How gluten destroys your mouth

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Numerous published papers have underlined how specific oral signs and symptoms can be classified as risk factor signals for celiac disease. In fact, the American Dental Associationnotes that specific oral manifestations observed in childhood may actually help to identify patients with early celiac disease before serious disease progression and harm develop. The following are common oral manifestations of gluten exposure:

Aphthous ulcers (canker sores)
Also known as canker sores, aphthous ulcers are small ulcers with a red base and a yellow layer that usually appear on the tongue or inside the cheeks or lips. A 2010 study by Columbia University found that aphthous ulcers were more prevalent in people with celiac disease than those without. Another study published in BMC Gastroenterology found that recurrent mouth sores can be the only symptom of celiac disease.

Enamel defects in the teeth leading to cavities
In a study of children diagnosed with celiac disease, which included both children recently diagnosed and not yet on a gluten-free diet and also children who had been following a gluten-free diet for a long period of time, there was a higher prevalence of enamel hypoplasia found in the children with untreated celiac disease. The plaque index was also significantly lower in the children who had been following a gluten-free diet.

In addition, studies have reported cross-reactivity of antibodies to gluten with enamel proteins, and one study even tested the ability of anti-gliadin IgG, which is produced in an untreated celiac disease patient, to recognize enamel organ structures and found high reactivity.

Bacterial changes
Changes in oral health can also be caused by, or contribute to, an imbalance of oral bacteria. One study of children and teens found a statistically significant difference in the prevalence of salivary mutans streptococci and lactobacilli colonization between those diagnosed with celiac disease and those confirmed without celiac disease.

Gingivitis (inflammation of the gums)
Celiac disease can cause inflammation throughout the body, including the gums. People with gluten sensitivity and celiac disease often have inflamed, red, swollen, painful gums. In fact, one study looked at the gum health of a group of children and adolescents, both with and without celiac disease. It found that the periodontal treatment need of children and adolescents with celiac disease was high and most of them (60.01%) needed treatment of gingivitis. Only a few children and teens with celiac disease that were studied had healthy gums.

Xerostomia (dry mouth)
Complaints of dry mouth are common in those with celiac disease. One study in Brazil studied celiac and non-celiac individuals and found that those with celiac had an increased likelihood of dental enamel defects and dry mouth sensation. It suggested that an oral examination could be an important auxiliary tool for the identification of cases of the disease.

Tonsil stones with halitosis (bad breath)
Though not thoroughly studied, in my clinical experience, tonsil stones are a common manifestation in those with gluten sensitivity, and when many patients implement a gluten free diet, tonsil stones often resolve. A leading sign of tonsil stones for many is the presence of lingering bad breath, which can indicate that tonsil stones are present.

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*These statements have not been evaluated by the Food and Drug Administration. This video is not intended to diagnose, treat, cure or prevent any disease. It is strictly intended for educational purposes only. Additionally, this information is not intended to replace the advice of your physician. Dr. Osborne is not a medical doctor. He does not treat or diagnose disease. He offers nutritional support to people seeking an alternative from traditional medicine. Dr. Osborne is licensed with the Pastoral Medical Association.
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Enamel defects, aphtes, stomatitis, bleeding hemoroids, hair loss, cracking joints, dry skin, anemia, awful mestrual pain, constant mild nausea that I was not even noticing until it was gone when I went gluten-free. These are the troubles this great doctor has freed me from. Greetings from Serbia✨✨✨ Thank you🦋

coolwatcher
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I ate minimal gluten, dairy and sugar as a child and have never had a cavity to the age of 64. I’m returning to that diet because I’ve been diagnosed with SIBO, receding gums, etc. I’m gradually getting better. It’s a process.

clarissawilliams
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What is the genetic test for gluten sensitivity that u talk about?

roberts.
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Do you have a video of what an easy to follow staple food gluten free diet could look like for testing for say one month. For example, eggs, chicken, tuna, Caesar salads etc. I would love to test on my children and infor a month. Love your deep hour long videos but at times I love the short videos like this one.

glenkiefer
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Got off gluten (celiac diagnosis), and the canker sores went away.

dancasey
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Tonsils also come from caseine in dairy

Doudoustein
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Another fantastic topic! Dr Peter (or his team), are you planning another book? It would be great!

jatai
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10 times to the dentist in a year. Thousands of dollars. Lots of pain. Never more.

gamleskalle
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My son has All of these symptoms! He is currently in college and keeps getting sick with tonsil stones had 11 cavities and is currently on penicillin for tonsillitis with only a tele doc visit because of puss on his tonsils . Always had mouth sores growing up. I have seen an increase in these symptoms and I’m convinced it’s beer and poor diet.

lisaneves
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Paradigm challenging, very interesting!

jamesboyce
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Are dentists now getting training on recognizing the effects of gluten intolerance/ Celiac Disease?
I was diagnosed CD at age 39.
I had regular dentist visits as a kid and while I remember most of the symptoms I was shocked when the diagnosis came.
Unrelated but something Peter Osborne could address would be an otherwise well behaved teen being diagnosed by psychologists with depression when they were actually just suffering from Celiac-related lethargy due to poor nutrition while on a normal diet and were always conscious of the possibility that passing gas in public could turn into a very embarrassing situation.

hendilman
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I'm shocked! My 11 yr old has spotty/missing enamel on all his adult teeth coming in. Lots of digestive issues and skin rashes, and no dr has ever brought up celiac

crowley_crazy
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Does celiec test with endoscopy help to identify gluten sensitivity?

sadikhusain
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Does dairy sensitivity also cause canker sores in the mouth? I am working with the pediatrician trying to figure out what’s going on with my eight year old daughter. We are trying to narrow it down as to whether it’s dairy sensitivity or gluten sensitivity. I personally think it’s both. She definitely has periods of time where her mouthhas at least 4 to 5 ulcers on the inside. They have been so bad that she has gotten an oral steroid before. I would love to know of any advice that you may be able to give me.

oneidacompeau
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Over drilling, over filling, over billing🤔😁

lawrencerasmus
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Can fissured tongue be a symptom of gluten sensitivity? Can it be cured once consumption stops?

gabex
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I have had ulcers constantly even though I'm gluten free.

gwood
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At the age of 7 I began with milk allergies, age 9 chronic fatigue, herpes diarrhoea and general pain.
At the age of 11 I had already 9 cavities.
Doc I was diagnosed just 2 years ago with a Marsh 3c results.
I have heard some experts, that said that I could have developed that type of atrophy in just a month. ( I should have recorded these idiots)
Do you think that the syntoms which i mentioned early are related to celiac disease?

angelfreedom