Enamel resistance, properties of oral fluid and the concentration of 25-нydroxycalciferol in blood serum in children with celiac disease

Abstract

Aim to study the properties of oral fluid and the concentration of 25-hydroxycalciferol in the blood serum of children with celiac disease due to their great theoretical and practical importance in assessing the resistance of teeth to caries for early diagnosis and choice of adequate preventive measures. Material and methods. The study involved 98 children aged 6 to 12 years. In all participants, the following caries-related factors were assessed: oral fluid pH, concentration of Streptococcus mutans in the oral cavity, kinematic viscosity of the oral fluid and salivation rate, remineralizing potential of saliva, intensity of caries, oral hygiene index, concentration of 25-hydroxycalciferol in blood serum. Results. A survey of 98 children aged 6 to 12 years showed a high risk for oral diseases in children with a confirmed diagnosis of celiac disease. The main risk factors are: high titer of Streptococcus mutans in the oral fluid, high kinematic viscosity, low salivation rate, acidic pH level of the oral fluid. Conclusion. The study showed that children with celiac disease who do not follow a diet have a low concentration of 25-hydroxycalciferol in the blood serum, probably, as the result of the specific vitamin absorption, which, in turn, reduces the remineralizing potential of saliva and the resistance of hard dental tissues to caries.