Cost-effective Management of Severe Gastroesophageal Reflux Disease: Toward an Improved Understanding of Anti-reflux Surgery

Park, Chan Hyuk

doi:10.5056/jnm20025

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…However, after around five appointments, apprehension decreased among 11 of the 12 patients. This accomplishment was achieved using conditioning techniques, including the iatrosedative technique (relief of anxiety through words), 12 distraction techniques, rapport establishment, and empathy. Only one patient, a 13‐year‐old girl, was referred to general anesthesia for dental treatment.…”

Section: Discussionmentioning

confidence: 99%

Oral and cephalometric study in Brazilian Rubinstein–Taybi syndrome patients

Martins

Roussen

Rezende

et al. 2021

Special Care in Dentistry

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Objective The purpose of this study was to describe a detailed investigation of craniofacial and dental characteristics in a group of Brazilian Rubinstein–Taybi syndrome (RSTS) patients. Methods and results Thirteen RSTS patients treated in a special care dental clinic after 10 years were studied. Panoramic radiographs were obtained from all patients, and cephalometric analysis was performed in eight patients. Five male and eight white female patients with a median age of 11.7 years were analyzed. All the RSTS patients were mouth breathers and presented malocclusion, transverse hypoplastic maxilla, nine subjects (9/13; 69.2%) had posterior crossbite, and eight (61.53%) exhibited talon cusps. Most patients presented class II skeletal pattern and were brachycephalic. Regarding systemic disorders, one patient (7.69%) reported seizure episodes during childhood, and four patients (30.76%) presented heart valve disorders. All patients presented reduced attention span, low intolerance to dental interventions, impulsiveness, and irritability. Conclusions Since RSTS exhibits oral and skeletal changes, early dental treatment is essential for these patients. Dentists must be aware of medical problems related to heart disease and persist in conditioning techniques to obtain cooperation and avoid dental care under general anesthesia.

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Section: Discussionmentioning

confidence: 99%

Oral and cephalometric study in Brazilian Rubinstein–Taybi syndrome patients

Martins

Roussen

Rezende

et al. 2021

Special Care in Dentistry

View full text Add to dashboard Cite

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“…The prevalence of GERD ranges from 18.1% to 27.8% in the United States, resulting in substantial direct and indi-rect economic costs. [1][2][3] The pathogenesis of GERD is influenced by a number of factors, characterized by an imbalance between harmful factors (reflux frequency, acidity of refluxate, esophageal mucosal contact time) and protective factors (esophageal acid clearance, mucosal integrity, lower esophageal sphincter pressure, anti-reflux barrier). 4 Recent studies suggest that this multifactorial process is influenced by the esophageal microbiome, which can induce an immune response that eventually triggers inflammation and subsequent GERD.…”

Section: Introductionmentioning

confidence: 99%

Gastroesophageal Reflux Disease: A Potentially Infectious Disease?

Houston,

Patel,

Saadeh

et al. 2023

J Transl Gastroenterol

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The gastrointestinal microbiome remains an explosively increasing topic of study, assessing the potentially pivotal roles of the microbiome in maintaining health or causality in disease pathogenesis. Gastroesophageal reflux disease (GERD) has long been understood to be a result of direct acidic injury. However, emerging evidence suggests that GERD could also be caused by alterations in the esophageal microbiome, causing an induction of a submucosal inflammatory cytokine cascade, that has a retrograde effect on the luminal mucosa. This concept of a microbial shift/dysbiosis in the causality of GERD is clearly a paradigm shift and has led to possible treatment strategies beyond the traditional approach of acid-suppressive therapies. This review focuses on the current evidence surrounding GERD and the rationale for possible esophageal microbiome-directed treatment strategies.

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Cost-effective Management of Severe Gastroesophageal Reflux Disease: Toward an Improved Understanding of Anti-reflux Surgery

Cited by 2 publications

References 14 publications

Oral and cephalometric study in Brazilian Rubinstein–Taybi syndrome patients

Oral and cephalometric study in Brazilian Rubinstein–Taybi syndrome patients

Gastroesophageal Reflux Disease: A Potentially Infectious Disease?

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