Celiac disease manifestations can extend beyond the classic gastrointestinal problems, affecting any organ or body system. One manifestation dental enamel defects—can help dentists and other health care providers identify people who may have celiac disease and refer them to a gastroenterologist. For some people with celiac disease, a dental visit, rather than a trip to the gastroenterologist, was the first step toward discovering their condition.
Not all dental enamel defects are caused by celiac disease, although the problem is fairly common among people with the condition, particularly children, And dental enamel defects might be the only presenting manifestations of celiac disease.
Dental enamel problems stemming from celiac disease involve permanent dentition and include tooth discoloration—white, yellow, or brown spots on the teeth—poor enamel formation, pitting or banding of teeth, and mottled or translucent-looking teeth. The imperfections are symmetrical and often appear on the incisors and molars.
Tooth defects resulting from celiac disease are permanent and do not improve after adopting a gluten-free diet—the primary treatment for celiac disease. However, dentists may use bonding, veneers, and other cosmetic solutions to cover dental enamel defects in older children and adult
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