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  • Jefferson Adams
    Jefferson Adams

    Dental Enamel Defects in Children Strong Indicators of Celiac Disease

    Celiac.com 10/12/2007 - A team of Dutch dentists recently conducted a study to determine if Dutch children with proven celiac disease exhibit corresponding defects in dental enamel and to gauge whether children without proven celiac disease, but showing celiac-associated gastro-intestinal complaints lack any such defects in their dental enamel.

    The research team included CLAAR D. WIERINK, General dentist, DENISE E. VAN DIERMEN, Department of Oral and Maxillofacial Surgery, Academic Centre for Dentistry, Amsterdam, The Netherlands, IRENE H. A. AARTMAN, Department of Social Dentistry and Behavioral Sciences, Academic Centre for Dentistry, Amsterdam, The Netherlands, HUGO S. A. HEYMANS Emma Children’s Hospital, Academic Medical Centre, Amsterdam, The Netherlands

    The team was led by Claar D. Wierink, and looked at a group of 81 children, 53 who were known to have celiac disease, and 28 of whom served as a control group.

    The children underwent examinations from 2003-2004 and the Oral Surgery Outpatient Clinic of the Academic Medical Center in Amsterdam. 29 (55%) of the 53 children with celiac disease showed enamel defects, compared with 5 (18%) of the 28 non-celiac control subjects.

    Enamel defects were diagnosed as being specific in 20 of the 53 children with celiac disease, compared with only 1 (4%) of the 28 control subjects. Overall, children with celiac disease showed more specific enamel defects than did the control subjects.

    From these results, the researchers concluded that dentists might have a significant role to play in the early screening of patients who have undiagnosed celiac disease.

    International Journal of Paediatric Dentistry 2007


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    It would be nice to know the age of the children and whether primary or permanent teeth were affected and were those teeth affected similarly or were there specific differences. teeth develop in a finite sequence at specific ages.

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    Anything that could help detect celiac disease as early as possible is fantastic. I agree with Eric (comment #2), it would have been nice to have a little more info on the teeth

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    Interesting article but I have yet to find pictures as examples of the kind of dental deformities that are discussed so I can asses whether my son is affected. Dentists seem to know little or nothing about this in relation to Celiac Disease.

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    Nice article but please provide clinical references of specific enamel defects. As a dental professional with celiac disease I have never in 30 years seen a picture or heard of an enamel defect that was suggested it was related to celiac disease. This is new news. High fevers, medications, injury during tooth development have always been suggested of poor enamel. And when all else fails you blame it on genetics.

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    I wish my dentist knew about this - I can't tell you how many times I was accused of not brushing my teeth as a kid, and I couldn't figure out why I was getting so many cavities!

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    My daughter is 21 month old and I have celiacs. I know that she has it but she is still in the process of seeing doctors. Her front 4 teeth are missing enamel and they are very discolored (poor thing). I did not know that this also was associated with Celiacs. Would of been nice to know when I first noticed her teeth months ago, would of saved her from being so sick, underweight and under height.

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    My daughter does not eat wheat. Her brother has celiac disease and 3 of my other children also do not eat wheat. My daughter was loosing the enamel on her teeth and the dentist could not explain why, this went on from childhood to early adulthood. She also has a diagnosis of juvenile rheumatoid, the main reason she quit eating wheat. Enamel issues and joint deformities are all resolved.

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    Guest VIJAYKUMAR SONAR

    Posted

    My daughter suffering from celiac problem, & her dental strength is comparatively less than her sister. This article is simply good.

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    Hannah, I know just how you feel!! Let us not forget the possibility of a true lack of fluoride. I grew up on well water in Louisiana, & I, too, was accused of not brushing, BY MY DENTIST! I wish the idiot had realized that due to the lack of naturally occurring fluoride, my teeth were doomed from the start. My younger brothers & my husband were blessed to grow up with water that was fluoridated or had it naturally occurring. I had more cavities by he 1st grade than the 3 of them combined to the present! At the same time, this is yet one more symptom to tally on my checklist. I'm considering getting tested in the near future.

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    Many states and counties in the U.S. are wising up to the dangers of fluoride to your teeth and health, and are actually making it ILLEGAL to fluoridate the drinking water supply. Fluoride causes defects in enamel, too--sometimes quite severely--and taking it internally does even worse things to your teeth. To properly study the link to Celiac Disease, they would need to eliminate fluoride as a possible factor. Google 'dental fluorosis.' There is plenty of information on this subject.

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  • About Me

    Jefferson Adams earned his B.A. and M.F.A. at Arizona State University, and has authored more than 2,000 articles on celiac disease. His coursework includes studies in biology, anatomy, medicine, science, and advanced research, and scientific methods. He previously served as Health News Examiner for Examiner.com, and devised health and medical content for Sharecare.com. Jefferson has spoken about celiac disease to the media, including an appearance on the KQED radio show Forum, and is the editor of the book "Cereal Killers" by Scott Adams and Ron Hoggan, Ed.D.

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