MEDIX, God. 17 Br. 92/93  •  Pregledni članak  •  Stomatologija HR ENG

Uloga specifičnih caklinskih defekata u dijagnozi celijakijeThe role of specific enamel defects in celiac disease diagnosis

Vesna-Erika Modrić, Željko Verzak, Ivana Čuković-Bagić

Celijakija je česta bolest koja u većini slučajeva ostaje neprepoznata zbog svojih atipičnih simptoma. Rano prepoznavanje osoba sa specifičnim dentalnim caklinskim defektima i upućivanje gastroenterologu pomaže u ranoj dijagnostici celijakije i prevenciji malignih bolesti i drugih komplikacija. Specifični ili sistematski caklinski defekti povezani s celijakijom moraju biti simetrični, bilateralni i kronološki raspoređeni u sva četiri kvadranta denticije. Najčešće se nalaze na sjekutićima, a obuhvaćaju caklinsku hipoplaziju, caklinske opacitete i caklinske diskoloracije. Specifični caklinski defekti pokazuju jaku povezanost s HLA DR-om3. Stomatolozi trebaju znati prepoznati ove defekte i posvetiti osobitu pažnju osobama s povećanim rizikom nastanka celijakije. 

Ključne riječi:
celijakija; rana dijagnoza; sjekutići; zubna caklina

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Celiac disease is a common disease, which in most cases remains unrecognized due to atypical symptoms. Early identification of patients with specific dental enamel defects and their referral to the gastroenterologist might help in early diagnosis of celiac disease and prevention of malignant tumours and other celiac disease-related complications. Specific or systematic dental enamel defects associated with celiac disease had to be symmetrically, bilaterally and chronologically distributed in all four quadrants of dentition. They include enamel hypoplasia, enamel opacities and enamel discolorations, which are all usually found on the incisors. Specific dental enamel defects are strongly associated with the HLA DR3. Dentists need to recognize these defects and pay special attention to patients with increased risk of celiac disease. 

Key words:
celiac disease; dental enamel; early diagnosis; incisor