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Spinell, Thomas; DeMayo, Francesco; Cato, Matthew; Thai, Ashley; Helmerhorst, Eva J.; Green, Peter H. R.; Lebwohl, Benjamin and Demmer, Ryan T. (2018): The association between coeliac disease and periodontitis: Results from NHANES 2009-2012. In: Journal of Clinical Periodontology, Vol. 45, No. 3: pp. 303-310

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Abstract

AimTo investigate whether coeliac disease (CD) was associated with periodontitis among a nationally representative sample of US adults. Materials and Methods: The National Health and Nutrition Examination Survey (NHANES) 2009-2012 enrolled 6,661 subjects with full-mouth periodontal examination and serological testing for antitissue transglutaminase (tTg) and antiendomysial (EMA) antibodies. CD was defined as (i) self-reported physician diagnosis while on a gluten-free diet;or (ii) tTg levels >10.0U/ml and positive EMA results. Positive serology without self-reported diagnosis was defined as undiagnosed CD (UdxCD). Periodontitis was defined according to the CDC/AAP definition. Multivariable linear and logistic models were used to regress the mean probing depth (PD) or attachment loss (AL) outcomes across CD categories (none, diagnosed and undiagnosed). Results: The prevalence of moderate/severe periodontitis and diagnosed/undiagnosed CD was 40% and 0.74%, respectively. Mean AL was lower among those with CD although results were not statistically significant (p=.67). The odds of periodontitis among individuals with diagnosed and undiagnosed CD were: 0.5(0.22, 1.16) and 0.62(0.1, 3.75), respectively. Mean PD levels among those without CD or with diagnosed or undiagnosed CD were 1.490.02, 1.36 +/- 0.11 and 1.31 +/- 0.11 (p=.03). Conclusion: CD is associated with modestly lower levels of mean PD but was not associated with mean AL or periodontitis. Larger studies are necessary to enhance precision and strengthen conclusions.

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