Oral Hygiene and Periodontal Treatment in Children with Coeliac Disease: A Case-Control Study

Coeliac disease (CD) is a T-cell-intervened provocative enteropathy described by villous atrophy and tomb hyperplasia coming about because of duodenal aggravation. A number of studies raised the issue of poor dentation and more prevalence of dental problems in children with celiac disease, however sufficient controversy existed that permitted the conduction of the current study.

this study was designed aiming at identifying possible differences between apparently healthy individuals and patients with coeliac disease regarding the periodontal treatment need index.

This case-control study included 54 children and adolescents with celiac disease and 61 age-and gender-matched apparently healthy individual as controls. A questionnaire form included information about age, gender, residency, duration of celiac disease and oral hygiene habits; whereas examination included assessment of periodontal treatment need index for both groups. The study was carried out at dental clinic in College of Dentistry, Ibn-Hayain University, Karbala province, Iraq, during the period from July 2017 to June 2018.

children who needed intervention, reinforcement of oral hygiene, reinforcement of oral hygiene and scaling and complex treatment accounted for 10, 22, 17 and 5, respectively, in study group versus 22, 17, 18 and 4, respectively, in control group and the rate of children who needed no intervention was significantly lower in study group than in control group, 10 versus 22, respectively (P< 0.05).

All celiac patients need to be incorporated into a preventive dental program that provides proficient oral cleanliness, inspiration training for home oral cleanliness, pits and crevices fixing, topical fluoride application. Close to this, remedial activities ought to be performed in nearness of caries or breaks of hypoplasic finish, using immediate or aberrant traditionalist reclamations.