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Impact of Vitamin K2 on Systemic and Oral Health

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Vitamin K is an essential vitamin required for various functions in the body. Read this article to know the beneficial systemic role of the K2 vitamin in overall health.

Medically reviewed by

Dr. Chithranjali Ravichandran

Published At April 28, 2022
Reviewed AtAugust 1, 2023

What Is Vitamin K?

Vitamin K is a pivotally essential vitamin obtained from dietary sources for blood coagulation factors and initiating the cascade of coagulation in the human body. There are two main forms of vitamin K- phylloquinone or vitamin K1, produced from plant and fiber sources, and menaquinone, or Vitamin K2, which is produced naturally in the gastrointestinal tract.

Vitamin K deficiency may be multifactorial in origin ranging from underlying genetic conditions and disorders to systemic chronic disease, smoking, chronic alcoholism, detrimental lifestyle, immunosuppression, and dietary deficiency of vitamin K source food, causing interference in the absorption of this vitamin or interference in the mechanism of action leading to a deficiency. Newborn infants are predisposed to a higher incidence of vitamin K deficiencies than adults, where this condition is usually reported mainly as a result of dietary lack of supplementation of vitamin K sources.

Vitamin K was originally discovered in the year 1929 as an essential vitamin important for the clotting mechanism in the body, while it was first initially reported as a "Koagulation vitamin '' in a German scientific journal. In the early 20th century, the famous dental surgeon Weston prince also studied and researched the mechanisms of action pertaining to the lack of dietary sources linking these vitamin K deficiencies in varying population groups. His particular dental research led him to conclude this hitherto unidentified nutrient is a source of defense mechanism and protection for combating chronic tooth decay and erosion.

What Are the Sources and Functions of Vitamin K2?

Phylloquinone or vitamin K1 is obtained by the intake of various plant sources, i.e., leafy greens like spinach, kale, lettuce, broccoli, carrots, blueberries, grapes, vegetable oils, turnips, collards, etc., whereas vitamin K2 though naturally produced in the GI tract can also be obtained through dietary sources of fatty fish, hard cheese and dairy products, soybeans, egg yolks, sauerkraut, etc.

Vitamin K1 deficiency is rather uncommon unless an individual has a dietary deficit in obtaining these sources, and vitamin K1 is essentially functioning as a blood-clotting agent. Vitamin K2, meanwhile, has the below-listed functions for these crucial metabolism and functioning pathways:

Vitamin K2 is responsible for protein activation and the deposition of calcium in the bones and teeth. It maintains the intact calcification of the bone and cartilages, preventing stunted growth and retardation, and maintains an anti-inflammatory effect on the blood vessels preventing plaque accumulation in the circulatory system. It is essential for myelin sheath formation of nerve cells, bone growth, and for facial and dental development. It is a fundamental vitamin that signals the protein pathways essential for the production of vitamins A and D.

What Is the Role of Vitamin K in Osteocalcin Metabolism?

As mentioned earlier, because of its role in producing vitamins A and D by protein pathway signaling, consequently a protein that is found abundantly in the human body other than collagen is called osteocalcin, which is a product of osteoblast secretion due to vitamin A and Vitamin D metabolism.

Osteocalcin plays multiple roles in bodily metabolism. Ranging from its effect on the insulin hormone pathway and stabilization to its effect on the sperm cells, which have high concentrations of osteocalcin dependent upon the K2 vitamin. Osteocalcin stimulates the pancreas to secrete insulin hormone and has a 24-36% approximate lowering effect upon blood glucose concentration. Osteocalcin plays a pivotal part in maintaining male fertility as it boosts and regulates the production of testosterone in men and influences the survival capacity and production of sperm.

What Is the Systemic Model Theory About Vitamin K2 in Protecting Enamel And Dentin?

In the systemic-based model of dental caries induction, researchers have suggested the importance of multifactorial causes leading to dental decay and tooth erosion. The irreversible loss of enamel and dentin layers in tooth structure causing either caries or erosion is mainly attributed to the enhanced bacterial microflora in the oral cavity leading to inflammatory responses and metalloproteinase (MPA's) based dissolution of tooth structure.

Other systemic hypothesis theories focus on affected endocrine signaling from the parotid gland and hypothalamic oxidative stress that creates a negative impact upon the dentinal fluid of the second layer of the tooth, i.e., the dentin layer. Vitamin K2 has the main function of regulating calcium and inorganic phosphates. Hence it has a direct positive or synergistic impact on the oral cavity by this regulation and preserves enamel health and prevents dentin erosion. Also, dietary sugars cause dental caries to reduce or create an immune breach in oral defense mechanisms. Hence vitamin K2 works in contrast by enhancing antioxidant properties and improving the salivary buffering capacity indirectly, thus helping in the protection of tooth enamel and dentin.

How Does Vitamin K2 Help in Preventing Cardiovascular Disease?

Research studies and clinical trials data have shown to exhibit a significant reduction in vascular damage as well as slowing down the typical progression of atherosclerosis-related heart disease by high dietary intake of supplementation with vitamin K2. A higher intake of dietary vitamin K2, around 32 mcg per day without any additional vitamin K1 supplementation, has been associated with reduced arterial calcification, a 50% reduction in death occurring as a result of cardiovascular events, and a 25% reduction in all causative mortalities. Research has also shown that for every 10 mcg of dietary vitamin K2 in the forms of menaquinone 7,8,9 (MK-7, MK-8, MK-9), the risk of CHD or coronary heart disease can also be prevented or reduced by nearly 9%. This may be because the deficiency of vitamin K2 can lead to inadequate activation of MGP, increasing the risk for blood vessel walls calcification. MPG's role is to inhibit calcium from depositing on the blood vessel walls. Hence the risk for arterial calcification can be combated as well significantly reduced by vitamin K2.

Conclusion:

The benefits of moderate dietary or supplemental intake of vitamin K2 are synergistic upon cardiac, dental, pancreatic, and reproductive systems. Also, osteocalcin is majorly regulated by this vitamin. Hence it has a positive impact on the overall systemic health of an individual.

Frequently Asked Questions

1.

What Are the Benefits of Vitamin K2 on Teeth?

The benefits of vitamin K2 on teeth are as follows:
- Remineralization of teeth.
- Prevents dental caries.
- Prevents calculus formation in the regions that lie close to the salivary glands      (outside the upper molar teeth and behind the lower front teeth).

2.

Is Vitamin K2 Good for Teeth?

Yes, vitamin K2 is good for teeth. Vitamin K2 along with vitamin D, helps to move out excess calcium from the bloodstream and soft tissues into teeth and bones.

3.

Is Vitamin K2 Beneficial for Gum Health?

Yes, Vitamin K2 is beneficial for gum health. It helps activate proteins that regulate calcium, promoting proper calcium utilization in teeth and gums. This can reduce the risk of gum disease and support overall oral health.

4.

Can Vitamin K2 Prevent Dental Plaque?

Plaque is a sticky bacterial film that forms on the teeth. Calculus is the hardened plaque. As vitamin K2 helps in preventing calculus formation on the teeth that lie near the salivary glands, it also helps with dental plaque.

5.

Can Vitamin K2 Help in Getting Rid of Arterial Plaque?

Vitamin K2 may help in reducing arterial plaque buildup (walls of the bloodvessels become thick and stiff). It activates proteins that direct calcium away from arteries and into bones, potentially preventing further plaque deposition.

6.

Does Vitamin K2 Help in Blood Thinning?

No, vitamin K2 does not help in blood thinning. Vitamin K2 helps in blood clotting and has the power to act against the effects of blood-thinning medicines. A collection of substances including vitamin K1 and K2 make up vitamin K.

7.

What Is the Duration Taken by Vitamin K2 to Clean the Arteries?

Administration of vitamin K2 for 270 days has been shown to reduce the progression of atherosclerosis. Taking K2 supplements every day under the guidance of a doctor helps in preventing arterial calcification.

8.

Does Vitamin K2 Help With Calcium Removal From Blood?

Vitamin K2 effectively reduces the calcium levels in the blood and helps in decreasing the calcium deposition in the blood vessels. Hence, vitamin K2 helps in preventing cardiovascular diseases associated with arterial calcification.

9.

What Are the Benefits Associated With Vitamin K2 Intake?

The benefits associated with vitamin K2 intake are as follows:
- Promotes skin health.
- Promotes efficient brain function.
- Prevents heart diseases.
- Promotes bone metabolism.
- Inhibits blood vessel calcification.

10.

Does Vitamin K2 Decrease Bacteria in the Oral Cavity?

Vitamin K2 does not directly decrease bacteria in the oral cavity. Its primary role is in calcium regulation and bone health. However, by promoting healthy gum tissue and overall oral health, it indirectly supports an environment less conducive to harmful bacteria. 

11.

Does Vitamin K2 Help in Reversing Calcification?

Vitamin K2 may help slow down or prevent further calcification of arteries and soft tissues by directing calcium into bones and teeth. However, it is generally not considered a complete reversal of existing calcification. 

12.

Can Vitamin K2 Stop Arterial Calcification?

Vitamin K2 can help slow down or reduce arterial calcification by directing calcium away from arteries and into bones and teeth. While it may not completely stop calcification, it plays a crucial role in regulating calcium balance.

13.

Can Vitamin K2 Reduce Cholesterol Levels?

Vitamin K2 does not have a direct impact on cholesterol levels. Its primary role is in calcium metabolism and bone health. To manage cholesterol levels, it's essential to focus on dietary choices, exercise, and, if necessary, medications prescribed by a healthcare professional.

14.

What Should Be the Daily Intake of Vitamin K2?

The daily intake of Vitamin K2 can vary depending on individual factors such as age, gender, and specific health needs. However, a general recommended daily intake for adults is around 90 to 120 micrograms (mcg).

15.

Can Vitamin K2 Intake Become Harmful?

Intake of vitamin K2 is not harmful when taken appropriately. Daily intake of 45 mg of vitamin K2 for up to two years is safe. However, some people may experience stomach upset and diarrhea. Even though there are no serious side effects associated with excess vitamin K2 intake, it is better to stick to the recommended intake.
Dr. Achanta Krishna Swaroop
Dr. Achanta Krishna Swaroop

Dentistry

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