Dental Enamel Defects and Celiac Disease by benbenzhou


									                                              CeliaC Disease News
                             From   the   NatioNal Digestive Diseases iNFormatioN CleariNghouse

                                Celiac Disease Awareness Campaign • w w
                                A service of the National Institute of Diabetes and Digestive and Kidney Diseases, NIH

                                Dental Enamel Defects and Celiac Disease
 Feature Article

                                         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             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,             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
                                                                                               Celiac Disease Awareness Campaign
                                 What I need to know about Celiac Disease                      c/o National Digestive Diseases Information
                                 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
                                 Celiac Disease                                                Internet:
                                 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
                                 To view these publications online, download PDF               Materials.aspx.
                                 versions, or order copies, visit the CDAC website             This publication may contain information about
                                 at 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 Consult
                                 April 2011
                                                                                               your health care provider for more information.
                                      The NIDDK prints on recycled paper with bio-based ink.

To top