28th November 2023
While gastrointestinal symptoms are well recognised as part of the diagnosis of coeliac disease, it is important to remember that symptoms can be present in the oral cavity – the entrance to the GI tract.
Turska-Szybka et al (2023) carried out a systematic review of the literature, identifiying 34 studies that fitted their criteria assessing the impact of coeliac disease on oral health. Participant age range was 0-20 years, with 6997 participants being included. There was a higher prevalence of oral manifestations amongst children with coeliac disease than the control group, with increased incidence of dental caries, reduction of salivary flow, alterations of saliva concentration, delayed dental eruption and dental maturity. In most cases, compliance to a gluten-free diet alleviated all symptoms. The group concluded that dental examination may be a useful non-invasive screening tool for children and oral ulceration should be included as part of a coeliac screen especially if GI symptoms are subtle. Hazel Duncan, RD
More on the review here...