Caries among adult patients with controlled celiac disease: A cross-sectional study

Spec Care Dentist. 2020 Sep;40(5):457-463. doi: 10.1111/scd.12491. Epub 2020 Jun 25.

Abstract

Introduction: Celiac disease (CD) is one of the most common chronic gastrointestinal disorders in the world. Currently, the literature about the dental profiles of patients with celiac disease is sparse and no studies have reported on the oral conditions and caries status of CD patients in Kuwait.

Objective: This study investigated the association between CD and caries experience.

Methods: Two groups were examined; study and control. The study group consisted of controlled celiac disease patients. The control group consisted of subjects who were matched for age and gender to the study group participants. Both groups received clinical and radiographic examinations of their oral cavity. Parameters recorded for the study purposes were-dental caries index (decayed, missing, and filled teeth), salivary flow rates (stimulated and unstimulated), salivary buffering capacity and Lactobacilli and mutans Streptococci bacterial counts.

Results: Patients with CD had statistically significant fewer missing teeth than the controls. There were no other significant differences. Measured stimulated and unstimulated salivary flow rates and salivary buffering capacity showed no statistical differences. Bacterial counts revealed no significant differences.

Conclusion: Adult patients with controlled CD showed fewer missing teeth than their counterparts. Other caries and salivary parameters showed no statistical differences between the two groups.

Keywords: adult; caries; celiac disease; saliva; streptococcus mutans.

MeSH terms

  • Adult
  • Celiac Disease* / complications
  • Cross-Sectional Studies
  • DMF Index
  • Dental Caries* / epidemiology
  • Humans
  • Saliva
  • Streptococcus mutans