Aine L, Mäki M, Collin P, Keyriläinen O
Department of Oral and Maxillofacial Surgery, University Hospital of Tampere, Finland.
J Oral Pathol Med. 1990 Jul;19(6):241-5. doi: 10.1111/j.1600-0714.1990.tb00834.x.
The teeth of 40 adults aged 19 to 67 yr with celiac disease (CD) were examined for dental enamel defects (ED). A total of 33 of the 40 adults with CD (83%) had systematic ED in contrast to only 5 of the 112 clinical controls (4%). Unspecific enamel lesions were found in both groups, but they were more common in the control group (80% vs. 18%). Altogether 69% of the permanent teeth in adults with CD were found to be defected, in clinical controls only 19%. In adults with CD the ED were in contrast to those in controls symmetrically and chronologically distributed in all four sections of dentition. The present study clearly shows that symmetrically and chronologically distributed enamel defects are strongly associated with CD. Therefore in the absence of symptoms and signs of malabsorption dentists could easily select the right patients possibly suffering from CD for gastroenterologic consultations.
对40名年龄在19至67岁之间的乳糜泻（CD）成年患者的牙齿进行了牙釉质缺陷（ED）检查。40名CD成年患者中共有33名（83%）存在系统性ED，而112名临床对照者中只有5名（4%）有该情况。两组均发现了非特异性釉质病变，但在对照组中更为常见（80%对18%）。发现患有CD的成年人中共有69%的恒牙存在缺陷，而临床对照者中只有19%。患有CD的成年人的ED与对照组相比，在牙列的所有四个部分均呈对称且按时间顺序分布。本研究清楚地表明，对称且按时间顺序分布的釉质缺陷与CD密切相关。因此，在没有吸收不良症状和体征的情况下，牙医可以轻松地挑选出可能需要胃肠病学会诊的合适患者。
