Oro-dental manifestations of pediatric celiac disease

Abstract

ABSTRACT

Objective: To document oro-dental manifestations of pediatric celiac disease in our population.

Study Design: Prospective, descriptive, cross sectional study.

Place and Duration of Study: Department of Pediatrics, Post Graduate Medical Institute/Ameer ud Din Medical College/Lahore General Hospital, Lahore, from 01-01-2023 to 15-02-2024.

Material and Methods: 45 pediatric patients, 2-18 years old, diagnosed as having celiac disease on the basis of small bowel biopsy were examined by a single consultant dental surgeon. Oro-dental findings were recorded through a predesigned proforma.

Results: Out of 45 patients, 19(42.2%) were male, 26(57.8%) were female with mean age of 8.16±2.87 years. Dental lesions were most commonly located on incisors and molars combined.  Defect in enamel color (35.6%) was the most common finding in our study. Among oral lesions, RAS (24.4%) was most common followed by atrophic glossitis (20%).

Conclusion: Oro-dental lesions are common in pediatric CD and must be screened for by early referral to dentist.

Key Words: Pediatric celiac disease, enamel defects, recurrent atrophic stomatitis.