Oral signs in the diagnosis of celiac disease: review of the literature.
This study explores the possibility that the celiac disease (CD) may be correlated with the insurgence of some oral signs, as based on a systematic review of the literature. Should this correlation be proven, any dentistry's screening would then be important to diagnose early celiac sprue pathogenesis. A literature survey was accomplished by using the Medline database (Entrez PubMed). The survey, which covered the period from the year 1972 to 2009, provided 382 published articles. Of these, 29 articles were selected according to inclusionary/exclusionary criteria, and consequently qualified for the final review analysis. Manual searching through the reference lists of the selected articles allowed the obtainment of others 17 articles. Findings gathered through this literature's review corroborate the significance of a causal relationship between some oral signs and CD. There are enough evidence making the correlation between CD and oral defects scientifically sustainable. This recognition should lead dentists to play more significant roles in screening for CD, as otherwise, if not properly diagnosed and not treated with a gluten-free diet, may eventually cause some malignancies.
Giuca
M R
MR
Department of Surgery, University of Pisa, Pisa, Italy. m.giuca@odont.med.unipi.it
Cei
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Gigli
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Gandini
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D000328:Adult; D001284:Atrophy; D001361:Avitaminosis / Q000209:etiology; D015706:Bibliometrics; D002446:Celiac Disease / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology; D002648:Child; D002986:Clinical Trials as Topic; D003744:Dental Enamel Hypoplasia / Q000453:epidemiology / Q000209:etiology; D005928:Glossitis / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D008286:Malabsorption Syndromes / Q000209:etiology; D012008:Recurrence; D013281:Stomatitis, Aphthous / Q000453:epidemiology / Q000209:etiology; D014059:Tongue / Q000473:pathology; D014078:Tooth Eruption