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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
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Author to whom correspondence should be addressed.
These authors contributed equally to this paper.
Nutrients 2017, 9(12), 1321; https://doi.org/10.3390/nu9121321
Received: 26 September 2017 / Revised: 29 November 2017 / Accepted: 30 November 2017 / Published: 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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