Erosive Tooth Wear and Erosive Esophagitis in Children: An Observational Study in Porto Alegre, Brazil

2020 ◽  
Vol 54 (3) ◽  
pp. 266-273
Author(s):  
Amanda Rodrigues Sari Quoos ◽  
Fernanda Coradini Noal ◽  
Cristiane Meira Assunção ◽  
Jonas A. Rodrigues ◽  
Carolina Soares da Silva ◽  
...  
Keyword(s):  
Los Angeles ◽  
Erosive Esophagitis ◽  
Erosive Wear ◽  
Tooth Wear ◽  
Risk Level ◽  
Digestive Endoscopy ◽  
Porto Alegre ◽  
Erosive Tooth Wear ◽  
Los Angeles Classification ◽  
Upper Digestive Endoscopy

The aim of this study was to establish and compare the prevalence and severity of erosive tooth wear (ETW) in children with and without erosive esophagitis. Children aged 5–12 years, scheduled for upper digestive endoscopy at the Pediatric Gastroenterology Service of the Children’s Hospital Santo Antonio, Porto Alegre, Brazil, were eligible to participate in this study. Patients who presented erosive esophagitis at endoscopy were defined as gastroesophageal reflux disease (GERD) carriers, and the severity was described according to the Los Angeles classification. The oral cavity examination was performed by a trained and calibrated dentist and ETW was classified using the Basic Erosive Wear Examination (BEWE) index. Parents/guardians answered a questionnaire about the patients’ diets and frequency of consumption of acidic foods and beverages. A total of 110 children were included in the study. Erosive esophagitis was observed in 24 patients (21.8%) and all of them (100%) presented ETW, showing a statistically significant association between these 2 conditions (p < 0.05). Among children who did not present with erosive esophagitis (n = 86), 54 (64.3%) had an ETW risk level of none according to their BEWE scores (0–2). The results of this study showed a statistically significant association between erosive esophagitis and ETW, thus it can be concluded that it is important to recognize groups at risk of ETW and act together with medical professionals to ensure adequate oral health for these patients.

Influence of Intrinsic Factors on Erosive Tooth Wear in a Large-Scale Epidemiological Study

2016 ◽  
Vol 50 (5) ◽  
pp. 508-516 ◽  
Author(s):  
Viivi Alaraudanjoki ◽  
Marja-Liisa Laitala ◽  
Leo Tjäderhane ◽  
Paula Pesonen ◽  
Adrian Lussi ◽  
...  
Keyword(s):  
Large Scale ◽  
Erosive Wear ◽  
Tooth Wear ◽  
Risk Indicators ◽  
Health Examination ◽  
Convenience Sample ◽  
Erosive Tooth Wear ◽  
Intrinsic Factors ◽  
The Difference

Objective: To assess the influence of self-reported intrinsic factors [gastroesophageal reflux disease (GERD), long-term alcoholism, long-term heavy use of alcohol and multiple pregnancies] on erosive tooth wear in a middle-aged cohort sample. Materials and Methods: Of the total Northern Finland Birth Cohort (NFBC 1966), a convenience sample (n = 3,181) was invited for an oral health examination in 2012-2013, of which 1,962 participated, comprising the final study group. Erosive tooth wear was assessed by sextants using the Basic Erosive Wear Examination Index (BEWE, 0-18). Clinical data were supplemented by questionnaires conducted in 1997/1998 and 2012/2013. The participants were divided into severe (BEWE sum ≥9) and no-to-moderate (BEWE sum 0-8) erosive wear groups, and the logistic regression model was applied. Results: Selected intrinsic factors were quite rare in this cohort sample and explained only 5.9% of the difference in the prevalence and severity of erosive wear. Daily symptoms of GERD [odds ratio (OR) 3.8, confidence interval (CI) 1.2-12.0] and hyposalivation (OR 3.8, CI 1.2-11.8) were the strongest risk indicators for severe erosive wear. Additionally, variables associated with an elevated risk for severe erosive wear were diagnosed alcoholism at any point (OR 2.5, CI 0.7-9.7) and self-reported heavy use of alcohol in both questionnaires (OR 2.0, CI 0.6-6.2). Even low-dose long-term consumption of alcohol was associated with erosive wear. Conclusions: In this cohort sample, intrinsic factors such as GERD or alcoholism alone are relatively uncommon causes of erosive tooth wear. The role of long-term use of alcohol in the erosion process may be bigger than presumed.

scholarly journals Is a Basic Erosive Wear Examination (BEWE) reliable for recording erosive tooth wear on 3D models?

2017 ◽  
Vol 59 ◽  
pp. 26-32 ◽  
Author(s):  
Viivi Alaraudanjoki ◽  
Henna Saarela ◽  
Reetta Pesonen ◽  
Marja-Liisa Laitala ◽  
Heikki Kiviahde ◽  
...  
Keyword(s):  
Erosive Wear ◽  
Tooth Wear ◽  
3D Models ◽  
Erosive Tooth Wear

scholarly journals ENDOSCOPIC CHANGES RELATED TO GASTROESOPHAGEAL REFLUX DISEASE: COMPARATIVE STUDY AMONG BARIATRIC SURGERY PATIENTS

2015 ◽  
Vol 28 (suppl 1) ◽  
pp. 36-38 ◽  
Author(s):  
Marco Aurelio SANTO ◽  
Sylvia Regina QUINTANILHA ◽  
Cesar Augusto MIETTI ◽  
Flavio Masato KAWAMOTO ◽  
Allan Garms MARSON ◽  
...  
Keyword(s):  
Los Angeles ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Hiatal Hernia ◽  
Barrett’S Esophagus ◽  
Reflux Disease ◽  
Barrett's Esophagus ◽  
Erosive Esophagitis ◽  
Los Angeles Classification ◽  
Bariatric Patients

Background : Obesity is correlated with several comorbidities, including gastroesophageal reflux disease. Its main complications are detectable by endoscopy: erosive esophagitis and Barrett's esophagus. Aim : To correlate erosive esophagitis and hiatal hernia with the degree of body mass index (BMI). Method : Was performed a retrospective analysis of 717 preoperative endoscopic reports of bariatric patients. Fifty-six (8%) presented hiatal hernia, being 44 small, nine medium and five large. Esophagitis was classified by Los Angeles classification. Results : There was no correlation between the presence and dimension of hiatal hernia with BMI. One hundred thirty-four (18.7%) patients presented erosive esophagitis. Among them, 104 (14.5%) had esophagitis grade A; 25 (3.5%) grade B; and five (0.7%) grade C. When considering only the patients with erosive esophagitis, 77.6% had esophagitis grade A, 18.7% grade B and 3.7% grade C. Were identified only two patients with Barrett's esophagus (0,28%). Conclusion : There was a positive correlation between the degree of esophagitis with increasing BMI.

scholarly journals Dental Caries and the Erosive Tooth Wear Status of 12-Year-Old Children in Jakarta, Indonesia

2019 ◽  
Vol 16 (16) ◽  
pp. 2994 ◽  
Author(s):  
Diah Ayu Maharani ◽  
Shinan Zhang ◽  
Shiqian Sherry Gao ◽  
Chun-Hung Chu ◽  
Anton Rahardjo
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Educational Level ◽  
Health Knowledge ◽  
Dietary Habits ◽  
Soft Drink ◽  
Erosive Wear ◽  
Tooth Wear ◽  
Cluster Sampling ◽  
Erosive Tooth Wear

Background: Indonesia has the largest population of all countries in southeast Asia. However, little information is available on the oral health status of Indonesian children. The aims of this study were to assess dental caries and erosive tooth wear in 12-year-old children in Jakarta, Indonesia and to investigate the associated risk factors. Methods: Samples were selected using cluster sampling. Parents were asked to complete a self-administered questionnaire regarding their oral health knowledge, demographic information, their child’s dietary habits, and oral health-related behaviors. Experience of caries and erosive tooth wear were recorded using the Decayed, Missing (due to caries), and Filled Teeth (DMFT) index and the Basic Erosive Wear Examination (BEWE) index, respectively. Results: Of 779 children invited, 696 participated in the survey. Of these, 61% had experienced caries, and the mean DMFT score was 1.58. Almost all decay was untreated. Children who were female, who had a high frequency of soft drink intake, and whose father’s educational level was low were more likely to have dental caries. Most children had at least one lesion of erosive tooth wear. Children whose mother’s educational level was low were more likely to have erosive tooth wear. Conclusions: The prevalence of dental caries and erosive tooth wear was high in 12-year-old children in Jakarta. Their dietary habits and parental level of education were associated with the presence of these dental conditions.

scholarly journals Clinical and endoscopic evaluantion of gastroesophageal reflux disease in patients successfully treated with esomeprazole

2003 ◽  
Vol 40 (4) ◽  
pp. 262-267
Author(s):  
Edson Pedro da Silva ◽  
Farid Nader ◽  
Flavio A. Quilici ◽  
Jaime Natan Eisig ◽  
Schlioma Zaterka ◽  
...  
Keyword(s):  
Los Angeles ◽  
Confidence Interval ◽  
Epigastric Pain ◽  
Erosive Esophagitis ◽  
Once Daily ◽  
Los Angeles Classification ◽  
Symptom Resolution ◽  
Number Of Patients ◽  
Secondary Endpoints ◽  
Multi Center Study

BACKGROUND: Esomeprazole, an S-isomer of omeprazole, is the first proton pump inhibitor developed as an optical isomer, and it has shown high healing rates in erosive esophagitis. AIM: To evaluate the efficacy and tolerability of esomeprazole in subjects with erosive esophagitis, according to the Los Angeles classification study design: an open, multi-center clinical study. MATERIAL AND METHODS: Two hundred and eighteen subjects with reflux esophagitis confirmed by endoscopy were included in an open, multi-center study in Brazil. All of them received esomeprazole 40 mg, once daily, for a 4-week period. Subjects who had unhealed esophagitis by week 4 continued the treatment for another 4 weeks. The primary efficacy endpoint was the healing rates by weeks 4 and 8. The secondary endpoints were the number of patients with symptom resolution by week 4, the number of days to sustained symptom resolution, number of symptom-free days and nights and safety and tolerability of the drug. RESULTS: Healing rates by weeks 4 and 8 were 82% (confidence interval: 77.4%-87.6%) and 96.1% (confidence interval: 93.5% - 98.8%), respectively. Ninety-nine (99%) of the patients had heartburn resolution by week 2. The most common adverse events were headache (4%), diarrhea (2.6%) and epigastric pain (2.2%). CONCLUSION: For the studied period, esomeprazole was shown to be a safe and well-tolerated drug, providing significant healing rates of mucosal breaks, regardless of LA classification, in patients with erosive esophagitis. Esomeprazole was also shown to be effective in quickly relieving symptoms.

scholarly journals CORRELATION BETWEEN PRE AND POSTOPERATIVE UPPER DIGESTIVE ENDOSCOPY IN PATIENTS WHO UNDERWENT ROUX-EN-Y GASTROJEJUNAL BYPASS

2016 ◽  
Vol 29 (1) ◽  
pp. 33-37 ◽  
Author(s):  
Leticia Elizabeth Augustin CZECZKO ◽  
Manoela Aguiar CRUZ ◽  
Flávia Caroline KLOSTERMANN ◽  
Nicolau Gregori CZECZKO ◽  
Paulo Afonso Nunes NASSIF ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Hiatus Hernia ◽  
Statistical Significance ◽  
Erosive Esophagitis ◽  
Marginal Ulcer ◽  
Esophageal Mucosa ◽  
Upper Endoscopy ◽  
Digestive Endoscopy ◽  
Erosive Gastritis ◽  
Upper Digestive Endoscopy

Background : Bariatric operations have variable range of complications and postoperative benefits. Gastroesophageal reflux is considered potential factor that may result in damage to the esophageal mucosa and this subject is quite controversial in the literature. Aim: To evaluate patients who underwent to Roux-en-Y gastrojejunal bypass correlating epidemiologic and endoscopic findings in pre and postoperative periods. Method: A retrospective, paired study which evaluated 110 patients. Inclusion criteria were formal indication for bariatric surgery and patients with pre and postoperative endoscopy. Exclusion criteria were previous bariatric surgery, patients subjected to other types of bariatric surgery and those who had no pre or postoperative upper digestive endoscopy. The epidemiological variables were: sex, age, body mass index, type 2 diabetes mellitus or impaired glucose tolerance, and preoperative dyslipidemia. Results: The preoperative upper endoscopy was normal in 26.4% of the patients. Among endoscopic alterations, the hiatus hernia was the most prevalent followed by non-erosive gastritis. The postoperative upper endoscopy was normal in 40.9% and stenosis was the most prevalent followed by marginal ulcer. Correlation on pre and postoperative endoscopies, was found 100% reduction of hiatal hernias and 88% of esophagitis. There was no statistical significance in relationship to anastomotic stenosis with preoperative other variables. Conclusions . There was significant decrease in postoperative hiatus hernia, erosive esophagitis, non-erosive esophagitis, erosive gastritis and non-erosive gastritis with the operation. Stenosis of the gastrojejunostomy anastomosis was the most prevalent postoperative complication with no correlation with preoperative variables.

scholarly journals Different Risk Factors for Erosive Tooth Wear in Rural and Urban Nepal: A National Study

2021 ◽  
Vol 18 (15) ◽  
pp. 7766
Author(s):  
Saujanya Karki ◽  
Viivi Alaraudanjoki ◽  
Jari Päkkilä ◽  
Marja-Liisa Laitala ◽  
Vuokko Anttonen
Keyword(s):  
Private School ◽  
Erosive Wear ◽  
Tooth Wear ◽  
Risk Indicators ◽  
National Study ◽  
Risk Indicator ◽  
Erosive Tooth Wear ◽  
Restorative Treatment ◽  
Tooth Cleaning ◽  
Nepalese Children

Background: Erosive tooth wear (ETW) is of growing concern, but data on ETW among Nepalese children are scarce. The main aim of the study was to investigate the prevalence and severity of ETW among Nepalese schoolchildren. We also aimed to analyse the risk indicators for ETW according to location (rural/urban) and the role of obesity in the risk for ETW. Methods: This national study was conducted among 5–15-year-old Nepalese schoolchildren from different regions. Altogether, 1137 out of 1151 schoolchildren participated in both a clinical examination and a survey. ETW was recorded using the Basic Erosive Wear Examination. Results: The prevalence of ETW was 65%. One-fifth of the examined subjects were in need of preventive or restorative treatment. Living in an urban area and studying in a private school were protective factors for ETW, whereas consuming fruits frequently and using charcoal for tooth cleaning increased the odds for ETW. Central obesity was the strongest risk indicator for ETW among urban residents. Conclusions: ETW of low severity is common among Nepalese children and adolescents. Socio-demographic factors influence the prevalence of ETW in Nepal and there seems to be different factors that play a role in the ETW process according to location of residence.

scholarly journals CLINICAL AND ENDOSCOPIC EVALUATION IN PATIENTS WITH GASTROESOPHAGEAL SYMPTOMS

2019 ◽  
Vol 56 (1) ◽  
pp. 51-54
Author(s):  
Aimée Teixeira dos Santos MEIRA ◽  
Davi TANAJURA ◽  
Irineu dos Santos VIANA
Keyword(s):  
Risk Factors ◽  
Los Angeles ◽  
Hiatal Hernia ◽  
Gastrointestinal Endoscopy ◽  
Erosive Esophagitis ◽  
Esophageal Disease ◽  
Upper Gastrointestinal Endoscopy ◽  
Aged Patients ◽  
Los Angeles Classification ◽  
Upper Gastrointestinal

ABSTRACT BACKGROUND: The gastroesophageal reflux disease (GERD) is the most common esophageal disease in medical practice, and it is suspected according to patients’ symptoms. GERD can be classified in erosive esophagitis (EE) according to the presence of upper gastrointestinal endoscopy findings. OBJECTIVE: To evaluate endoscopic findings in patients with symptoms suggestive of GERD comparing epicemiological and risk factors. METHODS: Upper endoscopy reports were examined retrospectively from patients with symptoms of GERD such as heartburn, regurgitation, cough, throat clearing, globus and chest pain. EE was determined based on Los Angeles classification. Comparisons between risk factors in EE and non-EE groups were done with statistical analysis. RESULTS: A total of 984 endoscopic reports were examined and 676 selected for analysis (281 with EE and 395 with non-EE form). Most were female 381 (56.36%) with a mean age of 44.01±15.40 years. Hiatal hernia was present in 47(6.96%) and smoking in 41(6.07%). Univariate logistic regression showed that male (OR=2.24, CI 95%, 1.63-3.06) and hiatal hernia (OR=4.52, CI 95%, 2.30-8.89) were independent predictors of erosions in the EE group. The presence of hiatal hernia (OR=12.04, CI 95%, 3.57-40.62), smoking (OR=8.46, CI 95%, 3.28-31.32) and aged patients (OR=8.01, CI 95%, 2.42-26.49) were also indicated as a risk factor for severe EE (grades C and D of Los Angeles). CONCLUSION Male gender and hiatal hernia were associated with EE. Aged patients, smoking and hiatal hernia were related to severe EE. It is suggested that the risk factors for EE and non-EE types are different. Cohort studies are necessary to identify the exact mechanisms involved in each disease form.

Correlation between New Classification System for Reflux Laryngopharyngitis and Los Angeles Classification System for Reflux Esophagitis

2009 ◽  
Vol 60 (3) ◽  
pp. 268-275
Author(s):  
Kohei Nishimura ◽  
Hiromasa Fujita ◽  
Toshiaki Tanaka ◽  
Yuichi Tanaka ◽  
Satoru Matono ◽  
...  
Keyword(s):  
Los Angeles ◽  
Reflux Esophagitis ◽  
Classification System ◽  
New Classification ◽  
Los Angeles Classification
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