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CeliaC Disease News From the NatioNal Digestive Diseases iNFormatioN CleariNghouse Celiac Disease Awareness Campaign • w w w.celiac.nih.gov A service of the National Institute of Diabetes and Digestive and Kidney Diseases, NIH FrEE Dental Enamel Defects and Celiac Disease Feature Article C eliac disease manifestations can extend Similar Symptoms, Different Problem beyond the classic gastrointestinal problems, affecting any organ or body Tooth defects that result from celiac disease may This feature article from resemble those caused by too much fluoride or a Celiac Disease News is system. One manifestation—dental enamel free and copyright free. defects—can help dentists and other health care maternal or early childhood illness. You’re welcome to reprint providers identify people who may have celiac “Dentists mostly say it’s from fluoride, that the or link to the article for disease and refer them to a gastroenterologist. mother took tetracycline, or that there was an your Ironically, for some people with celiac disease, a illness early on,” said Peter H.R. Green, M.D., • newsletter dental visit, rather than a trip to the gastroen- director of the Celiac Disease Center at Colum- • website terologist, was the first step toward discovering bia University. “Celiac disease isn’t on the radar • social media page their illness. screen of dentists in this coun- For more information Not all dental enamel defects try. Dentists should be made or to subscribe, visit are caused by celiac disease, aware of these manifestations www.celiac.nih.gov. although the problem is fairly to help them identify people common among people with and get them to see their doc- the condition, particularly tors so they can exclude celiac children, according to Alessio disease.” Fasano, M.D., medical director Green just completed a U.S. at the University of Maryland study with his dental col- Center for Celiac Research. And dental enamel league, Ted Malahias, D.D.S., that demonstrates defects might be the only presenting manifesta- celiac disease is highly associated with dental tions of celiac disease. enamel defects in childhood—most likely due to Dental enamel problems stemming from the onset of celiac disease during enamel forma- celiac disease involve permanent dentition and tion. The study, which did not identify a similar include tooth discoloration—white, yellow, or association in adults, concluded that all physician brown spots on the teeth—poor enamel forma- education about celiac disease should include tion, pitting or banding of teeth, and mottled or information about the significance of dental translucent-looking teeth. The imperfections enamel defects. are symmetrical and often appear on the inci- sors and molars. Other Oral Symptoms Checking a patient’s mouth is something primary Tooth defects resulting from celiac disease are care physicians also can do to help identify people permanent and do not improve after adopting who might have celiac disease. While dental a gluten-free diet—the primary treatment for enamel defects are the most prominent, a number celiac disease. But dentists may use bonding, of other oral problems are related to celiac disease, veneers, and other cosmetic solutions to cover according to Green. These include dental enamel defects in older children and adults. • recurrent aphthous stomatitis, or canker sores or ulcers that recur inside the mouth • atrophic glossitis, a condition characterized by a red, smooth, shiny tongue Celiac Disease Feature Article • � dry mouth syndrome • � squamous cell carcinoma—a type of The National Institutes cancer—of the pharynx and mouth of Health Celiac Disease Additional feature articles about celiac disease Awareness Campaign are available at the National Institutes of Health The National Institutes of Health Celiac Disease Celiac Disease Awareness Campaign (CDAC) Awareness Campaign provides current, website, www.celiac.nih.gov/articlearchives.aspx. comprehensive, science-based information about All of the articles are copyright-free and can be the symptoms, diagnosis, and treatment of celiac reproduced for newsletters, websites, and other disease, also known as celiac sprue, nontropical educational purposes. sprue, and gluten-sensitive enteropathy. The Awareness Campaign is an initiative of the Educational Materials and National Digestive Diseases Information resources Clearinghouse, a service of the National Institute of Diabetes and Digestive and Kidney Diseases. The following titles are available from the Download this publication and learn more about National Digestive Diseases Information the Awareness Campaign at www.celiac.nih.gov. Clearinghouse. Celiac Disease Awareness Campaign What I need to know about Celiac Disease c/o National Digestive Diseases Information Clearinghouse An easy-to-read booklet defining celiac disease 2 Information Way and outlining its symptoms, diagnosis, and Bethesda, MD 20892–3570 treatment. The booklet includes some examples Phone: 1–800–891–5389 of a gluten-free diet. Also available in Spanish. TTY: 1–866–569–1162 (16 pages) 2007. Fax: 703–738–4929 Email: firstname.lastname@example.org Celiac Disease Internet: www.digestive.niddk.nih.gov A fact sheet that provides general information The National Digestive Diseases Information about celiac disease symptoms, diagnosis, and Clearinghouse (NDDIC) is a service of the treatment. Explains how celiac disease can National Institute of Diabetes and Digestive disrupt the absorption of nutrients in the small and Kidney Diseases (NIDDK). The NIDDK is intestine. Includes examples of a gluten-free diet part of the National Institutes of Health of the from the American Dietetic Association’s latest U.S. Department of Health and Human Services. guidelines. (12 pages) 2008. Established in 1980, the Clearinghouse provides information about digestive diseases to people Celiac Disease: What You Need to Know with digestive disorders and to their families, Designed to make you ask yourself, “Could this health care professionals, and the public. The be me or someone I care for?” this National NDDIC answers inquiries, develops and distributes publications, and works closely with professional Institute of Diabetes and Digestive and Kidney and patient organizations and Government Diseases (NIDDK) Awareness and Prevention agencies to coordinate resources about digestive Series fact sheet defines celiac disease, provides diseases. a list of symptoms, and describes treatment. (4 pages) 2007. Publications produced by the Clearinghouse are carefully reviewed by both NIDDK scientists and Testing for Celiac Disease outside experts. Part of the NIDDK’s Provider Points Series, this This publication is not copyrighted. The fact sheet describes serological and genetic tests Clearinghouse encourages users of this to assess a patient’s need for an intestinal biopsy publication to duplicate and distribute as many to diagnose celiac disease. (2 pages) 2009. copies as desired. This publication is available at www.celiac.nih.gov/ To view these publications online, download PDF Materials.aspx. versions, or order copies, visit the CDAC website This publication may contain information about at www.celiac.nih.gov or call 1–800–891–5389. medications. When prepared, this publication included the most current information available. For updates or for questions about any medications, contact the U.S. Food and Drug Administration toll-free at 1–888–INFO–FDA NIH Publication No. 11–7397 (1–888–463–6332) or visit www.fda.gov. Consult April 2011 your health care provider for more information. The NIDDK prints on recycled paper with bio-based ink.
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