There's a Mouth Attached to the Rest of the GI Tract
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There's a Mouth Attached to the Rest of the GI Tract

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    There's a Mouth Attached to the Rest of the GI Tract There's a Mouth Attached to the Rest of the GI Tract Presentation Transcript

    • Celiac disease and Oral health
      • Trey L. Petty, DDS, FADI, FAGD
      • Holy Cross Hospital Centre
      • Calgary Alberta Canada
      • Oral Manifestations:
        • Recurrent aphthous stomatitis, canker sores
      celiac Disease & Oral health
        • Atrophic glossitis
        • Xerostomia - dry mouth
        • Squamous cell carcinoma
    • celiac Disease & Oral health
      • Oral Manifestations:
        • Enamel defects
    • celiac Disease & Oral health
      • Oral Manifestations:
        • Enamel defects
      • Range:
      • Symmetrical spots of hypocalcification on incisors
      • Severe structural defects
    • celiac Disease & Oral health
      • Oral Manifestations:
        • Enamel defects
      • North American Society for Pediatric Gastroenterology, Hepatology & Nutrition (NASPGHAN) - 2006Jan
      • Included as symptom of Celiac Disease
      • Oral Manifestations:
        • Enamel defects
      celiac Disease & Oral health
      • Due to malabsorption during formation of teeth
      • Tooth calcification:
        • Primary teeth: 14wk - 11mo in utero
        • Adult teeth: 3mo - 25yrs
    • celiac Disease & Oral health
      • Oral Manifestations:
        • Enamel defects
        • Often first step to diagnosis of CD
        • May be only presenting manifestation
      • Oral Manifestations:
        • Enamel defects
      celiac Disease & Oral health
        • Differential diagnoses:
          • Dental fluorosis
          • Amelogenesis imperfecta
          • Dentinogenesis imperfecta
          • Osteogenesis imperfecta
      • Oral Manifestations:
        • Enamel defects
      celiac Disease & Oral health
          • NEGLECT
          • ... ABUSE ...
        • Differential diagnoses:
      • Oral Manifestations:
        • Enamel defects
      celiac Disease & Oral health
        • Permanent; requires restoration
          • Bonding, veneers, crowns
    • celiac Disease & Oral health
      • Dental Materials
        • Do they contain gluten?
          • Some do...
          • Some don’t...
      www.withoutthewheat.com/Dental_Products.html
    • celiac Disease & Oral health
      • Dental Materials
        • Do they contain gluten?
          • Problem is: SORBITOL
            • Artificial sweetener
            • Typically corn derived
              • MAYBE wheat derived
    • celiac Disease & Oral health
      • Dental Materials
        • Do they contain gluten?
          • Most companies are willing to make a clear Yes/No statement
          • Others cannot rule-out presence
            • Do not control raw materials
    • celiac Disease & Oral health
      • Dental Materials
        • Do they contain gluten?
          • In general, dental filling materials do NOT contain gluten
    • celiac Disease & Oral health
      • Dental Materials
        • Do they contain gluten?
          • In general, toothpaste does NOT contain gluten
    • celiac Disease & Oral health
      • Dental Materials
        • Do they contain gluten?
          • In general, denture adhesives MIGHT contain gluten, but
          • Denture cleaners do NOT
    • celiac Disease & Oral health
      • Dental Materials
        • Do they contain gluten?
          • In general, local anesthetics & topical anesthetics do NOT contain gluten
    • celiac Disease & Oral health
      • Dental Materials
        • Do they contain gluten?
          • In general, SOME mouth rinses MAY contain gluten
      • Caregivers:
        • Educate the local dental community on CD
          • Dentists, Dental Hygienists
          • Common oral conditions
          • Referral pathways
      celiac Disease & Oral health
          • - Pediatric
          • - Hospital-based
          • - Oral Medicine
      • Caregivers:
      celiac Disease & Oral health
      • Identify Dental Champions in your area
      • Referral of frustrated people living with CD
      • Knowledge base of gluten-free dental materials
      • People living with Celiac Disease:
      celiac Disease & Oral health
      • Find a dentist aware of CD
      • Awareness; lack of stigmatization
      • Gluten-free dental materials
      • You may have to educate about CD...
      • People living with Celiac Disease:
      celiac Disease & Oral health
      • Oral ulcerations
      • Dry mouth
      • Enamel defects
      • Find a dentist to manage symptoms
      - caution: $$$
    • Celiac disease and Oral health
      • Trey L. Petty, DDS, FADI, FAGD
      • Holy Cross Hospital Centre
      • Calgary Alberta Canada
      • [email_address]
      Primum non nocere...