Meta Description: Enamel defects include pitting, grooving and sometimes complete loss of enamel may occur in celiac disease, even in the absence of gastrointestinal symptoms, and have greater sensitivity and specificity for celiac disease in more severe injuries. Enamel defects are seen most commonly in the permanent dentition and tend to appear symmetrically and chronologically in all four quadrants, with more defects in the maxillary and mandibular incisors and molars.

Enamel defects include pitting, grooving and sometimes complete loss of enamel may occur in celiac disease, even in the absence of gastrointestinal symptoms, and have greater sensitivity and specificity for celiac disease in more severe injuries. In children with deciduous teeth, the prevalence of dental enamel defects is reported in 5.8-13.3% (mean of 9.6%) of patients with celiac disease. In 2012 El-Hodhod has evaluated 140 Egyptian children (aged 4-12 years) with enamel defects: celiac disease was diagnosed in 18% of these patients compared to 0.97% of 720 healthy children and was associated with a greater severity of the defect of the enamel.

Enamel defects are seen most commonly in the permanent dentition and tend to appear symmetrically and chronologically in all four quadrants, with more defects in the maxillary and mandibular incisors and molars. Both hypoplasia and hypomineralization of the enamel can occur and a band of hypoplastic enamel, often with intact cusps, is common. The exact pathogenesis of enamel defects related to celiac disease related is not clear, but is suspected that the immunemediated damageis the leading cause.

For more details: https://www.omicsonline.org/open-access/oral-pathology-in-celiac-disease-whats-new-jimds.1000105.pdf.php?aid=21092

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