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Dentist


NikkiLynn

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NikkiLynn Newbie

I haven't been to the dentist since I was diagnosed with Celiacs Disease a few months ago. I have an appt. to go in a couple of weeks and wanted to know if I should be worried about any of the products they use? Should I call the dentist before I go to make sure everything is safe?


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elye Community Regular

Hi, NikkiLynn,

I have two good friends who are dental hygienists, and they have both warned me that often surgical gloves that come into the offices are packaged with flour sprinkled between the stacks, I guess to keep them from sticking together. So if you're hyper-sensitive, you may want to ask your dentist about this.

floridanative Community Regular

Oh my gosh!!! Here I was annoyed that my dentist office told me the only way they could safely clean my teeth now is to use baking soda. I'm sure they would never have thought of the gloves..... And honestly I am taking my own Aqua Fresh toothpaste in and asking them to use that instead of baking soda. Do I have to take my own gloves in too. And if so, what about gloves for the gyno exam?? :o

elye Community Regular

A GREAT question...I never took that logical step forward and considered all the other places besides our dentist's where we come in contact with surgical gloves. I have my check-up next week, and I'm sure gonna ask my GP about it. I'm SOOOOO tired of bringing all my own stuff places (food, toothpaste)...don't tell me I'm going to be bringing my own rubber gloves, too!

floridanative Community Regular

I'm right there with you elye....you made me laugh! I did call the gyno this week and they make me call the manuf. of the lubricant they use. I'm thinking I'm the docs first Celiac patient - well that she knows of anyway :lol: .

The widely used brand of lubricant 'Surgilube" is indeed gluten free. If you want to call yoourself you can find the toll free number at www.fougera.com. They make a lot of medical products used by doctors.

ravenwoodglass Mentor
I haven't been to the dentist since I was diagnosed with Celiacs Disease a few months ago. I have an appt. to go in a couple of weeks and wanted to know if I should be worried about any of the products they use? Should I call the dentist before I go to make sure everything is safe?

Yes, Many of the products they use not just gloves and toothpaste have gluten issues. Let your dentist know now so they can check everything from the gloves to the numbing products to the filling and mold materials they use. Make sure they actually check, my last dentist just wrote celiac in my chart and poisoned me at every visit. I switched dentists and they checked everything, she was even reluctant to use a cotton ball without checking for contamination issues. I have always hated dentists but I love her. It may take some looking if you have to change but it is worth not to get sick.

Guest cassidy

My dentist called and checked on the paste for me. They put it in my file that it is gluten-free. I didn't have any problems at all.


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elye Community Regular

This still brings us back to the flour-in-the-glove-packaging issue. I think everyone is accustomed to always checking the INGREDIENTS of materials used, but not this weird issue of dusted flour for packaging purposes. What's our world coming to? I'm with ya, floridanative, you gotta laugh your way through all this, or else madness surely lies in wait...we have to scrupulously check ingredients on everything we injest, now must we scrupulously check the way everything we come in contact with is packaged?!! My two hygienist friends have been at it for a long time, and I trust their information...yeeeeessssshhh....

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    • Scott Adams
      The first set of results show two positive results for celiac disease, so at the very least it looks like you could have it, or at the least NCGS.   Approximately 10x more people have non-celiac gluten sensitivity than have celiac disease, but there isn’t yet a test for NCGS. If your symptoms go away on a gluten-free diet it would likely signal NCGS.      
    • Scott Adams
      Elevated tissue transglutaminase IgA (tTG-IgA) levels are highly specific for celiac disease, and they are a key biomarker used in its diagnosis. However, there are some rare instances where elevated tTG-IgA levels have been reported in conditions other than celiac disease. While these cases are not common, they have been documented in the literature. Below are some examples and references to studies or reviews that discuss these scenarios:  1. Non-Celiac Gluten Sensitivity (NCGS)    - NCGS typically does not cause elevated tTG-IgA levels, as it is not an autoimmune condition. However, some individuals with NCGS may have mild elevations in tTG-IgA due to intestinal inflammation or other factors, though this is not well-documented in large studies.    - Reference: Catassi, C., et al. (2013). *Non-Celiac Gluten Sensitivity: The New Frontier of Gluten-Related Disorders*. Nutrients, 5(10), 3839–3853. [DOI:10.3390/nu5103839](https://doi.org/10.3390/nu5103839)  2. Autoimmune Diseases    - Elevated tTG-IgA levels have been reported in other autoimmune conditions, such as type 1 diabetes, autoimmune hepatitis, and systemic lupus erythematosus (SLE). This is thought to be due to cross-reactivity or polyautoimmunity.    - Reference: Sblattero, D., et al. (2000). *The Role of Anti-Tissue Transglutaminase in the Diagnosis and Management of Celiac Disease*. Autoimmunity Reviews, 1(3), 129–135. [DOI:10.1016/S1568-9972(01)00022-3](https://doi.org/10.1016/S1568-9972(01)00022-3)  3. Chronic Liver Disease    - Conditions like chronic hepatitis or cirrhosis can sometimes lead to elevated tTG-IgA levels, possibly due to increased intestinal permeability or immune dysregulation.    - Reference: Vecchi, M., et al. (2003). *High Prevalence of Celiac Disease in Patients with Chronic Liver Disease: A Role for Gluten-Free Diet?* Gastroenterology, 125(5), 1522–1523. [DOI:10.1016/j.gastro.2003.08.031](https://doi.org/10.1016/j.gastro.2003.08.031)  4. Inflammatory Bowel Disease (IBD)    - Some patients with Crohn’s disease or ulcerative colitis may have elevated tTG-IgA levels due to intestinal inflammation and damage, though this is not common.    - Reference: Walker-Smith, J. A., et al. (1990). *Celiac Disease and Inflammatory Bowel Disease*. Journal of Pediatric Gastroenterology and Nutrition, 10(3), 389–391. [DOI:10.1097/00005176-199004000-00020](https://doi.org/10.1097/00005176-199004000-00020)  5. Infections and Parasites    - While infections (e.g., giardiasis) are more commonly associated with false-positive tTG-IgA results, chronic infections or parasitic infestations can sometimes lead to elevated levels due to mucosal damage.    - Reference: Rostami, K., et al. (1999). *The Role of Infections in Celiac Disease*. European Journal of Gastroenterology & Hepatology, 11(11), 1255–1258. [DOI:10.1097/00042737-199911000-00010](https://doi.org/10.1097/00042737-199911000-00010)  6. Cardiac Conditions    - Rarely, heart failure or severe cardiovascular disease has been associated with elevated tTG-IgA levels, possibly due to gut ischemia and increased intestinal permeability.    - Reference: Ludvigsson, J. F., et al. (2007). *Celiac Disease and Risk of Cardiovascular Disease: A Population-Based Cohort Study*. American Heart Journal, 153(6), 972–976. [DOI:10.1016/j.ahj.2007.03.019](https://doi.org/10.1016/j.ahj.2007.03.019)  Key Points: - Elevated tTG-IgA levels are highly specific for celiac disease, and in most cases, a positive result strongly suggests celiac disease. - Other conditions causing elevated tTG-IgA are rare and often accompanied by additional clinical findings. - If celiac disease is suspected, further testing (e.g., endoscopy with biopsy) is typically required for confirmation. If you’re looking for more specific studies, I recommend searching PubMed or other medical databases using terms like "elevated tTG-IgA non-celiac" or "tTG-IgA in non-celiac conditions." Let me know if you’d like help with that!
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