Tooth Erosions Associated with Gastroesophageal Reflux: Cause, Prevention and Restorative Therapy.

[Tooth Erosions Associated with Gastroesophageal Reflux: Cause, Prevention and Restorative Therapy]. Praxis (Bern 1994). 2019;108(5):307-313 Authors: Wegehaupt FJ, Attin T Abstract Tooth Erosions Associated with Gastroesophageal Reflux: Cause, Prevention and Restorative Therapy Abstract. Dental erosions are caused by the recurring contact of solutions which are unsaturated in tooth minerals,ith hard tooth substances. This initially leads to softening and later to an irreversible loss of hard tooth substance. Erosion is observed particularly with excessive consumption of acidic foods (e.g. soft drinks or citrus fruits) but also in connection with gastrointestinal (gastroesophageal reflux disease) or psychosomatic diseases (anorexia nervosa or bulimia nervosa). The aim of this article is to define dental erosions, their causes, prevalence and consequences as well as possible preventive measures. Based on a clinical example of a patient with reflux-related erosions, a therapy option with direct composite tooth build-up is presented. PMID: 30940043 [PubMed - in process]
Source: Praxis - Category: General Medicine Authors: Tags: Praxis (Bern 1994) Source Type: research

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Dental erosion can occur after exposure to acids either in the diet or as a result of physical conditions. Extrinsic dietary acids come from foods or beverages that are consumed. Exposures to these acids can be increased by specific behaviors such as holding liquids in the mouth or swishing with them. In contrast, teeth are exposed to intrinsic acids when the patient has disorders such as anorexia nervosa, bulimia nervosa, rumination syndrome, or gastroesophageal reflux. The science supporting the role of dietary risk factors for erosion and the actions clinicians can take to protect patients at risk for erosion were explored.
Source: Dental Abstracts - Category: Dentistry Tags: Hands On Source Type: research
CONCLUSIONS: Clinicians should screen patients exhibiting dental erosion for anorexia nervosa, bulimia nervosa, rumination syndrome, and gastroesophageal reflux disease. Clinicians should screen patients without a medical explanation for their erosion for exposure to acidic foods and beverages, particularly for habits that prolong exposure. PRACTICAL IMPLICATIONS: Identification of intrinsic and extrinsic acid exposures and recommendations to minimize exposures are important to prevent erosion and maintain oral health. PMID: 29389338 [PubMed - in process]
Source: Journal of the American Dental Association - Category: Dentistry Tags: J Am Dent Assoc Source Type: research
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