Dental Enamel Defects as the Oral Clinical Sign for the Diagnosis of Celiac Disease: A Case Report and Review of Literature

Santosh Patil, Nidhi Yadav, Prashant Patil, Sumita Kaswan


The phrase ‘mouth is a mirror of  health and disease’ proves true with the present case of a 10 year old girl with undiagnosed celiac disease who was timely diagnosed with the help of oral signs of dental enamel defects and treated satisfactorily. Systemic diseases often manifest in oral cavity involving the mucosa and/or dentition and thus allow a skilled oral physician to diagnose such cases effectively. Celiac disease, a diagnosis often missed, presents with oral manifestations like dental enamel defects which may range in severity, recurrent aphthous stomatitis, missing teeth and higher incidence of dental caries. Such is the association of oral symptoms of this disease that sometimes dental enamel defects and recurrent aphthous stomatitis may be the only manifestation of the disorder. So oral findings in such cases can serve as a clinical guide for the oral physician to reach a correct and timely diagnosis and provide proper treatment. 


celiac disease; dental enamel defects; gluten; management

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