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Tooth Wear Is Frequent in Adult Patients with Celiac Disease

Department of Medicine, Surgery and Dentistry, Medical School of Salerno, 84131 Salerno, Italy
Author to whom correspondence should be addressed.
These authors contributed equally to this paper.
Nutrients 2017, 9(12), 1321;
Received: 26 September 2017 / Revised: 29 November 2017 / Accepted: 30 November 2017 / Published: 4 December 2017
PDF [1135 KB, uploaded 4 December 2017]


(1) Background: Celiac disease (CD) patients can be affected by mouth and tooth disorders, which are influenced by their gluten-free diet. The aim of our research was to evaluate the pathological conditions of the stomatognathic system observed in celiac patients on a gluten-free diet. (2) Methods: we consecutively recruited celiac patients on a gluten-free diet at our celiac center, as well as healthy volunteers. Two dentists examined all patients/controls and checked them for any mouth disorder. (3) Results: Forty-nine patients affected by celiac disease (age at test 31.8 ± 11.58, time on GFD 8.73 ± 7.7) and 51 healthy volunteers (age at test 30.5 ± 8.7) were included. Recurrent aphthous stomatitis was reported in 26 patients (53.0%) and in 13 (25.5%) controls (p = 0.005). Dental enamel disorders were reported in 7 patients (14.3%) and in 0 controls (p = 0.002), with none having geographic tongue. We 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 (p = 0.05). (4) Conclusion: Recurrent aphthous stomatitis and enamel hypoplasia are “risk indicators” that may suggest that an individual has CD. We detected a high prevalence of non-specific tooth wear that can be caused by several factors such as malocclusion, sleep bruxism, parafunctional activity, and age. View Full-Text
Keywords: enamel hypoplasia; tooth wear; aphthosis; celiac disease enamel hypoplasia; tooth wear; aphthosis; celiac disease

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Amato, M.; Zingone, F.; Caggiano, M.; Iovino, P.; Bucci, C.; Ciacci, C. Tooth Wear Is Frequent in Adult Patients with Celiac Disease. Nutrients 2017, 9, 1321.

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