Oesophageal Acid and Salivary Secretion: Is Chewing Gum a Treatment Option for Gastro-Oesophageal Reflux?

Schönfeld, J. v.; Hector, Mark; Evans, David F.; Wingate, David

doi:10.1159/000201432

Cited by 26 publications

(16 citation statements)

References 10 publications

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“…Further, chewing gum after a meal helps to reduce postprandial oesophageal acid exposure 114 . It was also suggested that chewing gum might be a treatment option for some patients with symptomatic reflux 115,116 . For individuals at high risk for erosive tooth wear and those with active erosion, it is suggested that tooth brushing should be postponed after consumption of erosive foodstuffs or beverages, in order to minimise enamel loss.…”

Section: Preventionmentioning

confidence: 99%

Dental erosion - diagnosis and prevention in children and adults

Lussi¹,

Schaffner²,

Jaeggi³

2007

International Dental Journal

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Erosion is becoming an increasingly important factor when considering the long term health of the dentition. There is some evidence that the presence of this condition is growing steadily. What is considered as an acceptable amount of wear is dependent on the anticipated lifespan of the dentition and therefore it is different for deciduous teeth compared to permanent teeth. Erosive tooth wear in children is a common condition. The overlapping of erosion with mechanical forces like attrition or abrasion is more pronounced probably in deciduous teeth than in permanent teeth. Early erosive damage to the permanent teeth may compromise the dentition for the entire lifetime and require extensive restorative procedures. Therefore, it is important that diagnosis of the tooth wear process in children and adults is made early. Clinical detection of erosive tooth wear is important once dissolution has started and the clinical appearance is the most important sign for dental professionals to detect in order to diagnose erosion. Adequate preventive measures can only be initiated when the different risk factors are known and interactions between them are present, following which an individually tailored preventive programme may be suggested to patients. It may comprise dietary advice, optimisation of fluoride regimes, stimulation of salivary flow rate, use of buffering medicaments and particular motivation for non-destructive tooth brushing habits with a low abrasive toothpaste. The frequent use of fluoride gel and fluoride mouthrinse in addition to everyday fluoride toothpaste offers the opportunity to minimise wear of tooth substance.

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Section: Preventionmentioning

confidence: 99%

Dental erosion - diagnosis and prevention in children and adults

Lussi¹,

Schaffner²,

Jaeggi³

2007

International Dental Journal

View full text Add to dashboard Cite

show abstract

“…However, chewing gum after a meal helps to reduce postprandial esophageal acid exposure [39]. It was also suggested that chewing gum might be a treatment option for some patients with symptomatic reflux [40,41].…”

mentioning

confidence: 99%

Risk Assessment and Preventive Measures

Lussi

Hellwig²

2006

Monographs in Oral Science

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A prerequisite for preventive measures is to diagnose erosive tooth wear and to evaluate the different etiological factors in order to identify persons at risk. No diagnostic device is available for the assessment of erosive defects. Thus, they can only be detected clinically. Consequently, erosion not diagnosed in the early stage may render timely preventive measures difficult. In order to assess the risk factors, patient should record their dietary intake for a distinct period of time. Then a dentist can determine the erosive potential of the diet. Particularly, patients with more than four dietary acid intakes have a higher risk for erosion when other risk factors (such as holding the drink in the mouth) are present. Regurgitation of gastric acids (reflux, vomiting, alcohol abuse, etc.) is a further important risk factor for the development of erosion which has to be taken into account. Based on these analyses, an individually tailored preventive program may be suggested to the patients. It may comprise dietary advice, optimization of fluoride regimes, stimulation of salivary flow rate, use of buffering medicaments and particular motivation for nondestructive toothbrushing habits with a low abrasive toothpaste. The frequent use of fluoride gel and fluoride solution in addition to fluoride toothpaste offers the opportunity to reduce somewhat abrasion of tooth substance. It is also advisable to avoid abrasive tooth cleaning and whitening products, since they may remove the pellicle and may render teeth more susceptible to erosion. Since erosion, attrition and abrasion often occur simultaneously all causative components must be taken into consideration when planning preventive strategies.

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“…As described above, the greatest amount of saliva is induced after food intake. This salivation response is initiated by various sensory inputs, including visual, olfactory, oropharyngeal, and esophageal senses (gustatory, mechanical, and thermal) [126]. Afferent nerve impulses from the salivary reflex pass to the salivary nuclei through the medulla oblongata, including the NTS and the parabrachial nucleus (PBN), and these impulses affect the parenchyma of the salivary glands from these centers via the efferent parasympathetic secretomotor nerves [125].…”

Section: The Role Of Salivary Secretions In Eating Disordersmentioning

confidence: 99%

The Role of Ghrelin, Salivary Secretions, and Dental Care in Eating Disorders

et al. 2012

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Eating disorders, including anorexia and bulimia nervosa, are potentially life-threatening syndromes characterized by severe disturbances in eating behavior. An effective treatment strategy for these conditions remains to be established, as patients with eating disorders tend to suffer from multiple relapses. Because ghrelin was originally discovered in the stomach mucosa, it has been widely studied over the past decade in an effort to uncover its potential roles; these studies have shed light on the mechanism by which ghrelin regulates food intake. Thus, studying ghrelin in the context of eating disorders could improve our understanding of the pathogenesis of eating disorders, possibly resulting in a promising new pharmacological treatment strategy for these patients. In addition, early detection and treatment of eating disorders are critical for ensuring recovery of young patients. Oral symptoms, including mucosal, dental, and saliva abnormalities, are typically observed in the early stages of eating disorders. Although oral care is not directly related to the treatment of eating disorders, knowledge of the oral manifestations of eating disorder patients may aid in early detection, resulting in earlier treatment; thus, oral care might contribute to overall patient management and prognosis. Moreover, ghrelin has also been found in saliva, which may be responsible for oral hygiene and digestion-related functions. This review discusses the pharmacological potential of ghrelin in regulating food-intake and the role of saliva and oral care in young patients with eating disorders.

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Oesophageal Acid and Salivary Secretion: Is Chewing Gum a Treatment Option for Gastro-Oesophageal Reflux?

Cited by 26 publications

References 10 publications

Dental erosion - diagnosis and prevention in children and adults

Dental erosion - diagnosis and prevention in children and adults

Risk Assessment and Preventive Measures

The Role of Ghrelin, Salivary Secretions, and Dental Care in Eating Disorders

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