Your Dentist and Celiac Disease

Did you know that Celiac Disease can manifest itself in your teeth? According to a dental website:

“Patients with Celiac Disease will often show a symmetrical pattern of developmental enamel defects.… About 80% of patients with CD have enamel defects as compared with the non Celiac population which has a frequency of about 4%. ”

According to the National Institutes of Health,

“Not all dental enamel defects are caused by celiac disease, although the problem is fairly common among people with the condition, particularly children, according to Alessio Fasano, M.D., medical director at the University of Maryland Center for Celiac Research. And dental enamel defects might be the only presenting manifestations of celiac disease, Fasano said.

Dental enamel problems stemming from celiac disease involve permanent dentition and include tooth discoloration—white, yellow, or brown spots on the teeth—poor enamel formation, pitting or banding of teeth, and mottled or translucent-looking teeth. The imperfections are symmetrical and often appear on the incisors and molars.”

In the future, dentists might have a much more central role to play in the diagnosis of celiac disease, especially in children.

14 thoughts on “Your Dentist and Celiac Disease”

  1. I have constant and expensive dental problems in spite of good care and 3 month regular dental visits. My dentist has no idea why my teeth continue to deteriorate. I would be interested in more information about this. I have been GF for 10 years now but I continue to have dental problems.

  2. This is my first time ever reading a blog and I love this,important info.Thank you carroll I love to recieve any email from other bloggers.

  3. Another consideration for patients with celiac is whether the dental products or home care products have gluten. I speak on tooth whtiening, and know that a product from the dentist office for bleaching, Opalescence 10% PF (a carbamide peroxide from Ultradent Products Inc.) does not have Gluten. Also, a toothpaste for sensitive teeth, ProNamel (GlaxcoSmithKline) is gluten free. Make certain your dentist or hygienist is aware of the potential ingredients contraindicated for you that may be in materials inserted in the mouth for routine dental care and hygiene.

  4. yes..unbelievable!
    I had cavaties all the time and figured out i have celiac 5 months ago..since then no new cavaties and my teeth feel much stronger thanks to a gluten free diet.
    Am trying to find a dentist that seems to understand but they seem clueless.

  5. Thanks for all the info. I was told 1 year ago and had many teeth problems as well as spine and all bones. My dentist is totally knowlegable of CD and helped me so very much that he was shocked at how much improvement in 8 months of taking care of teeth and bones. Thank God for everyone working together. My son and grandson just had biopsy today for CD. It is truly a scary thing.

  6. I have such problems with my teeth – virtually all but 7 are root canaled all because of the celiac disease my endodontist said.

  7. I think dentists are becoming more aware of – and supportive of – patients with celiac disease and gluten sensitivities. After years of cavities every time I went to the dentist, I finally found one who stopped ‘blaming’ me and suggested that gluten sensitivity might be contributing to the problem. He told me to try a natural toothpaste (he recommended Dr. Nate’s Naturals, because it’s gluten-free, fluoride-free and uses xylitol, but I think there are other brands too) and to sip on water to keep my mouth moistened throughout the day. I think it’s really helped – I’ve finally had some checkups without new cavities!

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