Dental erosion caused by silent gastroesophageal reflux disease

Ali, Dena; Brown, Ronald S.; Rodriguez, Luciano O.; Moody, E.L.; Nasr, Mahmoud F.

doi:10.14219/jada.archive.2002.0269

Cited by 52 publications

(57 citation statements)

References 14 publications

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“…The common symptoms of GERD are belching, heartburn, acid regurgitation, difficulty swallowing (dysphagia) and unexplained sour taste (1,24). Other gastric atypical symptoms include posterior laryngitis, respiratory symptoms, noncardiac chest pain (24).…”

Section: Oral Manifestations Of Gastroesophageal Reflux Disease (Gerd)mentioning

confidence: 99%

“…The typical chemical erosion is observed usually on the vestibular tooth surfaces contrary to the erosions due to the gastric acid, witch are localized often on the palatinal surfaces of the maxillary dentition (12,13). It is postulated that the dental expertise may be essential in distinguishing between differential diagnoses such as bulimia, attrition and abrasion (1,15,16).…”

Section: Tooth Erosionmentioning

confidence: 99%

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Oral Cavity and Systemic Diseases—Gastroesophageal Reflux Disease

Krasteva

Panov

Kisselova

et al. 2012

Biotechnology & Biotechnological Equipment

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Section: Oral Manifestations Of Gastroesophageal Reflux Disease (Gerd)mentioning

confidence: 99%

Section: Tooth Erosionmentioning

confidence: 99%

Oral Cavity and Systemic Diseases—Gastroesophageal Reflux Disease

Krasteva

Panov

Kisselova

et al. 2012

Biotechnology & Biotechnological Equipment

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“…In patients with GERD, the irreversible effect of acid produced by gastric juice on dental enamel can be recognized by the presence of dental erosion, which depends on the duration of the disease and the severity of reflux (5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

Dental erosion, an extraesophageal manifestation of gastroesophageal reflux disease: the experience of a center for digestive physiology in Southeastern Mexico

Roesch-Ramos

Roesch-Dietlen

Remes-Troche

et al. 2014

Rev. esp. enferm. dig.

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Background: Dental erosion (DE) is the loss of the hard tissues of the tooth produced by the action of gastric juice, pepsin and acid on the dental enamel, its frequency ranges from 5 to 53.41 %. In Mexico there are no reports on the frequency and possible association.Objective: To establish the prevalence of dental erosion and its relationship to GERD.Patients and methods: Prospective, observational, descriptive and comparative study was conducted in 60 patients diagnosed with GERD and 60 healthy patients at the Institute of Medical and Biological Research of the Universidad Veracruzana in Veracruz city. Anthropometric characteristics, dietary habits, oral hygiene, alcohol consumption, smoking, ED index and Index of decayed/missing dental pieces/sealed and correlation between severity of ED and GERD were analyzed.Results: 78.67 % of patients with GERD had ED, 23.33 % corresponded to grade 0, 41.67 % to N1, N2 and 23.33 % to 11.67 % to N3. Predominance of females (2.3:1). The mean age was 50.92 ± 13.52 years. The severity of dental erosion was significantly related to the severity of reflux, halitosis, CPO index and poor eating habits. There was no statistically significant difference in the other variables analyzed.Conclusions: Dental erosion has a high frequency in patients with GERD and reflux characteristics are directly related to their severity and therefore should be considered as a manifestation of GERD extraesophageal.

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“…4 Often the first provisional diagnosis of GORD may be made by the dental practitioner as a result of clinical observation of enamel erosion. 5 The most common oral problem for patients with moderate to severe cerebral palsy is related to drooling or sialorrhoea, which may occur as a result of hypersalivation, low oral musculature tone resulting in poor lip closure, inadequate jaw control, postural problems or dental malocclusion. This can cause problems such as dehydration, erosion, angular chelitis and malodour.…”

Section: Introductionmentioning

confidence: 99%

Oral impact of gastro‐oesophageal reflux disease: a case report

Liberali

2008

Australian Dental Journal

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Background: This case report describes the dental management of a 30-year-old male with cerebral palsy and dyspraxia. Recall examination identified multiple erosive carious lesions despite previous oral hygiene and dietary related instruction. A comprehensive approach to patient management was required to identify the aetiological factors associated with the continued loss of tooth structure. Methods: The identification of the aetiological factors required a detailed medical history and clinical examination, as well as liaison with the patientÕs general medical practitioner. Preventive measures were adopted prior to restorative intervention in order to stabilize and remineralize the dentition. Results: Medical intervention for gastro-oesophageal reflux disease (GORD) and a targeted prevention programme resulted in remineralization of all carious exposed dentine with stabilization of the dentition. Conclusions: Patients with cerebral palsy are known to have a higher incidence of GORD as well as problems with swallowing, vomiting and recurrent chest infections. Long-term gastric acid attacks can contribute to dental erosion, and dental professionals may be the first to diagnose silent GORD. The successful treatment of erosion caused by GORD requires a multidisciplinary and minimal intervention approach.

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Dental erosion caused by silent gastroesophageal reflux disease

Cited by 52 publications

References 14 publications

Oral Cavity and Systemic Diseases—Gastroesophageal Reflux Disease

Oral Cavity and Systemic Diseases—Gastroesophageal Reflux Disease

Dental erosion, an extraesophageal manifestation of gastroesophageal reflux disease: the experience of a center for digestive physiology in Southeastern Mexico

Oral impact of gastro‐oesophageal reflux disease: a case report

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