{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:29:53Z","timestamp":1775694593776,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,1,11]],"date-time":"2018-01-11T00:00:00Z","timestamp":1515628800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate whether coeliac disease (CD) was associated with periodontitis among a nationally representative sample of US adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>The National Health and Nutrition Examination Survey (NHANES) 2009\u20132012 enrolled 6,661 subjects with full\u2010mouth periodontal examination and serological testing for antitissue transglutaminase (tTg) and antiendomysial (EMA) antibodies. CD was defined as (i) self\u2010reported physician diagnosis while on a gluten\u2010free diet; or (ii) tTg levels &gt;10.0\u00a0U\/ml and positive EMA results. Positive serology without self\u2010reported 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).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>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 (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.67). 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 1.49\u00a0\u00b1\u00a00.02, 1.36\u00a0\u00b1\u00a00.11 and 1.31\u00a0\u00b1\u00a00.11 (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcpe.12856","type":"journal-article","created":{"date-parts":[[2017,12,16]],"date-time":"2017-12-16T10:46:55Z","timestamp":1513421215000},"page":"303-310","source":"Crossref","is-referenced-by-count":18,"title":["The association between coeliac disease and periodontitis: Results from NHANES 2009\u20132012"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2925-8761","authenticated-orcid":false,"given":"Thomas","family":"Spinell","sequence":"first","affiliation":[{"name":"Department of Operative Dentistry and Periodontology University Hospital LMU Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"DeMayo","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Columbia University Mailman School of Public Health  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Cato","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Columbia University Mailman School of Public Health  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Thai","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Columbia University Mailman School of Public Health  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva J.","family":"Helmerhorst","sequence":"additional","affiliation":[{"name":"Department of Molecular and Cell Biology Boston University Henry M. 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