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Nutrition and oral health in children with recently and previously diagnosed celiac disease

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Abstract

Objectives

To evaluate the nutritional and oral health status of children with previously diagnosed celiac disease (CD) who follow a gluten-free diet and recently diagnosed CD patients.

Materials and methods

Previously and recently diagnosed groups were formed from children with CD, aged 4 to 15 years. A questionnaire was completed about the children’s dental history and nutritional and oral hygiene habits. All the children underwent an oral examination, and dmft-DMFT indices were determined. Dental plaque status, periodontal health, and dental enamel defects were recorded. Oral soft tissues were examined for the presence of lesions. Unstimulated salivary flow rate and pH value were evaluated.

Results

A statistically significant difference was determined between the previously and recently diagnosed patients in terms of toothpaste preference (p=0.003), frequency of going to the dentist (p=0.039), and the types of dental treatment they had received (p=0.001). A statistically significant difference was determined between the previously and recently diagnosed patient groups in terms of dmft values (p=0.005).

Conclusions

Children with CD should be directed to a pediatric dentist to improve oral and dental health, relieve the symptoms of oral mucosal lesions, be informed about enamel defects, and be encouraged to use gluten-free oral care products.

Clinical relevance

The collaboration of pediatric gastroenterologists and pediatric dentists can prevent the progression of oral symptoms in children with CD and eliminate long-term complications in terms of both oral health and multisystemic problems.

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Availability of data and materials

The data presented and analyzed in the study are available from the corresponding author on request.

Author information

Authors and Affiliations

  1. Department of Pediatric Dentistry, Faculty of Dentistry, Istanbul Okan University, Istanbul, Türkiye

    M Bulut, M Tokuc & MN Aydin

  2. Pediatric Gastroenterology, Hepatology and Nutrition, I.A.U. VM Medical Park Hospital Florya, Istanbul, Türkiye

    H Ayyildiz Civan

  3. Pediatric Gastroenterology, Hepatology and Nutrition, Sancaktepe Sehit Prof Dr Ilhan Varank Training & Research Hospital, University of Health Sciences, Istanbul, Türkiye

    E Polat

  4. Department of Pediatric Gastroenterology, Hepatology and Nutrition, Bezmialem Vakif University Faculty of Medicine, Istanbul, Türkiye

    G Dogan

  5. Department of Pediatric Gastroenterology, Hepatology and Nutrition, Istinye University Faculty of Medicine, Istanbul, Türkiye

    C Altuntas

  6. Pediatric Gastroenterology, Hepatology and Nutrition, Zeynep Kamil Women & Children’s Training & Research Hospital, University of Health Sciences, Istanbul, Türkiye

    NA Bayrak

  7. Department of Paediatric Gastroenterology, Hepatology and Nutrition, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, Istanbul, Türkiye

    OF Beser

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  1. M Bulut
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  2. M Tokuc
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  3. MN Aydin
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  6. G Dogan
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  7. C Altuntas
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Contributions

• Müge Bulut: conceptualization, methodology, investigation, writing—reviewing and editing, original draft preparation, supervision, visualization, project administration

• Müge Tokuc: conceptualization, investigation, methodology, writing—reviewing and editing, writing—original draft preparation, project administration

• Merve Nur Aydin: methodology, investigation

• Hasret Ayyildiz Civan: methodology, investigation

• Esra Polat: methodology, investigation

• Guzide Dogan: methodology, investigation

• Cansu Altuntas: methodology, investigation

• Nevzat Aykut Bayrak: methodology, investigation

• Omer Faruk Beser: conceptualization, methodology, reviewing and editing

Corresponding author

Correspondence to M Bulut.

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Ethical approval

Approval for this study was granted by the Clinical Ethics Committee of Marmara University (Decision no: 2019-276).

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The authors declare no competing interests.

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Bulut, M., Tokuc, M., Aydin, M. et al. Nutrition and oral health in children with recently and previously diagnosed celiac disease. Clin Oral Invest 27, 3579–3588 (2023). https://doi.org/10.1007/s00784-023-04971-x

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