FF Alrashed¹*, A Alharbi², NA Sedky³ and MF Alrawooji⁴

¹Postgraduate Dental Public Health Student, Faculty of Dentistry, Qassim University, Buraidah, Kingdom of Saudi Arabia
²Assistant Professor, Department of Community Dentistry and Oral Epidemiology, Qassim University, Buraidah, Kingdom of Saudi Arabia
³Professor, Department of Community Dentistry and Oral Epidemiology, Qassim University, Buraidah, Kingdom of Saudi Arabia
⁴Postgraduate Oral and Maxillofacial Surgery Student, Faculty of Dentistry, Mansura University, Mansura, Egypt

*Corresponding Author: Fouz Fawaz Alrashed, Postgraduate Dental Public Health Student, Faculty of Dentistry, Qassim University, Buraidah, Kingdom of Saudi Arabia

Received: May 15, 2026; Published: June 17, 2026

Celiac disease (CD) is a systemic immune-mediated disorder that is characterized by an immunological response to gluten. CD is associated with various oral manifestations including dental enamel defects (DEDs), recurrent aphthous stomatitis (RAS), delayed tooth eruption, xerostomia, and atrophic glossitis. While the oral manifestations of CD have been recognized, evidence regarding their impact on oral health–related quality of life (OHRQoL) remains underexplored. This narrative review summarizes and critically discusses the available evidence regarding OHRQoL in patients with celiac disease and investigates the role of oral manifestations and gluten-free diet (GFD) in shaping these outcomes. Findings suggest that children with CD may exhibit poorer OHRQoL than healthy children. The negative impact of RAS on OHRQoL was the most consistently reported finding in the literature, while evidence regarding the DEDs remains inconsistent. Xerostomia was also associated with poorer OHRQoL in adults. GFD adherence may improve some oral manifestations including RAS, atrophic glossitis and glossodynia. However, Other irreversible manifestations such as DEDs may persist despite dietary adherence. Future well-designed, large-scale studies using standardized OHRQoL instrument and validated GFD adherence measures are required to understand the association between celiac disease and OHRQoL.

Keyworda: Oral Health-Related Quality of Life; Celiac Disease; Oral Manifestations; Gluten-Free Diet; Dental Enamel Defect; Recurrent Aphthous Stomatitis

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Citation

Citation: FF Alrashed., et al. “Celiac Disease and Oral Health-Related Quality of Life: The Role of Oral Manifestations and Gluten Free-Diet Adherence". Acta Scientific Dental Sciences 10.7 (2026): 09-14.

Copyright

Copyright: © 2026 FF Alrashed., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.