The prevalence of oral manifestations of Iron Deficiency Anemia in patients attending to College of Dentistry


  • Hanaa Khazaal Jaber Jaber Department of Oral Surgery, Collage of Dentistry, University of Basrah, Iraq.
  • Hala A Husseien Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Basrah, Iraq.
  • Ghaydaa Hashim Al Qudsi Department of Oral Diagnosis, College of Dentistry, University of Basrah, Basrah, Iraq.


oral manifestations, Iron Deficiency Anemia, dentistry, iron, Hb


Objective Iron deficiency anemia (IDF) presented with specific oral features and a specific blood profiles. This study aimed to document the presence, severity and prevalence of the oral features of IDA in patients attending College of Dentistry.   Methods  Totally, 180 cases enrolled. Past medical and surgical plus clinical examination  done for each participant. Any features of anemia, oral mucosal manifestations were recorded. The distinguish of the oral mucosal forms were clinically depend on lesions basis.   Results  The findings showed that the prevalence at different hemoglobin (Hb) levels in the IDA group included fissured tongue (32.3%), atrophic glossitis (AG) (24%), recurrent aphthous ulcer (RAU) (15%) pallor(16%), oral candidiasis (5%), burning sensation (2.2%), oral pigmentation (2.2%), angular cheilitis (1.1%), and periodontitis (0.6%).   Conclusion Through this research, information was added to us about the effects of anemia on the oral cavity and the etiology of lesions and through it we can reach the correct diagnosis and treatment as early as possible and thus reduce the harmful adverse events of anemia.  


Joosten E. Iron deficiency anemia in older adults: A review. Geriatrics & Gerontology International, 2018;18(3), 373–379.

Warner MJ, Kamran MT. Iron Deficiency Anemia. [Updated 2022 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from:

Wu YC, Wang YP, Chang JY, Cheng SJ, Chen HM, Sun A. Oral manifestations and blood profile in patients with iron deficiency anemia. Journal of the Formosan Medical Association (JFMA). 2014;113: 83–87.

Derossi SS, and Raghavendra S. Anemia. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology Endodontics. 2003;95(2):131-41.

Lu SY. Perception of iron deficiency from oral mucosa alterations that show a high prevalence of Candida infection. J Formos Med Assoc. 2016; Aug;115(8):619-27.

Liu K, Kaffes AJ. Iron deficiency anemia: a review of diagnosis, investigation and management. Eur J Gastroenterology. Hepatology. 2012; 24: 109-116.

Killip S, Bennett JM, Chambers M. Iron Deficiency Anemia. Am Fam Physician. 2007; 75: 671-678.

Geisel T, Martin J, Schulze B, Schaefer R, Bash M, Virgin G, Stein J. An Etiologic Profile of Anemia in 405 Geriatric Patients. Hindawi Publishing Corporation. 2014;10.1155.

Goddard AF, James MW, McIntyre AS, Scott BB. Guidelines for the management of iron deficiency anemia. Gut. 2011; 60: 1309-1316.

Sari A, Pamungkasari, E.P., Dewi, Y.L.R. The addition of dates palm (Phoenix dactylifera) on iron supplementation (Fe) increases the hemoglobin level of adolescent girls with anemia. Bali Medical Journal 2018; 7(2): 356-360. DOI: 10.15562/bmj.v7i2.987

Tala, Z.Z., Darlan, D.M., Tantono, J., Arrasyid, N.K Accuracy in measuring hemoglobin concentration using portable hemoglobin meter method. Bali Medical Journal. 2017; 6(1): 121-124. DOI: 10.15562/bmj.v6i1.395

Camaschella C. Iron-Deficiency Anemia. N Engl J Med. 2015; 372:1832-1843.

Dörnyei, Z., Griffee, D. T. (2010). Research Methods in Applied Linguistics. TESOL Journal, 1(1), 181–183.

Nayak P, Nayak S, Donoghue M. Prevalence and Oral Manifestations of Iron Deficiency Anemia: A Short Study, Sushruth, & Donoghue; Mandana. Medico-Legal Update, 2011.

Shrotriya A, Shrotriya A. Oral Manifestations in Iron Deficiency Anemia.Journal of Advanced Medical and Dental Sciences Research. 2018;23(21):95-99.




How to Cite

Jaber HKJ, Husseien HA, Hashim Al Qudsi G. The prevalence of oral manifestations of Iron Deficiency Anemia in patients attending to College of Dentistry. J Pak Assoc Dermatol [Internet]. 2023Oct.12 [cited 2023Nov.28];33(4):1342-5. Available from:



Original Articles