Self-reported oral health and xerostomia in adult celiac disease patients versus a comparison group

Publication date: Available online 23 May 2017
Source:Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Author(s): Tom van Gils, Gerd Bouma, Hetty J. Bontkes, Chris J.J. Mulder, Henk S. Brand
ObjectivesThis study aimed to assess the impact of celiac disease (CD) on oral health and xerostomia.Study DesignMembers of the Dutch Celiac Society (n=5,522) were invited to complete an online questionnaire based on the Oral Health Impact Profile 14 (OHIP-14) and Xerostomia Inventory (XI). Acquaintances and partners of the CD respondents served as the comparison group. In total, data of 740 CD patients and 270 comparison participants were evaluated.ResultsThe median age of the responding CD patients (55 years) was similar to the median age in the comparison group (53 years). Oral health problems, including aphthous stomatitis, painful mouth, and gingival problems, were more frequently reported by CD patients. Mean OHIP-14 score (4.9 vs 2.6, p<0.001) and the mean XI score (22.2 vs 17.2, p<0.001) were higher in CD than in the comparison group. No significant effects of gender, age at CD diagnosis or time on a gluten-free diet in mean OHIP-14 and XI scores were observed.ConclusionsThis study showed that oral health problems are more commonly experienced in adult CD patients than in the comparison group. Collaboration between dentists and gastroenterologists is recommended to increase detection of undiagnosed CD.



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