Gastroesophageal reflux disease (GERD) occurs when gastric juice acidifies the mouth on a regular basis leading to a loss of mineralised tooth tissue. Aim: To evaluate the risk of dental erosion in people with GERD and relate erosion to reported variables collected by questionnaire. Methods: A sample, composed of a group of patients over 18 years with GERD and an asymptomatic control group, was interviewed and examined for the evaluation of the Basic Erosive Wear Examination (BEWE),a questionnaire on symptoms of GERD and an interview for the determination of caries risk through Caries ManagementBy Risk Assessment (CaMBRA). The control group was patients presenting for the first dental visit at the Outpatient Department of the Policlinico Umberto I. Permission for the collection of data was obtained of the Director of the Department of Stomatology, Departments of Endoscopy and Surgery Hospital “Alfredo Fiorini” Terracina and Hospital “San Giovanni di Dio” of Fondi. Salivary pH was measured using litmus strip in a commercial kit. Results: 214 subjects of mean age 27 were equally divided by sex and age in the two experimental groups (control, n = 107 and GERD, n =107). A statistical correlation was shownfor the GERD group, level of risk of “severe” dental erosion (60% of those with GERD, 3% in the control group) and a diet rich in acidic foods and beverages. Acidic dietary habits with an average frequency of 3 times a day was present in the GERD group with a rate of 6%. A diet low in fatty foods was prevalent in the control group (63% in control vs 48% in the GERD). The difference in salivary pH was highly significant for all variables. The GERD group has increased prevalence and severity of dental erosion. The pH of plaque and saliva were significantly correlated to dental erosion. The medical history and salivary factors showed a correlation with the level of caries risk. Conclusion:GERD emerges as a risk factor for dental erosion. Moreover it was noted that the GERD group has dietary habits that could increase acidity symptoms. It is therefore necessary to establish protocols for screening and counselling for prevention and management of dental erosion in patients with GERD.
Dental erosion in patients with gastro-esophageal reflux (GERD) / Corridore, Denise; Giannetti, C.; Giordano, Guido; Solidani, M.; Ottolenghi, Livia. - In: ANNALI DI STOMATOLOGIA. - ISSN 1971-1441. - (2011), pp. 43-43. (Intervento presentato al convegno European Association of Dental Public Health - 16 th Annual Meeting tenutosi a Rome nel 22-24 September 2011).
Dental erosion in patients with gastro-esophageal reflux (GERD)
CORRIDORE, DENISE;GIORDANO, GUIDO;OTTOLENGHI, Livia
2011
Abstract
Gastroesophageal reflux disease (GERD) occurs when gastric juice acidifies the mouth on a regular basis leading to a loss of mineralised tooth tissue. Aim: To evaluate the risk of dental erosion in people with GERD and relate erosion to reported variables collected by questionnaire. Methods: A sample, composed of a group of patients over 18 years with GERD and an asymptomatic control group, was interviewed and examined for the evaluation of the Basic Erosive Wear Examination (BEWE),a questionnaire on symptoms of GERD and an interview for the determination of caries risk through Caries ManagementBy Risk Assessment (CaMBRA). The control group was patients presenting for the first dental visit at the Outpatient Department of the Policlinico Umberto I. Permission for the collection of data was obtained of the Director of the Department of Stomatology, Departments of Endoscopy and Surgery Hospital “Alfredo Fiorini” Terracina and Hospital “San Giovanni di Dio” of Fondi. Salivary pH was measured using litmus strip in a commercial kit. Results: 214 subjects of mean age 27 were equally divided by sex and age in the two experimental groups (control, n = 107 and GERD, n =107). A statistical correlation was shownfor the GERD group, level of risk of “severe” dental erosion (60% of those with GERD, 3% in the control group) and a diet rich in acidic foods and beverages. Acidic dietary habits with an average frequency of 3 times a day was present in the GERD group with a rate of 6%. A diet low in fatty foods was prevalent in the control group (63% in control vs 48% in the GERD). The difference in salivary pH was highly significant for all variables. The GERD group has increased prevalence and severity of dental erosion. The pH of plaque and saliva were significantly correlated to dental erosion. The medical history and salivary factors showed a correlation with the level of caries risk. Conclusion:GERD emerges as a risk factor for dental erosion. Moreover it was noted that the GERD group has dietary habits that could increase acidity symptoms. It is therefore necessary to establish protocols for screening and counselling for prevention and management of dental erosion in patients with GERD.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
