Many of us find it is not unusual to be tired. Whether it is running around after the family or not getting enough sleep we can usual identify a reason.

But a dentist is now warning people to take a closer look at their mouths if they suddenly find they are feeling fatigued. For there are some symptoms of a nutrient deficiency that is sapping your energy that appear on your mouth and gums.

Oral surgeon Dr Andrej Bozic of Dentum says iron deficiency anaemia, a condition where the body lacks the necessary iron to produce healthy red blood cells, often shows subtle signs in the mouth. This can be in cracked mouth edges or pale gums.

“The mouth can be a mirror of what’s happening in the body,” Dr Bozic explained. “When iron levels drop, reduced oxygen delivery affects oral tissues, leading to noticeable changes.”

Key oral symptoms include pale gums, a smooth or sore tongue (atrophic glossitis), and cracks at the corners of the mouth (angular cheilitis). “Atrophic glossitis, where the tongue appears smooth and inflamed, is one of the more striking signs of iron deficiency,” Dr Bozic said. “It occurs because the body lacks the haemoglobin needed to repair and maintain tissues.”

Pale gums, another common indicator, result from a reduced red blood cell count. “Patients often don’t realise pale gums could signal a systemic issue like anaemia,” he said. “It’s something dentists spot during routine check-ups.”

Angular cheilitis, or painful cracks at the mouth’s corners, is also linked to anaemia. “Iron deficiency weakens the immune system, making infections more likely and causing these cracks to persist,” Dr Bozic said.

Why early detection matters

Dr Bozic stresses that addressing iron deficiency early is crucial. “Left untreated, anaemia can lead to serious health issues, including fatigue, heart problems and delayed healing of oral tissues,” he warned. “Your dentist may be the first to notice these subtle signs, so it’s vital to take them seriously.”

For anyone experiencing persistent oral symptoms, seeking medical advice is essential. “Don’t dismiss signs like sore gums or unusual tongue appearance,” he said. “We recommend further tests to rule out anaemia or other underlying conditions if we see these signs.”

Prevention and care

Dr Bozic highlights the importance of a balanced diet rich in iron to prevent deficiencies. “Eat foods like spinach, beans, red meat, or fortified cereals,” he advised. “For vegetarians or vegans, find plant-based iron sources and consider supplements if needed.”

Regular dental visits are equally important. “Dentists don’t just care for your teeth,” says Dr Bozic. “Routine check-ups can uncover broader health concerns, like iron deficiency.”

By staying vigilant, patients can catch these subtle symptoms early. “Your mouth is often the first to show signs of deeper issues,” Dr Bozic said. “Pay attention to it – it could save your health.”