Dental enamel defects in adult coeliac disease: prevalence and correlation with symptoms and age at diagnosis
| Autor: | L. Trotta, Gino Roberto Corazza, Federico Biagi, C. Vattiato, Paola Bianchi, A. Marchese, Vittorio Collesano, Davide Balduzzi |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Malabsorption Adult coeliac disease Enamel defects Age at diagnosis Dentistry Gastroenterology Severity of Illness Index Coeliac disease Lesion Young Adult stomatognathic system Weight loss Internal medicine Internal Medicine medicine Humans Dental Enamel business.industry Dental enamel Middle Aged medicine.disease stomatognathic diseases Celiac Disease Tooth Diseases Female medicine.symptom business |
| Zdroj: | European journal of internal medicine. 24(8) |
| ISSN: | 1879-0828 |
| Popis: | Background Coeliac disease is a condition characterized by a wide spectrum of clinical manifestations. Any organ can be affected and, among others, dental enamel defects have been described. Our aims were to study the prevalence of dental enamel defects in adults with coeliac disease and to investigate a correlation between the grade of teeth lesion and clinical parameters present at the time of diagnosis of coeliac disease. Methods A dental examination was performed in 54 coeliac disease patients (41 F, mean age 37 ± 13 years, mean age at diagnosis 31 ± 14 years). Symptoms leading to diagnosis were diarrhoea/weight loss (32 pts.), anaemia (19 pts.), familiarity (3 pts.); none of the patients was diagnosed because of enamel defects. At the time of evaluation, they were all on a gluten-free diet. Enamel defects were classified from grade 0 to 4 according to its severity. Results Enamel defects were observed in 46/54 patients (85.2%): grade 1 defects were seen in 18 patients (33.3%) grade 2 in 16 (29.6%), grade 3 in 8 (14.8%), and grade 4 in 4 (7.4%). We also observed that grades 3 and 4 were more frequent in patients diagnosed with classical rather than non-classical coeliac disease (10/32 vs. 2/20). However, this was not statistically significant. Conclusion This study confirms that enamel defects are common in adult coeliac disease. Observation of enamel defects is an opportunity to diagnose coeliac disease. |
| Databáze: | OpenAIRE |
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