Celiac Disease and its Oral Health Implications
Celiac disease is an intolerance to gluten containing products, such as wheat, rye barley and oats. 50% of Celiacs are lactose intolerant.
Symptoms include diarrhoea, anaemia, bleeding disorders, bloating, weight lose and many other symptoms that relate to the decreased ability of the celiac to absorb nutrients.
Celiac disease has a genetic connection, so it is often found in families. The gluten containing products cause a flattening of the villi in the small intestine which results in a decrease our ability to absorb nutrients.
What are the oral health implications?
· there are some oral implications of the nutritional deficencies that can occur in untreated celiacs. There can also be a reduced resisitance to infection
· Vitamin B12 deficencies can lead to apthous ulcers (regular recurrent ulcers), angular chelitis (see image) glossitis (inflammation of the tongue) and polyphagia (difficulty swallowing)
· Decreased bone density
· Celiacs can have impaired liver function and greater chance of lymphoma
· Suprisingly some dental products contain gluten or can be contaminated with gluten
· Controlled celiacs usually have a good diet of unprocessed foods
Celiac disease can be associated with Type 1 Diabetes, thyroid disease, Down syndrome, Sjogrens syndrome, rheumatoid arthritis and liver disease
Most dental hygiene products are gluten free. Colgate have released a statement saying that no gluten is added to any of their products Oral-B not so forthcoming. However it is difficult for them to eliminate cross-contamination with other products.
Please inform your dentist that you are a Celiac as it will help us to manage your treatment and home care better.
Any questions Please contact me at 9908 3466 or at firstname.lastname@example.org J