Abstract
Objective:To determine presence and distribution of enamel defects, recurrent oral aphthous lesions (RAS) and dental caries in children with Celiac Disease (CD) and compare the results with a healthy control group.Methods:Twenty- five CD patients age between 4- 16 years with no other systemic disease, were examined in Pediatric Gastroenterology Clinic of Erciyes University, Faculty of Medicine (Kayseri, Turkey) and then referred to Department of Pediatric Dentistry, Faculty of Dentistry for dental examination and treatment. The control group (25 patients) consisted healthy patients referred to the Department of Pediatric Dentistry, Faculty of Dentistry, Erciyes University for restorative treatment. Both the CD group and control group was examined by the same investigator for the following; (1) enamel defects, (2) recurrent aphthous stomatitis, (3) dental caries.Results:The mean dmft values for the CD group and control group were 3.25±3.25 and 4.56±2.87 respectively. The difference was not statistically significant.(P>0.05). The mean DMFT values for the CD and the control group were 3.75±2.62 and 1.83±1.7, respectively. There was a significant difference between the two groups (P<0.01). The prevalence of enamel defects and recurrent apthous stomatitis (RAS) was greater in celiac patients than in the control group. Enamel defects (in at least one permanent tooth) were observed in 12 out of 25 (48%) children in the CD group and four out of 25 children (16%).(P =0.01). Recurrent apthous stomatitis was found in 11/25 (44%) CD group, while no RAS was detected in the control group.Conclusion:Celiac Disease (CD) has adverse effects on oral health in term of enamel defect, recurrent aphthous stomatitis and caries score. Pediatricians and dentists especially pediatric dentists should be knowledgeable about oral symptoms of CD. Increased awareness can provide an early diagnosis and prevent long- term complications of this disease. On the other hand, further comprehensive investigations of CD patients can add to our understanding of the efficacy of CD on oral health in children.
Highlights
Celiac disease (CD) is a common autoimmune chronic disorder related to permanent intolerance to the polypeptide fragments of gluten, a protein contained in some cereals, such as wheat, rye, and barley and can be defined as gluten- sensitive entheropathy.[1]
There was no significant difference in terms of age and gender between Celiac Disease (CD) group and control group (P>0.05) (Table-I)
In accordance with this study, we found higher mean DMFT score in CD group than the control group
Summary
Celiac disease (CD) is a common autoimmune chronic disorder related to permanent intolerance to the polypeptide fragments of gluten, a protein contained in some cereals, such as wheat, rye, and barley and can be defined as gluten- sensitive entheropathy.[1] Most common symptoms of the CD are; pain and discomfort in the digestive tract, chronic constipation and diarrhea, failure to thrive (in children), anemia and fatigue.[1] On the other hand, malabsorption from the small intestine because of atrophy in mucosa of intestine, results in vitamin deficiencies in patients with celiac disease.[2] The prevalence of CD is approximately 1% in the general population for American and European communities.[3] the ratio of CD was reported as 1:115 in Turkey.[4] Patients with CD can show some symptoms in oral cavity as it is a part of gastrointestinal system.[5] The most common oral symptoms are recurrent aphthous stomatitis (RAS), dental enamel defects, delayed eruption, atrophic glossitis and angular chelitis.[5]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
