2012
DOI: 10.1155/2012/479850
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Gastroesophageal Reflux Disease and Tooth Erosion

Abstract: The increasing prevalence of gastroesophageal reflux disease (GERD) in children and adults, and of “silent refluxers” in particular, increases the responsibility of dentists to be alert to this potentially severe condition when observing unexplained instances of tooth erosion. Although gastroesophageal reflux is a normal physiologic occurrence, excessive gastric and duodenal regurgitation combined with a decrease in normal protective mechanisms, including an adequate production of saliva, may result in many es… Show more

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Cited by 88 publications
(109 citation statements)
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“…One of the most encountered oral comorbidities is GERD, which is caused by the backflow of acidic gastric juice (pH: 1.0-3.0) into the oral cavity due to the condition itself or to vomiting during acute migraine attacks (9,10). Although the damaging effects of gastric juice depend on the duration of exposure and frequency, it can cause extensive erosions on tooth surfaces, particularly on the lingual side (11).…”
Section: Introductionmentioning
confidence: 99%
“…One of the most encountered oral comorbidities is GERD, which is caused by the backflow of acidic gastric juice (pH: 1.0-3.0) into the oral cavity due to the condition itself or to vomiting during acute migraine attacks (9,10). Although the damaging effects of gastric juice depend on the duration of exposure and frequency, it can cause extensive erosions on tooth surfaces, particularly on the lingual side (11).…”
Section: Introductionmentioning
confidence: 99%
“…The most serious consequence of untreated GERD is esophageal cancer. 8 A strong relationship between reflux disease and dental erosion has been found by several studies. Although the incidence of dental erosion is higher among adult patients (32.5%) due to the longer contact with an acidic pH, the same enamel lesions were found in children (17%).…”
Section: Discussionmentioning
confidence: 90%
“…As far as intrinsic causes are concerned various authors 1,[3][4]6,8,[11][12][13][14][17][18] have associated the presence of pathologies such as bulimia and anorexia nervosa, chronic refluxes and regurgitations of the acid content of the stomach (hydrochloric acid) due to gastroesophageal disturbances, pregnancy, psychosomatic disorders and hiatus hernias. In the present case, in spite of the initial complaint being tooth sensitivity and accentuated wear of the teeth, in addition to a report of frequently provoked vomiting, in the long term, the condition was suggestive of bulimia nervosa, a diagnosis confirmed after medical evaluation.…”
Section: Discussionmentioning
confidence: 99%