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Educate Your Dentist About Celiac


Travis-Hiland

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Travis-Hiland Rookie

As discussed in other posts, Celiac Disease is probably the most underdiagnosed and misdiagnosed conditions in the U.S. Outside the U.S., especially Europe are much more advanced in their understanding and earlier diagnosis of the disease. In fact, physicians outside the U.S. commonaly screen chidlren every five years as a matter practice. They know that Celiac is one of the most common genetic conditions in the world.

Celiac is a malabsorbtion condition, or a disease that prevents the body from absorbing vital and basic nutrients, i.e., proteins, carbohydrates, fats, vitamins, minerals, and in some cases, water and bile salts. If Celiac disease is left untreated, damage to the small bowel may be chronic and life-threatening, leading to associated disorders, both nutritional and immune-related, and an increased risk of intestinal lymphomas and other GI malignancies.

One of the basic nutrients pre-diagnosed Celiacs are not absorbing is calcium and Vitamin D and other nutrients required to maintain a strong enamel and strong bones. It is therefore common for Celiacs to have dental problems. My wife's dental problems were a source of great pain and frustration to her, especially because she is obsessive about her oral hygiene. She brushes her teeth and flosses religiously, yet she made twice the trips to the dentist than thre rest of the family combined. The dentists could only surmize that her teeth were "soft", an unfortunate genetic anomoly that she would have to live with. Once again, if the dentists had only been aware of the very common celiac symptom of weak or "soft" teeth, they could helped lead my wife to an earlier diagnosis, and saved not only future dental bills, but countless amounts of emotional and physicial fatigue and pain as a result of living with the pre-diagnosed condition.

So, here is another call to share information with your dentist about how Celiac is a very common cause of dental problems, and should be shared with their patients as a possible condition. It is so very easy to have their MD order a blood test to screen for the specific Antibodies related to the disease. Peace of mind can come even by ruling out the possibility.


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    • Scott Adams
      You are right to be proactive, as research does indicate that individuals with celiac disease can have a higher predisposition to enamel defects, cavities, and periodontal issues, even with excellent oral hygiene. While many people with celiac successfully undergo orthodontic treatment without complication, your caution is valid. It may be beneficial to seek a consultation with an orthodontist who is familiar with managing patients with autoimmune conditions or who is willing to collaborate with your daughter's gastroenterologist or a periodontist. They can perform a thorough assessment of her current oral health, discuss your specific concerns about recession and decay, and create a tailored hygiene plan. This second opinion could provide a clearer risk-benefit analysis, helping you decide if addressing the cosmetic concern of the lower teeth is worth the potential risks for your daughter, especially if they are not currently affecting function or her confidence. 
    • Scott Adams
      This is an older article, but still helpful:  
    • cristiana
      It's strange because I'm pretty sure not too long ago I picked up a loaf of bread with B vitamins, but I can't find a single one now.  Probably cutbacks, everyone's trying to save money now!
    • Scott Adams
      Eating grains typically depletes certain B vitamins, so I'm not sure why they decided to fortify with calcium and iron, but hopefully we'll see more B vitamin fortification in gluten-free products going forward.
    • Rogol72
      @HAUS, I was at an event in the UK a few years back. I remember ringing the restaurant ahead to inquire about the gluten free options. All I wanted was a few gluten free sandwiches, which they provided and they were delicious. The gluten-free bread they used was Warbutons white bread and I remember mentioning it on this site before. No harm in trying it once. It's fortified with Calcium and Iron. https://www.warburtonsglutenfree.com/warbs_products/white-loaf/ The only other gluten-free bread that I've come across that is fortified is Schar with Iodized salt, nothing else.
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