Celiac disease is a medical condition that causes the immune system to attack the small intestine when gluten is ingested. The role of the small intestine is to absorb 90% of the nutrients and minerals that are contained within the foods that are eaten. When the small intestine is damaged by the immune system in someone with Celiac disease, the person is unable to get the nutrients and minerals their teeth need, which is why most people with Celiac disease have dental problems such as pits and grooves in the teeth. Sometimes, dental enamel is also affected.  

Fortunately, cosmetic dentistry can help, but you'll want to be sure to tell your dentist that you have Celiac disease. Here's why and what you need to know.

Gluten-Free Dentistry 

Due to your need to avoid gluten as much as possible, a big reason to make certain your dentist is aware that you have Celiac disease is so he or she uses gluten-free products while providing you with dental treatments. Some toothpastes, mouthwashes, and dental cements contain gluten. Powdered gloves and topical anesthesia are also items that may contain gluten. Be sure the dental hygienist is also aware that they need to use gluten-free products while treating you. 

Celiac Teeth

Celiac disease affects dental enamel as well as causes chronic canker sores and dry mouth syndrome. In turn, dry mouth syndrome can make you more susceptible to cavities and tooth decay since there is less saliva to help keep bacteria and food from adhering to your teeth. 

Aside from decay caused by dry mouth syndrome, there are different grades of dental enamel defects caused by Celiac disease itself:

1. Color of enamel
2. Rough enamel surface
3. Deep grooves or pits
4. Shape of tooth affected

Your dentist will evaluate your teeth and determine which type of cosmetic dentistry options are best for you. 

Cosmetic Dentistry Options

The damage done to your teeth from Celiac disease is irreversible. Once the enamel is damaged, the only option for an improved smile is with cosmetic dentistry, which can include veneers, crowns, and/or implants. One determining factor that needs to be considered for Celiac patients is how much damage there is to the enamel. The reason for this is because some options do require the removal of enamel when preparing the teeth for the various types of procedures, particularly when it comes to bonding or gluing on crowns and veneers.