scholarly journals Original Research. Evaluation of Dental Erosion in a Group of Romanian Children Diagnosed with Gastroesophageal Reflux Disease

2017 ◽  
Vol 2 (s1) ◽  
pp. 17-20
Author(s):  
Krisztina Mártha ◽  
Alexandru Ogodescu ◽  
Daniela Eșian ◽  
Cristina Bica ◽  
Eugen Bud
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Ph Value ◽  
Statistical Significance ◽  
Dental Erosion ◽  
Low Ph ◽  
Original Research ◽  
Ph Values ◽  
Dmft Index

AbstractGastroesophageal reflux disease (GERD) is a very common digestive disorder, which occurs when the acidic contents of the stomach returns into the esophagus to some extent, reaching the mouth, thereby increasing the frequency of dental erosion and caries. Since saliva plays a huge role in oral homeostasis, it is important to examine the role of this parameter in the appearance of the above mentioned oral lesions. The aim of our study was evaluate the oral condition of children suffering from reflux disease and to assess the relationship between salivary pH and the incidence of dental erosion and caries. In this prospective study we examined 25 children diagnosed with GERD, referred for hospitalization. Bedside intra-oral examination (DMFT index, gingival index) and strip method pH value determination was performed. We observed that patients with low pH values had increased caries frequency, and dental erosion was also noticeable. Statistical significance was determined comparing the DMFT index in groups with different pH values. We concluded that the high number of erosions is closely related to gastroesophageal reflux disease, as a consequence of the low pH value, which represents the main cause of oral manifestations in GERD.

scholarly journals The frequency of dental caries in adult patients with gastroesophageal reflux disease

2015 ◽  
Vol 61 (2) ◽  
pp. 124-127
Author(s):  
DS Sîmpălean ◽  
Ghiga Dana ◽  
M Petrişor ◽  
M Măruşteri ◽  
V Bacârea ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Dental Caries ◽  
Gastroesophageal Reflux ◽  
Urban Area ◽  
Rural Area ◽  
Reflux Disease ◽  
Statistical Significance ◽  
Control Group ◽  
Upper Gastrointestinal Endoscopy ◽  
Dmft Index

Abstract Introduction. The aim of the study was to evaluate the frequency of dental caries in adults patients with gastroesophageal reflux disease. Material and method. A cross-sectional study was performed between November 2013 and October 2014. All subjects who agreed to participate to the study were asked to complete a questionnaire regarding personal information, oral hygiene and dental evaluation. The individuals with complete false teeth (superior and inferior removable prosthetic devices) were excluded from the study. The study included 134 people divided in two groups, based on upper gastrointestinal endoscopy: a group with gastroesophageal reflux disease (71), and a control group (63). Dental evaluation was performed by a dentist blind to the diagnosis of the subjects. Dental caries were evaluated by applying the decayed, missing, and filled teeth index (DMFT index). The statistical significance was defined as p<0.05. Results. From 71 subjects included in GERD group, 33 (46.48%) were males and 38 females (53.52%) with a mean age of 44.99±11.19 (42, 59.15% from urban area and 29, 40.85%, from rural area). In the control group we included 28 (44.44%) males and 35 (55.56%) females (mean age 43.84±9.48) and 29 (46.03%) subjects were from urban area and 34 (53.97%) from rural area. DMFT index in GERD group was 19.49±4.28 and in control group 18.16±4.54 (p<0.05). Conclusions. The present study showed that there is no difference between GERD and control group, regarding the frequency of dental caries.

Gastroesophageal reflux disease and dental erosion: A modern review

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Silvia D'Agostino ◽  
◽  
Alessandra Bissoli ◽  
Lucia Caporaso ◽  
Francesca Iarussi ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Chronic Condition ◽  
Dental Erosion ◽  
Extraesophageal Symptoms ◽  
The Right

Gastroesophageal reflux disease (GERD) is a chronic condition well defined in the last 15 years. Its management increasingly involves different clinicians such as gastroenterologists and dentists, because of dental erosions attributable to extraesophageal symptoms. This review provides a summary of the oral consequences of GERD, despite the fact that dental erosion can occur every time an acid attacks enamel surfaces, even more so the right diagnosis is crucial and the cooperation between clinicians is advisable.

Prevalence of dental erosion among people with gastroesophageal reflux disease in China

2017 ◽  
Vol 117 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Wenhao Li ◽  
Jingming Liu ◽  
Su Chen ◽  
Yao Wang ◽  
Zhenting Zhang
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Dental Erosion

Medical Image Analysis Based on Endoscopic Radiofrequency Ablation Catheter System on the Treatment of Gastroesophageal Reflux Disease Related Extra-Esophageal Symptoms

2019 ◽  
Vol 9 (8) ◽  
pp. 1765-1769
Author(s):  
Wei-Tao Liang ◽  
Tao Li ◽  
Ji-Min Wu ◽  
Zhi-Wei Hu ◽  
Chao Yan ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Statistical Significance ◽  
Medical Image Analysis ◽  
Final Analysis ◽  
Symptom Scores ◽  
Endoscopic Radiofrequency Ablation

Objective: Gastroesophageal reflux disease is easily missed on X-ray or even computer tomography. This study was to evaluate the endoscopic imaging for the radiofrequency ablation (RA) on the diagnosis and management of gastroesophageal reflux disease related extra-esophageal symptoms. Methods: From January 2011, to January 2012, we allocated 51 patients to LTF and 47 to RA procedure. Primary outcome measures, including symptom scores of globus hysterics, chest pain, belching, hiccup, cough and asthma as well as proton pump inhibitors (PPIs) use, were analyzed after 5-year follow-up. Results: There were 90 patients following RA procedure (N = 40) or LTF (N = 50) that completed the designated 5-year follow-up and were included in the final analysis. At the end of 5-year follow-up, the symptom scores were all significantly decreased as compared with the corresponding values before the two procedures in both groups (p < 0.05). Moreover, the improvement in symptom scores between the two groups did not achieve statistical significance. After RA procedure and LTF, 18 (45%) and 32 (64%) patients in each group achieved complete PPIs therapy independence (p = 0.071). Comparing with LTF, however, the RA procedure had a higher risk of reoperation (17.5% vs. 0, p = 0.002). Conclusion: Comparing with LTF in controlling GERD-related extra-esophageal symptoms, RA procedure can offer equivalent relief on symptoms and PPIs independence. However, it has a higher risk of reoperation during the 5 years follow-up.

scholarly journals A Clinicopathologic Study of Oral Changes in Gastroesophageal Reflux Disease, Gastritis, and Ulcerative Colitis

2016 ◽  
Vol 17 (11) ◽  
pp. 943-947 ◽  
Author(s):  
KMK Masthan ◽  
E Vinesh ◽  
M Sathish Kumar ◽  
S Marytresa Jeyapriya ◽  
Aravindha Babu ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Oral Cavity ◽  
Reflux Disease ◽  
Dental Erosion ◽  
Oral Manifestations ◽  
Medical College ◽  
Oral Ulcers ◽  
Clinicopathologic Study

ABSTRACT Objectives The aim and objectives of this study are to identify oral changes in certain gastrointestinal (GI) diseases, namely gastroesophageal reflux disease (GERD), ulcerative colitis, gastritis, and to evaluate these oral symptoms as indicators for assessing GI disorders. Materials and methods In this study, the oral manifestations of various GI disorders were assessed in a varying age group of 250 patients in Government Stanley Medical College and Hospital, Chennai. Out of 250 patients, 142 were affected by GERD, 99 were affected by gastritis, and 9 patients were affected by ulcerative colitis. Of these patients, 177 were males and 73 were females. Results Evaluation of patients with gastritis revealed that 66.7% affected with gingivitis, 19.2% with dental erosion on the palatal and lingual aspects of maxillary and mandibular teeth predominantly in the anterior region, 10.1% with periodontitis, 2% with gingival erythema. Among the patients with GERD, 44% of the cases showed dental erosion, 25.5% periodontitis, 9.9% gingivitis, 5.7% gingival erythema, 2.8% palatal erythema, 2.1% gingival ulcers, glossitis 2%, 1.4% floor of the mouth erythema, and 0.7% erythema of the tongue. Patients with ulcerative colitis showed 44.4% of gingival erythema, 33.3% of dental erosions, and 22.2% of gingival ulcers and periodontitis. Conclusion In our study of 250 patients, oral manifestations were observed in 88% of the patients. Both soft tissue and hard tissue changes were evident. There was a high correlation between various GI disease and dental erosion, erythema at various sites of the oral cavity, oral ulcers, gingivitis, periodontitis, and glossitis. Careful evaluation of oral cavity may unveil many GI disorders and help the patient by providing early diagnosis, which further facilitates the prognosis. How to cite this article Vinesh E, Masthan KMK, Kumar MS, Jeyapriya SM, Babu A, Thinakaran M. A Clinicopathologic Study of Oral Changes in Gastroesophageal Reflux Disease, Gastritis, and Ulcerative Colitis. J Contemp Dent Pract 2016;17(11):943-947.

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

2014 ◽  
Vol 106 (2) ◽  
pp. 92-97 ◽  
Author(s):  
Laura Roesch-Ramos ◽  
Federico Roesch-Dietlen ◽  
José María Remes-Troche ◽  
Graciela Romero-Sierra ◽  
Carlos de Jesús Mata-Tovar ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Dental Erosion ◽  
Digestive Physiology

scholarly journals Gastroesophageal reflux disease and vocal disturbances

2011 ◽  
Vol 48 (2) ◽  
pp. 98-103 ◽  
Author(s):  
Maria Aparecida Coelho de Arruda Henry ◽  
Regina Helena Garcia Martins ◽  
Mauro Masson Lerco ◽  
Lídia Raquel Carvalho ◽  
Vânia Cristina Lamônica-Garcia
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Ph Value ◽  
Upper Esophageal Sphincter ◽  
Esophageal Ph ◽  
Esophageal Sphincter ◽  
Group 2 ◽  
Vocal Disturbances ◽  
Group 1

CONTEXT: Gastroesophageal reflux disease is a chronic disease in which gastroduodenal contents reflux into the esophagus. The clinical picture of gastroesophageal reflux disease is usually composed by heartburn and regurgitation (typical manifestations). Atypical manifestations (vocal disturbances and asthma) may also be complaint. OBJECTIVE: To analyse the clinical, endoscopic, manometric and pHmetric aspects of patients suffering from gastroesophageal reflux disease associated with vocal disturbances. METHODS: Fifty patients with gastroesophageal reflux disease were studied, including 25 with vocal disturbances (group 1 - G1) and 25 without these symptoms (group 2 - G2). All patients were submitted to endoscopy, manometry and esophageal pHmetry (2 probes). The group 1 patients were submitted to videolaryngoscopy. RESULTS: Endoscopic findings: non-erosive reflux disease was observed in 95% of G1 patients and 88% of G2. Videolaryngoscopy: vocal fold congestion, asymmetry, nodules and polyps were observed in G1 patients. Manometric findings: pressure in the lower esophageal sphincter (mm Hg): 11.6 ± 5.2 in G1 and 14.0 ± 6.2 in G2 (P = 0.14); pressure in the upper esophageal sphincter (mm Hg): 58.4 ± 15.9 in G1 and 69.5 ± 30.7 in the controls. pHmetric findings: De Meester index: 34.0 ± 20.9 in G1 and 15.4 ± 9.4 in G2 (P<0.001); number of reflux episodes in distal probe: 43.0 ± 20.4 in G1 and 26.4 ± 17.2 in G2 (P = 0.003); percentage of time with esophageal pH value lower than 4 units (distal sensor): 9.0% ± 6.4% in G1 and 3.4% ± 2.1% in G2 (P<0.001); number of reflux episodes in proximal probe: 7.5 ± 10.9 in G1 and 5.3 ± 5.7 in G2 (P = 0.38); percentage of time with esophageal pH values lower than 4 units (Proximal probe): 1.2 ± 2.7 in G1 and 0.5 ± 0.7 in G2 (P = 0.21). CONCLUSIONS: 1) The clinical, endoscopic, and manometric findings observed in patients with vocal disturbance do not differ from those without these symptoms; 2) gastroesophageal reflux intensity is higher in patients with vocal disturbance; 3) patients without vocal disturbance can also present reflux episodes in the proximal probe.

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