Systematic review: gastro‐oesophageal reflux disease and dental lesions

Pace, F.; Pallotta, S.; Tonini, Marcello; Vakil, Nimish; Porro, G. Bianchi

doi:10.1111/j.1365-2036.2008.03694.x

Cited by 155 publications

(122 citation statements)

References 29 publications

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“…On the other hand, despite a wide range of the rate of dental erosions in patients with GERD in different populations (3,4), the prevalence of DE is higher more than 3 times in comparison to our findings in a study in one of our referral university clinics (5). It may arise from social and cultural differences affecting extrinsic factors like food and beverage consumption or oral hygiene.…”

Section: Dear Editorcontrasting

confidence: 54%

Gastroesophageal reflux disease and dental erosion correlation; a new theory from ancient time

2015

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Roesch-Ramos et al. assessed the association of gastroesophageal reflux disease (GERD) and dental erosions in a sample of 120 Mexican participants. They showed a significant relationship between GERD and dental erosion (DE) in their study and considered this issue as an extraesophageal manifestation of GERD (1).Ignoring some spelling mistakes for abbreviation of dental erosion in abstract (ED instead of DE), there is a mismatch between findings in table II and text (Result section) where the authors claim that "there was no difference in the consumption of spicy food and alcoholic beverages" between healthy and GERD groups. As it is clear in table II, both abovementioned items showed significant difference (p = 0.03), since the statistical significance level was set as p < 0.05 (1).Roesch-Ramos and colleagues indicated that the female/male ratio in GERD group was 2.3/1 which is in line with the predominance of female gender in GERD patients (2). On the other hand, despite a wide range of the rate of dental erosions in patients with GERD in different populations (3,4), the prevalence of DE is higher more than 3 times in comparison to our findings in a study in one of our referral university clinics (5). It may arise from social and cultural differences affecting extrinsic factors like food and beverage consumption or oral hygiene.To our knowledge, the relationship between GERD and dental erosion reported about 80 years ago (5) and the accepted mechanism for dental erosion in GERD patients is the reduction in tone of lower esophageal sphincter (LES) and flow of the gastric acid toward mouth leading to symptoms like halitosis (6). It is worthwhile to know that Ibn Sina (Avicenna), the great Iranian physician (7) put forward this theory in his masterpiece, Canon of Medicine, hundreds of years ago (8). Considering DE as a systemic disease manifestation similar to new literature (9), he explained the disease of stomach in detail mentioning the weakness of LES and the resulting complications such as halitosis exhaustively (8).Although a clear relationship between GERD and DE has been shown by numerous studies (4), introducing simple preventive methods like lifestyle modifications about food and drink presented in our traditional heritage (8,10) would be an effective approach toward decreasing such common ailments.

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Section: Dear Editorcontrasting

confidence: 54%

Gastroesophageal reflux disease and dental erosion correlation; a new theory from ancient time

2015

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“…Few studies have linked dental caries to GER, and there is no consensus on whether patients with this condition have a greater or lesser caries experience when compared to healthy individuals. 25,27 Some studies demonstrate that GER is associated with the development of dental caries, 28 whereas other studies report that this disorder plays a protective role against dental caries.…”

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confidence: 99%

“…24 Gastroesophageal reflux (GER) is another common characteristic in this group of patients, and this condition has been investigated as a potential causal agent of dental caries. Tooth erosion is an oral condition that has been associated 25 with or has indicated 26 GER disease. Few studies have linked dental caries to GER, and there is no consensus on whether patients with this condition have a greater or lesser caries experience when compared to healthy individuals.…”

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confidence: 99%

Factors associated with dental caries in the primary dentition of children with cerebral palsy

Roberto¹,

Machado²,

Resende³

et al. 2012

Braz. oral res.

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The aim of this study was to investigate factors associated with caries experience in the primary dentition of one-to five-year-old children with cerebral palsy. A total of 266 dental records were examined, and caries experience was measured by dmft. The following variables were also analyzed: gender, oral hygiene, history of gastroesophageal reflux, use of medications for gastroesophageal reflux, gingival status, sugar intake and reports of polyuria, excessive thirst and xerostomia. For analysis purposes, the individuals were categorized as those with and without caries experience and subcategorized into the following age groups: one year; two to three years; and four to five years. After bivariate analysis, variables with a p-value < 0.25 were selected for incorporation into the Poisson regression models. Considering the limitations of the protocol, the level of oral hygiene perceived on the first appointment was the only factor associated with caries experience among two-to-fiveyear-old children with cerebral palsy.

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“…Jarvinen et al [20] examined 109 patients with upper gastrointestinal symptoms and found only 6.4% to have erosion, while Meurman et al [21] found 26.2% out of 107 patients diagnosed with gastro-esophageal reflux to have dental erosion. For Pace F et al [22], the median prevalence of dental erosion in GERD patients was 24%, with a large range (5-48%), and the median prevalence of GERD in adult patients with dental erosion was 32.5% (range 21-83%), while in pediatric patients it was 17% (range 14-87%).…”

Section: Resultsmentioning

confidence: 99%

Optical properties and microstructural changes of hard dental tissues in gastro-esophageal reflux disease patients

Orășan¹,

Chisnoiu²,

Rusu³

et al. 2017

Studia UBB Chemia

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Systematic review: gastro‐oesophageal reflux disease and dental lesions

Cited by 155 publications

References 29 publications

Gastroesophageal reflux disease and dental erosion correlation; a new theory from ancient time

Gastroesophageal reflux disease and dental erosion correlation; a new theory from ancient time

Factors associated with dental caries in the primary dentition of children with cerebral palsy

Optical properties and microstructural changes of hard dental tissues in gastro-esophageal reflux disease patients

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