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Celiac.com 03/15/2019 - A number of studies have shown a correlation between dental enamel defects and the presence of celiac disease. The connection opens up a possible avenue for dentists to help diagnose celiac disease by noticing dental symptoms and making a referral for celiac evaluation. Celiac.com has done a few articles on this subject over the years. Now, periodontal teams looking to remain on the cutting-edge of comprehensive dentistry are taking course-work on the impact of celiac disease on dental health. One such team, board-certified periodontists, Drs. Sam Bakuri and Mark J. Weingarden of Pittsburgh, PA, recently completed a course on the impact of celiac disease and dental health with members of their team at Greater Pittsburgh Dental Implants & Periodontics. Led by Cynthia Kupper, RD, celiac disease, CEO of the Gluten Intolerance Group (GIG), the training helped Drs. Bakuri and Weingarden to learn about dental issues commonly associated with celiac disease, such as enamel defects, cavities and frequent canker sores. The training will help these dental professionals spot the dental effects of celiac disease early, before they can cause health or cosmetic issues later in life. It will also allow them to suggest appropriate dental options to improve the dental and general health of their patients. Anyone in the Pittsburgh area who wishes to discuss the dental health implications of celiac disease, along with possible treatment options, can contact Drs. Bakuri and Weingarden by phone at 412-201-0633. Learn more about the team at Greater Pittsburgh Dental Implants & Periodontics. Do you know of any other dentists or dental professionals who are up to speed on celiac disease and dental health? Please share your information below.
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Celiac.com 07/05/2018 - We’ve known for a while that dental enamel defects can be an indicator of celiac disease. Now, a new study has evaluated the pathological conditions of the stomatognathic system observed in celiac patients on a gluten-free diet, and found that non-specific tooth wear can be seen nearly 20% of celiac patients, while such wear is seen in just under 6% of non-celiac control subjects. The data come from a team of researchers that recently set out to evaluate the pathological conditions of the stomatognathic system observed in celiac patients on a gluten-free diet. The research team included Massimo Amato, Fabiana Zingone, Mario Caggiano Orcid, Paola Iovino, Cristina Bucci and Carolina Ciacci. They are variously affiliated with the Department of Medicine, Surgery and Dentistry, Medical School of Salerno in Salerno, Italy. For their study, the team consecutively recruited celiac patients on a gluten-free diet, along with healthy control volunteers, from the team’s celiac clinic. Two dentists examined all patients and controls and examined them for mouth disorders. The study included forty-nine patients with celiac disease, and 51 healthy volunteer subjects. The team found recurrent aphthous stomatitis in 26 patients (53.0%) and in 13 (25.5%) controls. They found dental enamel disorders in 7 patients (14.3%) and in 0 controls (p = 0.002), with no cases of geographic tongue. They found non-specific tooth wear, characterized by loss of the mineralized tissue of the teeth, in 9 patients (18.3%) and in 3 (5.9%) controls. From this data, the team notes that recurrent aphthous stomatitis and enamel hypoplasia are “risk indicators” that indicate the possible presence of celiac disease. Among patients with celiac disease, the team found high rates of non-specific tooth wear that can be caused by several factors such as malocclusion, sleep bruxism, parafunctional activity, and age. This study, and previous studies on dental enamel defects, confirms that non-specific tooth wear and enamel defects can be strong indications of celiac disease, and may lead to a more active role for dentists in helping to spot and diagnose celiac disease. Source: mdpi.com