit

CRP < 3 mg/L < 1 mg/L

HbA1c < 5.7% < 5.4%

PTH 1.6–6.9 pmol/L Normal range

Vitamin K indirect markers ucOC/PIVKA-II within normal low ucOC = sufficient K2


5. Rapid tests at CityMed Dental Clinic

CityMed offers innovative biomarker tests in cooperation, which provide results in 10–20 minutes.

aMMP-8 test

• Simple saliva test.

• Measures aMMP-8 enzyme, indicating the activity of gum and alveolar bone breakdown.

• Suitable for early detection of periodontal disease and monitoring treatment.


Vitamin D rapid test

• From fingertip blood

• Assesses 25(OH)D level.

• Normal: 75–125 nmol/L.


Omega-3 fatty acids test

• Analysis of a dried blood spot.

• Indicates the ratio of omega-6 to omega-3 (inflammation balance in the body).

• Optimal: < 3 : 1.

All test results will be explained to you along with specific recommendations.


Summary

Periodontal health depends on:

• the level of vitamin D,

• the presence of magnesium and vitamin K2,

• the balance of omega-3 and control of inflammation.

At CityMed Dental Clinic in Tallinn, you can take rapid tests that help assess both gum inflammation activity and the body’s vitamin and fatty acid status.

Results are available on-site in 10–20 minutes, allowing for a quick and personalized treatment plan.

Keep your smile and health under control – get biomarker tests at CityMed dental clinic!