{"id":27106,"date":"2022-01-24T09:00:41","date_gmt":"2022-01-24T09:00:41","guid":{"rendered":"https:\/\/www.asistenciadentalplus.com\/?p=27106"},"modified":"2022-01-18T21:25:26","modified_gmt":"2022-01-18T21:25:26","slug":"consequences-of-celiac-disease-on-your-oral-health","status":"publish","type":"post","link":"https:\/\/asistenciadentalplus.com\/en\/consecuencias-de-la-enfermedad-celiaca-en-tu-salud-bucodental\/","title":{"rendered":"Celiac disease and oral health: how it can affect teeth and mouth"},"content":{"rendered":"<p>When we talk about <strong>celiac disease<\/strong> We usually think of its effects on the digestive system. However, some of its manifestations can appear outside the intestine, and in certain patients, changes in the mouth can also be observed.<\/p>\n<p>Alterations in enamel development, recurring canker sores, and dry mouth are some of the signs that have been associated with celiac disease. This does not mean that all people with celiac disease will experience these symptoms, nor that their presence alone is sufficient to diagnose the disease.<\/p>\n<p>In <strong><a href=\"https:\/\/asistenciadentalplus.com\/en\/\">Asistencia Dental Plus<\/a><\/strong>, At our dental clinic in Valencia, we consider it important to assess oral health within the patient&#039;s overall condition, especially when recurring problems or issues of unclear origin arise.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Content<\/p>\n<span class=\"ez-toc-title-toggle\"><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/asistenciadentalplus.com\/en\/consecuencias-de-la-enfermedad-celiaca-en-tu-salud-bucodental\/#%C2%BFQue_es_realmente_la_enfermedad_celiaca\" >What exactly is celiac disease?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/asistenciadentalplus.com\/en\/consecuencias-de-la-enfermedad-celiaca-en-tu-salud-bucodental\/#%C2%BFComo_puede_afectar_la_celiaquia_a_la_boca\" >How can celiac disease affect the mouth?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/asistenciadentalplus.com\/en\/consecuencias-de-la-enfermedad-celiaca-en-tu-salud-bucodental\/#Defectos_del_esmalte_dental_y_celiaquia\" >Dental enamel defects and celiac disease<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/asistenciadentalplus.com\/en\/consecuencias-de-la-enfermedad-celiaca-en-tu-salud-bucodental\/#%C2%BFEl_esmalte_vuelve_a_la_normalidad_con_una_dieta_sin_gluten\" >Does enamel return to normal with a gluten-free diet?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/asistenciadentalplus.com\/en\/consecuencias-de-la-enfermedad-celiaca-en-tu-salud-bucodental\/#Aftas_bucales_que_aparecen_con_frecuencia\" >Mouth ulcers that appear frequently<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/asistenciadentalplus.com\/en\/consecuencias-de-la-enfermedad-celiaca-en-tu-salud-bucodental\/#Boca_seca_y_otras_posibles_manifestaciones\" >Dry mouth and other possible manifestations<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/asistenciadentalplus.com\/en\/consecuencias-de-la-enfermedad-celiaca-en-tu-salud-bucodental\/#Celiaquia_y_salud_dental_en_los_ninos\" >Celiac disease and dental health in children<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/asistenciadentalplus.com\/en\/consecuencias-de-la-enfermedad-celiaca-en-tu-salud-bucodental\/#%C2%BFLas_personas_celiacas_tienen_mas_caries\" >Do people with celiac disease get more cavities?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/asistenciadentalplus.com\/en\/consecuencias-de-la-enfermedad-celiaca-en-tu-salud-bucodental\/#%C2%BFPuede_el_dentista_detectar_la_celiaquia\" >Can a dentist detect celiac disease?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/asistenciadentalplus.com\/en\/consecuencias-de-la-enfermedad-celiaca-en-tu-salud-bucodental\/#%C2%BFComo_cuidar_la_boca_si_tienes_celiaquia\" >How to care for your mouth if you have celiac disease?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/asistenciadentalplus.com\/en\/consecuencias-de-la-enfermedad-celiaca-en-tu-salud-bucodental\/#La_boca_tambien_puede_aportar_informacion_sobre_nuestra_salud\" >The mouth can also provide information about our health.<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue_es_realmente_la_enfermedad_celiaca\"><\/span>What exactly is celiac disease?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Celiac disease is a <strong>immune-mediated disease triggered by gluten exposure<\/strong> in genetically susceptible individuals.<\/p>\n<p>Gluten is found primarily in grains such as wheat, barley, and rye. In people with celiac disease, its consumption triggers a response that can damage the small intestine and impair the proper absorption of certain nutrients.<\/p>\n<p>But celiac disease doesn&#039;t manifest itself in the same way in everyone. Some people experience obvious digestive symptoms, while others may experience symptoms in different parts of the body.<\/p>\n<p>The mouth is one of the areas where some associated signs may appear.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo_puede_afectar_la_celiaquia_a_la_boca\"><\/span>How can celiac disease affect the mouth?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>There is no single oral manifestation of celiac disease.<\/p>\n<p>Among others, the following have been described:, <strong>alterations in enamel formation, recurrent aphthous ulcers, decreased salivary flow, and delayed tooth eruption in some children<\/strong>.<\/p>\n<p>It&#039;s important to talk about associations and not consider these signs as exclusive to celiac disease. A stain on the enamel, a canker sore, or a dry mouth sensation can have many other causes.<\/p>\n<p>Therefore, dental examination can provide information, but it should always be interpreted within the general context of each patient.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Defectos_del_esmalte_dental_y_celiaquia\"><\/span>Dental enamel defects and celiac disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Enamel defects are probably one of the dental manifestations of celiac disease that have aroused the most interest.<\/p>\n<p>Enamel is the outer layer that protects the crown of the teeth. Its formation begins during tooth development, and any alteration during this process can result in changes that remain after the tooth has erupted.<\/p>\n<p>The following have been described in people with celiac disease:<\/p>\n<ul>\n<li><strong>White, yellow, or brown spots<\/strong> in the enamel.<\/li>\n<li>Grooves or small depressions.<\/li>\n<li>Areas of enamel formed irregularly.<\/li>\n<li>Mottled or more translucent appearance.<\/li>\n<li>Alterations that appear quite symmetrically in equivalent teeth.<\/li>\n<\/ul>\n<p>This last point can be particularly interesting during an examination. Defects related to celiac disease tend to have a symmetrical pattern and are frequently observed in incisors and molars.<\/p>\n<p>However, <strong>Having stains or defects in the enamel does not mean having celiac disease.<\/strong>. Fluorosis, certain diseases during tooth development, and other factors can also produce similar alterations.<\/p>\n<p>We also don&#039;t know of a single mechanism that explains why these defects appear in people with celiac disease. Possible nutritional and immunological factors have been studied, but it wouldn&#039;t be correct to attribute them simply to a lack of calcium.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFEl_esmalte_vuelve_a_la_normalidad_con_una_dieta_sin_gluten\"><\/span>Does enamel return to normal with a gluten-free diet?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>When the defect has occurred during tooth formation, <strong>The enamel that is already damaged does not regenerate when starting a gluten-free diet<\/strong>.<\/p>\n<p>This does not mean that nothing can be done.<\/p>\n<p>Depending on the type of alteration, its extent, the patient&#039;s age, and whether there is a functional or aesthetic problem, the dentist can assess different alternatives to protect or improve the appearance of the tooth.<\/p>\n<p>In some cases, monitoring will suffice. In others, restorative or cosmetic treatments tailored to the condition of the enamel may be advisable.<\/p>\n<p>The <a href=\"https:\/\/asistenciadentalplus.com\/en\/treatment\/conservative-dentistry-in-valencia\/\"><strong>Conservative dentistry in Valencia<\/strong><\/a> This allows us to assess the condition of each tooth and determine if it needs any treatment, always trying to preserve as much healthy dental tissue as possible.<\/p>\n<p>When the main concern is the appearance of the teeth, different options can also be explored within the <strong><a href=\"https:\/\/asistenciadentalplus.com\/en\/treatment\/cosmetic-dentistry-in-valencia\/\">Cosmetic dentistry in Valencia<\/a><\/strong>, always after making an individualized diagnosis.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Aftas_bucales_que_aparecen_con_frecuencia\"><\/span>Mouth ulcers that appear frequently<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Canker sores are small lesions or ulcers that appear inside the mouth and usually disappear on their own after a while.<\/p>\n<p>They are very common in the general population and can be related to multiple factors, therefore <strong>Having canker sores is not in itself indicative of celiac disease.<\/strong>.<\/p>\n<p>However, recurrent aphthous ulcers have been described more frequently among the oral manifestations associated with celiac disease.<\/p>\n<p>When they appear continuously, are numerous, or are accompanied by other symptoms, it is helpful to discuss it with both the dentist and the medical professional who is monitoring the patient.<\/p>\n<p>In people who have already been diagnosed with celiac disease, some soft tissue manifestations, such as recurrent canker sores, may improve when the disease is properly controlled by the diet prescribed by the medical team.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Boca_seca_y_otras_posibles_manifestaciones\"><\/span>Dry mouth and other possible manifestations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Another alteration described in some patients is the <strong>decreased salivary flow or dry mouth sensation<\/strong>.<\/p>\n<p>Saliva plays a fundamental role in the balance of our mouth: it helps to keep tissues moist, facilitates natural cleaning, and participates in the protection of teeth.<\/p>\n<p>When dryness persists over time, it can cause discomfort when speaking or eating and increase the mouth&#039;s vulnerability to certain problems.<\/p>\n<p>However, dry mouth has many possible causes. It can be related to medications, dehydration, mouth breathing, or certain illnesses, among other factors. Therefore, we shouldn&#039;t automatically attribute it to celiac disease either.<\/p>\n<p>Other manifestations have also been described in some patients, such as tongue alterations or angular cheilitis \u2014lesions at the corners of the lips\u2014, although their presence is not specific to this disease either.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Celiaquia_y_salud_dental_en_los_ninos\"><\/span>Celiac disease and dental health in children<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Childhood deserves special attention because many teeth are still in the process of forming and erupting.<\/p>\n<p>In children with celiac disease, the following have been described <strong>enamel defects in both primary and permanent dentition<\/strong>, However, these alterations are especially noticeable in permanent teeth.<\/p>\n<p>A delay in tooth eruption may also occur in some cases.<\/p>\n<p>This makes children&#039;s dental checkups an opportunity to observe not only if there are cavities or bite problems, but also how the teeth are developing and if there is any alteration that deserves follow-up.<\/p>\n<p>In our service of <strong><a href=\"https:\/\/asistenciadentalplus.com\/en\/treatment\/pediatric-dentistry-in-valencia\/\">Pediatric dentistry in Valencia<\/a><\/strong> We monitor oral health during the different stages of growth, adapting check-ups and treatments to the needs of each child.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFLas_personas_celiacas_tienen_mas_caries\"><\/span>Do people with celiac disease get more cavities?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>We cannot say that in general.<\/p>\n<p>Studies that have analyzed the relationship between celiac disease and tooth decay have found <strong>different results<\/strong>, Therefore, there is currently no sufficiently clear evidence to suggest that a person will have more cavities simply for being celiac.<\/p>\n<p>The important thing is to assess the risk factors of each patient: oral hygiene, diet, quantity and quality of saliva, enamel characteristics and frequency of check-ups, among others.<\/p>\n<p>Therefore, rather than assuming a high risk of cavities, it is much more useful to maintain adequate prevention and evaluate each case individually.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFPuede_el_dentista_detectar_la_celiaquia\"><\/span>Can a dentist detect celiac disease?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The dentist <strong>It does not diagnose celiac disease<\/strong>, However, certain manifestations may be observed that, along with other symptoms or history, make a medical evaluation advisable.<\/p>\n<p>For example, finding enamel defects with a characteristic pattern along with recurrent canker sores or other history may justify discussing this possibility with the doctor.<\/p>\n<p>The diagnosis of celiac disease requires a medical evaluation and the corresponding tests.<\/p>\n<p>Furthermore, if celiac disease is suspected, <strong>It is not advisable to start a gluten-free diet on your own before undergoing diagnostic testing.<\/strong>, since removing gluten can alter your results.<\/p>\n<p>Therefore, the dentist&#039;s role is not to diagnose the disease, but to recognize that certain alterations in the mouth may be part of a larger problem and to recommend appropriate evaluation when necessary.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo_cuidar_la_boca_si_tienes_celiaquia\"><\/span>How to care for your mouth if you have celiac disease?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A person with celiac disease does not necessarily need a different dental hygiene routine, but it is advisable to pay attention to any problems that may arise.<\/p>\n<p>As general guidelines:<\/p>\n<ul>\n<li>Maintain a <strong>Brush your teeth twice a day with fluoridated toothpaste<\/strong>.<\/li>\n<li>Clean the spaces between your teeth daily.<\/li>\n<li>Maintain regular dental checkups.<\/li>\n<li>Consult if canker sores appear very frequently.<\/li>\n<li>Discuss a persistent feeling of dry mouth with your dentist.<\/li>\n<li>Check for stains or defects in the enamel to determine their origin and whether they need treatment.<\/li>\n<li>In children, monitor the development and eruption of teeth.<\/li>\n<\/ul>\n<p>If celiac disease has already been diagnosed, medical follow-up and a properly prescribed gluten-free diet are essential for managing the condition. Dental care, for its part, focuses on preventing, detecting, and treating any potential consequences affecting teeth and oral tissues.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"La_boca_tambien_puede_aportar_informacion_sobre_nuestra_salud\"><\/span>The mouth can also provide information about our health.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Our oral health is not isolated from the rest of the body. Certain diseases can leave marks on teeth, gums, tongue, or other tissues, and celiac disease is a good example of this relationship.<\/p>\n<p>This does not mean that any enamel defect, canker sore, or episode of dry mouth should immediately make us think of celiac disease. <strong>None of these signs are exclusive to celiac disease and should always be evaluated within the context of each person.<\/strong><\/p>\n<p>However, if there are alterations in the enamel, recurring canker sores, persistent dry mouth, or doubts about a child&#039;s dental development, a check-up can help us determine what is happening and whether any treatment is necessary or if a medical evaluation should be recommended.<\/p>\n<p>At Asistencia Dental Plus we study each case individually to take care of your dental and oral health through prevention, diagnosis and personalized follow-up.<\/p>","protected":false},"excerpt":{"rendered":"<p>Cuando hablamos de enfermedad cel\u00edaca solemos pensar en sus efectos sobre el aparato digestivo. Sin embargo, algunas de sus manifestaciones pueden aparecer fuera del intestino y, en determinados pacientes, tambi\u00e9n pueden observarse cambios en la boca. Alteraciones en el desarrollo del esmalte, aftas que aparecen repetidamente o cierta sequedad bucal son algunos de los signos [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":27107,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[26],"tags":[42],"class_list":["post-27106","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-problemas-dentales","tag-salud-bucodental"],"acf":[],"_links":{"self":[{"href":"https:\/\/asistenciadentalplus.com\/en\/wp-json\/wp\/v2\/posts\/27106","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/asistenciadentalplus.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/asistenciadentalplus.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/asistenciadentalplus.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/asistenciadentalplus.com\/en\/wp-json\/wp\/v2\/comments?post=27106"}],"version-history":[{"count":0,"href":"https:\/\/asistenciadentalplus.com\/en\/wp-json\/wp\/v2\/posts\/27106\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/asistenciadentalplus.com\/en\/wp-json\/wp\/v2\/media\/27107"}],"wp:attachment":[{"href":"https:\/\/asistenciadentalplus.com\/en\/wp-json\/wp\/v2\/media?parent=27106"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/asistenciadentalplus.com\/en\/wp-json\/wp\/v2\/categories?post=27106"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/asistenciadentalplus.com\/en\/wp-json\/wp\/v2\/tags?post=27106"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}