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Old 08-30-2006, 05:07 AM #1
Llonghair Llonghair is offline
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Default Dental complications from Celiac Disease

Hi everyone,
This is something I have been wondering about since being diagnosed last year. I have read the gluten file about the dental effects on enamel but still don't exactly know what defects to look for or tell my dentist to look for.

I assume he should look for excessive cavities. What about problems with crowns and breaking teeth? My parents and 2 sisters have many problems with their teeth. Dad is DQ2 and DQ8. Mom is DQ2 and DQ1. One sister is DQ2 and DQ8 and the other is Double DQ2. So far, none of them have been tested. Dad asked to be tested but his doctor said he didn't have any symptoms even though he has reflux and chronic bronchitis.

I have many cavities and some discoloration near the tops of a few teeth but no problems yet of breakage.

Also, my double DQ2 sister's 2 children both had no emamel on the baby teeth which quickly became brown and nasty looking but the permanent teeth came in fine.

Llonghair
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Old 08-30-2006, 06:33 AM #2
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Quote:
Dad asked to be tested but his doctor said he didn't have any symptoms even though he has reflux and chronic bronchitis.
Grrrrrrr - Take him Dr. Fasano's study. The incidence of 1:133 people have CD is in those WITHOUT symptoms. In those with symptoms the number increases to 1:56. Your whole family deserves testing. Would they be willing to accept Enterolab. They may not have full blown CD but gluten sensitivity.

Here is a fact sheet that is quick and easy to read http://www.uchicagokidshospital.org/...et%20fasano%22 It refers to Dr. Fasano's study. Here is one sentence:
Quote:
In the landmark prevalence study on celiac disease, investigators determined that 60% of children and 41% of
adults diagnosed during the study were asymptomatic (without any symptoms).
Sorry to hear about the tooth problems.
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Old 08-30-2006, 07:22 AM #3
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Hi Linda,

Tell him to look for this....



It's part of Children's Digestive Health & Nutrition Foundation''s PDF



Al

Last edited by aklap; 08-30-2006 at 07:36 AM.
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Old 08-30-2006, 07:49 AM #4
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Thanks Anne and Al,

The article is great, I sent it to my Dad already.

The picture is worth a thousand words...I will get my dentist to look at this . My sisters kids teeth looked like this but 10xs worse and it was their baby teeth. I am sure they both have this because she is the double DQ2 and her husbands sister has Celiac and he has always had very long bathrooom visits.

But, I still wonder what else we should look for or is it only enamel problems?
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Old 08-30-2006, 08:01 AM #5
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Quote:
Originally Posted by Llonghair View Post
But, I still wonder what else we should look for or is it only enamel problems?
Well...anything in this list fit??
Quote:
List of symptoms associated with Celiac Disease (also known as Celiac Sprue and Gluten Intolerance):

Lassitude (a term describing a feeling of tiredness, weakness or exhaustion)
Inanition (exhaustion, as from lack of nourishment)
Depression
Fatigue (often chronic)
Irritability
Fuzzy-mindedness after gluten ingestion
Dental enamel defects (lots of dental cavities due to weak enamel)
General malnutrition with or without weightloss
Any problem associated with vitamin deficiencies
Diarrhea
Constipation
Lactose intolerance
Flatulence
Anorexia
Nausea
Vomiting
Burning sensation in the throat
Abdominal pain and bloating
Borborygmi (audible bowel sounds)
Abdominal distention
Steatorrhea (fatty stools that float rather than sink)
Foul smelling stools
Bulky, greasy stools
Anemia (iron deficiency)
Hemorrhagic diathesis (bleeding disorder)
Osteoporosis/osteopenia (bone loss or thinning)
Bone pain (especially nocturnal)
White flecks on fingernails
Short stature (due to slow growth)
Arthritis
Rheumatoid arthritis
Arthralgia (pain in the joints)
Tetany (spasms and twitching of the muscles)
Parasthesia (abnormal or impaired skin sensation including burning, prickling, itching, or tingling)
Amenorrhea (absence of menstrual bleeding)
Delayed puberty
Infertility
Impotence
Cheilosis (inflammation, cracking and dryness of the lips)
*Angular cheilosis (specifically cracking in the corners of the lips)
Glossitis (swollen tongue)
Stomatitis (any form of inflammation or ulceration of the mouth, such as mouth ulcers, cold sores, thrush, etc.)
Purpura (purple or red spots on your skin caused by bleeding under the skin, more common in elderly)
Follicular hyperkeratosis (corns, calluses, plantar warts, psoriasis, nail fungus)
Atopic dermatitis (a tendency towards allergies and a predisposition to various allergic reactions)
*Scaly dermatitis (inflammation of the skin, includes dandruff and topical allergic reactions)
Hyperpigmented dermatitis (can't find the definition, must have something to do with the color of the rash?)
Alopecia areata (loss or absence of hair, leaving the skin looking and feeling normal)
Edema (accumulation of serum-like fluid in the body tissues)
Ascites (accumulation of fluid in the peritoneal cavity-the space between the abdominal wall and the organs)
Selective IgA deficiency
Seizures, with or without occipital calcification
Hepatitis (inflammation of the liver, may be acute or chronic)
Dermatitis herpetiformis (skin rash characterized as intensely itchy skin eruptions like red bumps and blisters. Burning, stinging and itching is very bad. It appears in groups around the body, most often on the head, elbows, knees, and buttocks, much like the lesions of Herpes which is why the name is herpetiformis-meaning "like herpes". Must be diagnosed by a doctor. Only occurs in celiac patients.)
Liver disease
Xerophthalmia (an eye disorder which causes the conjunctiva and cornea to become abnormally dry)
Night blindness (inability to see well in dim light)
Thyroid disease
Unexplained neuropathic illnesses, including ataxia and peripheral neuropathy
*Peripheral neuropathy (disease, inflammation and damage to the peripheral nerves, which connect the central nervous system to the sense organs, muscles, glands, and internal organs. Damage to sensory nerves may cause numbness, tingling, sensations of cold, or pain, often starting at the hands or feet and moving toward the body center. Damage to the nerves of the autonomic nervous system may lead to blurred vision, impaired or absent sweating, headaches, episodes of faintness associated with falls in blood pressure, disturbance of gastric, intestinal, bladder or sexual functioning, including incontinence and impotence. In some cases there is no obvious or detectable cause)
*Ataxia (incoordination and clumsiness, affecting balance and gait, limb or eye movements and/or speech, making one appear as if they were drunk)
Dementia
Diabetes mellitus type 1
Sjogren's syndrome (eyes, mouth, and vagina become extremely dry)
Collagen disorders
Down syndrome
IgA neuropathy
Fibrosing alveolitis of the lung (body produces antibodies against its own lung tissue, creates a dry cough and breathing difficulty upon exertion)
Hyposplenism, with atrophy of the spleen (underactive spleen)
Pancreatitis (inflammation of the pancreas)
Lymphoma (any group of cancers in which the cells of the lymphoid tissue multiply unchecked)
Leukopenia (abnormal decrease in white blood cells, often reducing immune system function)
Coagulopathy (blood clotting disorder)
Thrombocytosis (low blood platelets/damaged platelets, causing large amounts of bruises due to uncontrolled bleeding under the skin)
Melanosis (black or brown discoloration of the colon, usually due to chronic constipation)
Erythema nodosum (red-purple swellings on the legs and sometimes arms, with fever and joint pain)

In children:
Failure to thrive
Irritability
Paleness
Fretfulness
Inability to concentrate
Emotional withdrawal or excessive dependence
Nausea
Pale, malodorous, bulky stools
Frequent, foamy diarrhea
Wasted buttocks
Anorexia
Malnutrition:
*With protuberant abdomen (with or without painful bloating)
*Muscle wasting of buttocks, thighs, and proximal arms
*With or without diarrhea
(as well as any number of the above diseases and disorders)

Additional information:

Reactions to ingestion of gluten can be immediate, or delayed for days, weeks or even months.

The amazing thing about celiac disease is that no two individuals who have it seem to have the same set of symptoms or reactions. A person might have several of the symptoms listed above, a few of them, one, or none. There are even cases in which obesity turned out to be a symptom of celiac disease.
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Last edited by aklap; 08-30-2006 at 08:05 AM.
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Old 08-30-2006, 08:36 AM #6
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Excellent list Al

Thanks!
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Old 08-31-2006, 12:04 AM #7
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Quote:
Originally Posted by Llonghair View Post
Excellent list Al

Thanks!
Thanks Anne! I think she's the one who originally posted it on BT1
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Old 08-31-2006, 06:13 AM #8
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Quote:
Originally Posted by aklap View Post
Thanks Anne! I think she's the one who originally posted it on BT1
Nope, don't think that was me. I found this blog where the poster says she put this list together http://www.glutenfreeforum.com/index...2&showentry=49 It is a good list.
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Old 08-31-2006, 09:50 AM #9
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Default I have a different take on this

I think there is a connection between people who have gluten problems and why it may contribute or cause lots of cavities or other tooth problems.

According to orthomolecular medicine people with gluten problems are likely to have low histamine levels. Most people understand how histamine plays a role in the allergic reaction. But it is possible to have your histamine levels checked next time your doctor takes some blood. Some people can have high histamine levels and some can have low levels (normal levels are possible too, but don't warrant mentioning because that is the ideal situation).

But histamine plays many many roles in the body. One has to do with the amount of saliva produced. I have low histamine levels and I can always tell when my histamine levels drop because the saliva (or mucous) will get thick and require me to clear my throat (or even cough sometimes to clear it). Orthomolecular says that people with low histamine levels and pyroluria (a b6 and zinc deficiency) are known to have bad teeth. The combination of low saliva from low histamine levels AND low zinc levels causes the perfect environment for teeth to be prone to bacteria and cavities. I think a severe zinc deficiency can also cause a dry mouth or sometimes listed as a sweet breath. The lack of saliva is a big factor in why some people have so many cavities. And it may be possible good zinc levels can put some chemical or enzyme in the saliva that helps keep the bacteria from thriving in your mouth or on your teeth.

I also think that gluten issues may mean that the parts of the GI tract where zinc is absorbed can be damaged. Or, zinc absorption may be a factor somehow else when a person has gluten issues.

To put it another way, some people make the claim they have never had a cavity in their entire life. I have meet a few people who have claimed this. But the most famous person to make this claim was Marilyn Monroe who was born long before floridation of water ever started in this country. There are some who have speculated that MM may have been a high histamine type because of this claim and a few other things known about her health. Of course MM may have actually died before orthomolecular came into existance. This is not a fact but just speculation about her.

But my point is that your histamine levels can play a role in the health of your teeth because the more histamine your body has the more saliva you have in your mouth, generally speaking.

But in orthomolecular low histamine types are likely to have food allergies or sensitivities. So, there is a connection although it may not be true in every single case.
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