Dental erosion refers to the gradual loss of tooth enamel caused by exposure to acid. This acid can come from various sources, including acidic foods and drinks, gastric acid from conditions like acid reflux, and bacterial fermentation of carbohydrates in the mouth. When enamel wears away, it exposes the underlying dentin, leading to tooth sensitivity, discoloration, and an increased risk of cavities.
Non-celiac gluten sensitivity (NCGS) is a condition characterized by adverse reactions to gluten-containing foods in individuals who do not have celiac disease or wheat allergy. While the exact mechanisms are not fully understood, research suggests that NCGS may involve the immune system and gut microbiota. Symptoms of NCGS can vary widely and may include gastrointestinal issues, such as bloating and diarrhea, as well as non-gastrointestinal symptoms like headaches, fatigue, and joint pain.
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The connection between dental erosion and non-celiac gluten sensitivity may lie in dietary patterns. Some individuals with NCGS may consume gluten-free products that are higher in fermentable carbohydrates and acids, such as those made with rice flour or cornstarch. These ingredients can contribute to acid production in the mouth, potentially increasing the risk of dental erosion.
Furthermore, research has shown that individuals with NCGS may have alterations in their oral microbiota, which could impact oral health. Changes in the oral microbiota composition may influence acid production and the balance of protective factors in the mouth, contributing to dental erosion.
Additionally, if NCGS leads to gastrointestinal symptoms such as acid reflux or frequent vomiting, this can also contribute to dental erosion by exposing the teeth to gastric acid.
Overall, while there may be an indirect association between non-celiac gluten sensitivity and dental erosion through dietary and physiological factors, more research is needed to fully understand the relationship between these two conditions.
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