The prevalence of celiac disease in patients with geographic tongue

Cigić, Livia; Galić, Tea; Kero, Darko; Šimunić, Miroslav; Mikić, Ivana Medvedec; Govorko, Danijela Kalibović; Lukenda, Dolores Biočina

doi:10.1111/jop.12450

Cited by 21 publications

(9 citation statements)

References 24 publications

(36 reference statements)

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“…The geographic tongue is a chronic, inflammatory and immuno-mediated oral lesion with an unknown etiology [ 25 ]. Atrophy of the filiform papillae leaves an erythematous area with a white, yellow or grey elevated peripheral zone and irregular jagged pattern of the tongue [ 25 ]. This manifestation may occur secondarily to an iron, folic acid or vitamin B12 deficiency, resulting from intestinal malabsorption [ 26 ].…”

Section: Resultsmentioning

confidence: 99%

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Oral Manifestations in Pediatric Patients with Coeliac Disease – A Review Article

Macho¹,

Coelho²,

Silva³

et al. 2017

TODENTJ

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Background:Coeliac disease is a chronic enteropathy that remains a challenge for the clinician, due to its atypical manifestations and etiopathogenic complexity.Objective:This article intends to describe the oral characteristics of Coeliac Disease in children in order to facilitate their management in the dental office.Methods:A review of the literature was performed electronically in PubMed (PubMed Central, and MEDLINE) for articles published in English from 2000 to April of 2017. The article is also based on the authors' clinical experience with children with coeliac disease. The searched keywords were “coeliac disease “,”oral manifestations “, “dental enamel defects”, “recurrent aphthous stomatitis” and “oral aphthous ulcers”.Results:There are some oral manifestations which are strictly related to coeliac disease: dental enamel defects, recurrent aphthous stomatitis, delayed tooth eruption, multiple caries, angular cheilitis, atrophic glossitis, dry mouth and burning tongue.Conclusion:The complete knowledge of the oral manifestations of coeliac disease can trigger an effective change in the quality of life of the patients with this disease.

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Section: Resultsmentioning

confidence: 99%

“…Cigic et al found that 9 (15%) patients with geographic tongue were positive for IgA tTG and in those patients histological changes consistent with CD were confirmed by duodenal biopsy. Only two of the patients reported gastrointestinal symptoms [ 25 ].…”

Section: Resultsmentioning

confidence: 99%

Oral Manifestations in Pediatric Patients with Coeliac Disease – A Review Article

Macho¹,

Coelho²,

Silva³

et al. 2017

TODENTJ

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“…To determine the DMFT/dmft indices, the total numbers of decayed, missing, and filled teeth were calculated. Soft tissue lesions (presence of RAS, geographical tongue, angular cheilitis, atrophic glossitis) and clinical delay of the dental eruption were also examined (14,22,23). Oral mucosal surfaces including tongue, lips, palate and their mucosa were observed (24).…”

Section: Oral Examinationmentioning

confidence: 99%

Clinical evaluation of dental enamel defects and oral findings in coeliac children

et al. 2019

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Clinical evaluation of dental enamel defects and oral findings in coeliac children PurposeTo examine dental hard and soft tissue changes of coeliac children in order to increase the awareness of the pediatric dentists in prediagnosis of especially undiagnosed coeliac disease. Materials and methodsSixty children, 28 (46.7%) boys and 32 (53.3%) girls whose ages were between 6 to 16 years were included in the present study. Thirty children who had undergone endoscopy and diagnosed with the coeliac disease in the Şişli Hamidiye Etfal Hospital, İstanbul, Turkey, formed the study group. Also, thirty children clinically suspected of having the coeliac disease with the same gastrointestinal complaints had undergone endoscopy and proven not coeliac were chosen as the control group. Oral examination involved assessment of dentition and specific and unspecific dental enamel defects. Also, soft tissue lesions, clinical delay of the dental eruption, salivary flow rate, pH, and buffering capacity were examined. ResultsTwenty coeliac patients had enamel defects, however none in the control subjects. In the coeliac group, all enamel defects were diagnosed in permanent teeth and as specific in all children. Grade I dental enamel defects found mainly in the incisors. The clinical delayed eruption was observed in 10 (33.3%) of 30 coeliac children and none of the children in the control group. While the level of DMFT/S numbers and stimulated salivary flow rate were found significantly lower in the coeliac group, pH was found significantly higher. ConclusionOral cavity may be involved in coeliac disease and pediatric dentists can play an important role in the early diagnosis of the coeliac disease.

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“…It is well-known that gluten exclusion does not influence the enamel hypoplasia, since the damage has already been established and it is irreversible [ 7 , 8 ], whereas RAS improves on a gluten-free diet (GFD) [ 9 ]. Atrophic glossitis (also known as geographical tongue) is instead reported in CD before diagnosis [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Tooth Wear Is Frequent in Adult Patients with Celiac Disease

et al. 2017

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(1) Background: Celiac disease (CD) patients can be affected by mouth and tooth disorders, which are influenced by their gluten-free diet. The aim of our research was to evaluate the pathological conditions of the stomatognathic system observed in celiac patients on a gluten-free diet. (2) Methods: we consecutively recruited celiac patients on a gluten-free diet at our celiac center, as well as healthy volunteers. Two dentists examined all patients/controls and checked them for any mouth disorder. (3) Results: Forty-nine patients affected by celiac disease (age at test 31.8 ± 11.58, time on GFD 8.73 ± 7.7) and 51 healthy volunteers (age at test 30.5 ± 8.7) were included. Recurrent aphthous stomatitis was reported in 26 patients (53.0%) and in 13 (25.5%) controls (p = 0.005). Dental enamel disorders were reported in 7 patients (14.3%) and in 0 controls (p = 0.002), with none having geographic tongue. We found non-specific tooth wear, characterized by loss of the mineralized tissue of the teeth, in 9 patients (18.3%) and in 3 (5.9%) controls (p = 0.05). (4) Conclusion: Recurrent aphthous stomatitis and enamel hypoplasia are “risk indicators” that may suggest that an individual has CD. We detected a high prevalence of non-specific tooth wear that can be caused by several factors such as malocclusion, sleep bruxism, parafunctional activity, and age.

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The prevalence of celiac disease in patients with geographic tongue

Abstract: The results of our study demonstrated the increased prevalence of CD in patients with GT. Therefore, the clinical oral examination should be considered a diagnostic tool, especially in atypical or silent forms of CD, since it may contribute to provide an early diagnosis.

Cited by 21 publications

References 24 publications

Oral Manifestations in Pediatric Patients with Coeliac Disease – A Review Article

Oral Manifestations in Pediatric Patients with Coeliac Disease – A Review Article

Clinical evaluation of dental enamel defects and oral findings in coeliac children

Tooth Wear Is Frequent in Adult Patients with Celiac Disease

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