Dear Dr. Nate: What’s the connection between celiac disease and tooth enamel?

No, that’s not a satellite photo of a distant planet. That’s a super-enlarged photo of eroded tooth enamel.
The other day, we talked about how Dr. Nate’s Naturals toothpaste is gluten-free. We made this decision because healthcare providers are finding that more and more people suffer from celiac disease or gluten intolerance, a painful auto-immune condition which causes inflammation of the small intestine, which in turn can lead to poor absorption of nutrients and a whole host of resultant problems. It’s estimated that the condition can affect more than 1% of the population.
Because celiac disease is an auto-immune disorder, and because it can block absorption of mineral and nutrients into the system, it has also been linked to excessive erosion of tooth enamel. More worryingly, it is particularly connected to enamel erosion in children, and this can lead to significant dental care challenges as they grow older.
What does this mean for you if you or your child has celiac disease or is gluten-intolerant?
Well, I’m not a medical doctor (though I am a dentist!), but here’s what I recommend to my patients:
- If you suspect that you or your child has celiac disease or is struggling with a gluten sensitivity, see your doctor to get tested. A gluten sensitivity in an adult may be managed simply by watching your diet; full-blown celiac disease, especially in a child, needs professional diagnosis and careful healthcare
- If your child has celiac disease or struggles with gluten tolerance, it’s extra-important to ensure that s/he is getting regular, comprehensive dental attention, to identify and treat any enamel-related issues early
- Make sure to tell your dentist about the celiac disease in yourself or your child, and ask about extra steps you can take to stop problems before they start
- Your dentist can provide you and your child with gluten-free checkups and oral healthcare products – just phone ahead and ask
And don’t worry! Many people struggling with celiac disease and gluten intolerance say that when they manage their diet well – i.e. ensure they’re following a gluten-free diet plan – their dental problems decline dramatically. Dentists are more aware of the connection between dental health and overall health than ever before, and you might be surprised at how much they can help.








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