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Oral health status and salivary properties in relation to gluten-free diet in children with celiac disease.

Identifieur interne : 000252 ( Main/Exploration ); précédent : 000251; suivant : 000253

Oral health status and salivary properties in relation to gluten-free diet in children with celiac disease.

Auteurs : Eyal Shteyer [Israël] ; Tamar Berson ; Odelia Lachmanovitz ; Ariela Hidas ; Michael Wilschanski ; Moti Menachem ; Edna Shachar ; Joseph Shapira ; Doron Steinberg ; Moti Moskovitz

Source :

RBID : pubmed:23403442

Descripteurs français

English descriptors

Abstract

BACKGROUND

Patients with celiac disease (CD) have a wide variety of symptoms, from being asymptomatic to having chronic diarrhea, abdominal pain, and extraintestinal symptoms. In the oral cavity, enamel defects and recurrent aphthous stomatitis are the most common symptoms. The aim of the study was to assess oral health, bacterial colonization and salivary buffering capacity of patients with CD at diagnosis were compared with patients with CD receiving a gluten-free diet (GFD) and healthy children.

METHODS

Three groups were prospectively investigated: newly diagnosed CD, CD treated with GFD, and a control group. All of the children were examined by pediatric dentists, and saliva samples were collected for bacterial and pH analysis.

RESULTS

Ninety children were enrolled in the study, 30 in each group. A higher prevalence of enamel hypoplasia (66%) was found in children with CD. Plaque index was significantly lower in the celiac-treated group, which correlated with oral health behavior: teeth brushing and frequency of eating between meals. Children receiving GFD brushed their teeth and used fluoride significantly more often than other children in the study. No difference between groups was found in snack consumption, mutans streptococci and lactobacilli counts in saliva, as well as pH and buffer capacity.

CONCLUSIONS

A lower degree of plaque was found in children with CD receiving GFD. This finding could not be explained by salivary properties or bacteria, but rather by better oral hygiene. The results should raise the awareness of pediatric gastroenterologists toward oral health-related issues in children with CD.


DOI: 10.1097/MPG.0b013e31828b3705
PubMed: 23403442


Affiliations:


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Le document en format XML

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<term>Adolescent Behavior (MeSH)</term>
<term>Celiac Disease (diet therapy)</term>
<term>Celiac Disease (metabolism)</term>
<term>Celiac Disease (microbiology)</term>
<term>Celiac Disease (physiopathology)</term>
<term>Child (MeSH)</term>
<term>Child Behavior (MeSH)</term>
<term>Child, Preschool (MeSH)</term>
<term>Cohort Studies (MeSH)</term>
<term>Dental Enamel Hypoplasia (epidemiology)</term>
<term>Dental Enamel Hypoplasia (etiology)</term>
<term>Dental Enamel Hypoplasia (microbiology)</term>
<term>Dental Plaque (epidemiology)</term>
<term>Dental Plaque (etiology)</term>
<term>Dental Plaque (microbiology)</term>
<term>Dental Plaque (prevention & control)</term>
<term>Diet, Gluten-Free (MeSH)</term>
<term>Health Behavior (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Hydrogen-Ion Concentration (MeSH)</term>
<term>Infant (MeSH)</term>
<term>Israel (epidemiology)</term>
<term>Lactobacillus (growth & development)</term>
<term>Lactobacillus (isolation & purification)</term>
<term>Oral Health (MeSH)</term>
<term>Oral Hygiene (MeSH)</term>
<term>Prevalence (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Saliva (metabolism)</term>
<term>Saliva (microbiology)</term>
<term>Streptococcus (growth & development)</term>
<term>Streptococcus (isolation & purification)</term>
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<term>Comportement de l'enfant (MeSH)</term>
<term>Comportement en matière de santé (MeSH)</term>
<term>Concentration en ions d'hydrogène (MeSH)</term>
<term>Enfant (MeSH)</term>
<term>Enfant d'âge préscolaire (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Hygiène buccodentaire (MeSH)</term>
<term>Hypoplasie de l'émail dentaire (microbiologie)</term>
<term>Hypoplasie de l'émail dentaire (épidémiologie)</term>
<term>Hypoplasie de l'émail dentaire (étiologie)</term>
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<term>Maladie coeliaque (métabolisme)</term>
<term>Maladie coeliaque (physiopathologie)</term>
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<term>Plaque dentaire (prévention et contrôle)</term>
<term>Plaque dentaire (épidémiologie)</term>
<term>Plaque dentaire (étiologie)</term>
<term>Prévalence (MeSH)</term>
<term>Régime sans gluten (MeSH)</term>
<term>Salive (microbiologie)</term>
<term>Salive (métabolisme)</term>
<term>Santé buccodentaire (MeSH)</term>
<term>Streptococcus (croissance et développement)</term>
<term>Streptococcus (isolement et purification)</term>
<term>Études de cohortes (MeSH)</term>
<term>Études prospectives (MeSH)</term>
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<term>Streptococcus</term>
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<term>Maladie coeliaque</term>
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<term>Hypoplasie de l'émail dentaire</term>
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<term>Celiac Disease</term>
<term>Dental Enamel Hypoplasia</term>
<term>Dental Plaque</term>
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<term>Maladie coeliaque</term>
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<term>Maladie coeliaque</term>
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<term>Child</term>
<term>Child Behavior</term>
<term>Child, Preschool</term>
<term>Cohort Studies</term>
<term>Diet, Gluten-Free</term>
<term>Health Behavior</term>
<term>Humans</term>
<term>Hydrogen-Ion Concentration</term>
<term>Infant</term>
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<term>Prevalence</term>
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<term>Adolescent</term>
<term>Comportement de l'adolescent</term>
<term>Comportement de l'enfant</term>
<term>Comportement en matière de santé</term>
<term>Concentration en ions d'hydrogène</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Humains</term>
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<term>Prévalence</term>
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<p>
<b>BACKGROUND</b>
</p>
<p>Patients with celiac disease (CD) have a wide variety of symptoms, from being asymptomatic to having chronic diarrhea, abdominal pain, and extraintestinal symptoms. In the oral cavity, enamel defects and recurrent aphthous stomatitis are the most common symptoms. The aim of the study was to assess oral health, bacterial colonization and salivary buffering capacity of patients with CD at diagnosis were compared with patients with CD receiving a gluten-free diet (GFD) and healthy children.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Three groups were prospectively investigated: newly diagnosed CD, CD treated with GFD, and a control group. All of the children were examined by pediatric dentists, and saliva samples were collected for bacterial and pH analysis.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Ninety children were enrolled in the study, 30 in each group. A higher prevalence of enamel hypoplasia (66%) was found in children with CD. Plaque index was significantly lower in the celiac-treated group, which correlated with oral health behavior: teeth brushing and frequency of eating between meals. Children receiving GFD brushed their teeth and used fluoride significantly more often than other children in the study. No difference between groups was found in snack consumption, mutans streptococci and lactobacilli counts in saliva, as well as pH and buffer capacity.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>A lower degree of plaque was found in children with CD receiving GFD. This finding could not be explained by salivary properties or bacteria, but rather by better oral hygiene. The results should raise the awareness of pediatric gastroenterologists toward oral health-related issues in children with CD.</p>
</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Patients with celiac disease (CD) have a wide variety of symptoms, from being asymptomatic to having chronic diarrhea, abdominal pain, and extraintestinal symptoms. In the oral cavity, enamel defects and recurrent aphthous stomatitis are the most common symptoms. The aim of the study was to assess oral health, bacterial colonization and salivary buffering capacity of patients with CD at diagnosis were compared with patients with CD receiving a gluten-free diet (GFD) and healthy children.</AbstractText>
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<MeshHeading>
<DescriptorName UI="D013291" MajorTopicYN="N">Streptococcus</DescriptorName>
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<QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName>
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<ArticleId IdType="doi">10.1097/MPG.0b013e31828b3705</ArticleId>
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<name sortKey="Berson, Tamar" sort="Berson, Tamar" uniqKey="Berson T" first="Tamar" last="Berson">Tamar Berson</name>
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<name sortKey="Lachmanovitz, Odelia" sort="Lachmanovitz, Odelia" uniqKey="Lachmanovitz O" first="Odelia" last="Lachmanovitz">Odelia Lachmanovitz</name>
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<name sortKey="Shteyer, Eyal" sort="Shteyer, Eyal" uniqKey="Shteyer E" first="Eyal" last="Shteyer">Eyal Shteyer</name>
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