scholarly journals Gastroesophageal Reflux Disease (GERD) – Role of Dentist

2021 ◽  
Vol 10 (27) ◽  
pp. 2012-2017
Author(s):  
Anupama Aradya ◽  
Raghavendra Swamy Koodalakuppe Nagarajagowda ◽  
Aradya Hiriyannaiah Venu ◽  
Sowmya Srinivas ◽  
Ganesh Somashekara Char ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Medical Therapy ◽  
Reflux Disease ◽  
Dental Treatment ◽  
Dental Erosion ◽  
Oesophageal Adenocarcinoma ◽  
Oral Manifestations ◽  
Dental Practitioner

BACK GR O U ND Gastroesophageal reflux disease (GERD) is highly prevalent across populations with varied manifestations and substantial morbidity. Our review focuses mainly on the role of dental practitioner in GERD, its oral manifestations and management. GERD shows oesophageal and extra oesophageal syndromes. Oesophageal syndromes are reflux chest pain syndrome, typical reflux syndrome, reflux stricture, reflux esophagitis, oesophageal adenocarcinoma and Barrett’s oesophagus. Extra oesophageal syndromes are reflux cough syndrome, reflux asthma syndrome, reflux dental erosion syndrome, reflux laryngitis syndrome, pharyngitis, and sinusitis. Classic reflux symptoms may be absent in more than half the patients presenting with extra oesophageal symptoms. For this reason, the first provisional diagnosis of GERD may be made by a dental practitioner as a result of clinical observation of enamel erosion. A direct association exists between gastroesophageal reflux disease and oral cavity diseases. Dental practitioner can recognise the secondary manifestations of GERD for early diagnosis and can assist in management of these patients. Traditional management of GERD includes medical therapy, non-medical therapy and surgical therapy, in future dental examination and dental treatment can also be included. There is a lack of awareness among the general physicians regarding the association between GERD and dental erosions. According to the study, 40 % of them are aware of dental erosions in GERD, indicating that there is a need to circulate this information through medical education. There should be an interdisciplinary coordination between family physician, dentist, orthodontist, prosthodontist, and gastroenterologist for treatment of oral manifestations resulting from GERD. This review highlights the role of dental practitioner in management of GERD. KEY WORDS Gastro Oesophageal Reflux Disease (GERD), Dental Erosion, Oesophagus, Gastric acid, Saliva

scholarly journals A Clinicopathologic Study of Oral Changes in Gastroesophageal Reflux Disease, Gastritis, and Ulcerative Colitis

2016 ◽  
Vol 17 (11) ◽  
pp. 943-947 ◽  
Author(s):  
KMK Masthan ◽  
E Vinesh ◽  
M Sathish Kumar ◽  
S Marytresa Jeyapriya ◽  
Aravindha Babu ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Oral Cavity ◽  
Reflux Disease ◽  
Dental Erosion ◽  
Oral Manifestations ◽  
Medical College ◽  
Oral Ulcers ◽  
Clinicopathologic Study

ABSTRACT Objectives The aim and objectives of this study are to identify oral changes in certain gastrointestinal (GI) diseases, namely gastroesophageal reflux disease (GERD), ulcerative colitis, gastritis, and to evaluate these oral symptoms as indicators for assessing GI disorders. Materials and methods In this study, the oral manifestations of various GI disorders were assessed in a varying age group of 250 patients in Government Stanley Medical College and Hospital, Chennai. Out of 250 patients, 142 were affected by GERD, 99 were affected by gastritis, and 9 patients were affected by ulcerative colitis. Of these patients, 177 were males and 73 were females. Results Evaluation of patients with gastritis revealed that 66.7% affected with gingivitis, 19.2% with dental erosion on the palatal and lingual aspects of maxillary and mandibular teeth predominantly in the anterior region, 10.1% with periodontitis, 2% with gingival erythema. Among the patients with GERD, 44% of the cases showed dental erosion, 25.5% periodontitis, 9.9% gingivitis, 5.7% gingival erythema, 2.8% palatal erythema, 2.1% gingival ulcers, glossitis 2%, 1.4% floor of the mouth erythema, and 0.7% erythema of the tongue. Patients with ulcerative colitis showed 44.4% of gingival erythema, 33.3% of dental erosions, and 22.2% of gingival ulcers and periodontitis. Conclusion In our study of 250 patients, oral manifestations were observed in 88% of the patients. Both soft tissue and hard tissue changes were evident. There was a high correlation between various GI disease and dental erosion, erythema at various sites of the oral cavity, oral ulcers, gingivitis, periodontitis, and glossitis. Careful evaluation of oral cavity may unveil many GI disorders and help the patient by providing early diagnosis, which further facilitates the prognosis. How to cite this article Vinesh E, Masthan KMK, Kumar MS, Jeyapriya SM, Babu A, Thinakaran M. A Clinicopathologic Study of Oral Changes in Gastroesophageal Reflux Disease, Gastritis, and Ulcerative Colitis. J Contemp Dent Pract 2016;17(11):943-947.

scholarly journals Prosthetic Rehabilitation of a Patient with Gastroesophageal Reflux Disease: 4-Year Followup

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Ricardo Coelho Okida ◽  
Daniela Micheline dos Santos ◽  
Aljomar José Vechiato Filho ◽  
Agda Marobo Andreotti ◽  
Rodrigo Antonio de Medeiros ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Dental Treatment ◽  
Eating Habits ◽  
Dental Erosion ◽  
Prosthetic Rehabilitation ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Patient Reported

The gastroesophageal reflux disease (GERD) is one of the main causes of dental erosion. The aim of this case presented is to describe the prosthetic rehabilitation of a patient with GERD after 4 years of followup. A 33-year-old male patient complained about tooth sensitivity. The lingual surface of the maxillary anterior teeth and the cusps of the upper and lower posterior teeth presented wear. It was suspected that the feeling of heartburn reported by the patient associated with the intake of sports supplements (isotonics) was causing gastroesophageal changes. The patient was referred to a gastroenterologist and was diagnosed with GERD. Dental treatment was performed with metal-free crowns and porcelain veneers after medical treatment of the disease. With the change in eating habits, the treatment of GERD and lithium disilicate ceramics provided excellent cosmetic results after 4 years and the patient reported satisfaction with the treatment.

The Role of Laparoscopic Anti-Reflux Surgery in Obese Patients with Gastroesophageal Reflux Disease

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Flores Edgar Vargas ◽  
Cortez Juan Carlos Quintana ◽  
Contreras Jose Luis Ledesma ◽  
Medina Yazmin Berrones ◽  
Zhou Lucero Chao
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Obese Patients

Role of the c825t polymorphic locus of G-protein beta subunit (GNBβ3) in patients with gastroesophageal reflux disease

Therapy ◽  
2021 ◽  
Vol 9_2021 ◽  
pp. 46-50
Author(s):  
Zhilina A.A. Zhilina ◽  
Lareva N.V. Lareva ◽  
Luzina E.V. Luzina ◽  
Zhigula Z.M. Zhigula Z ◽  
Tomina E.A. Tomina ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
G Protein ◽  
Reflux Disease ◽  
Polymorphic Locus ◽  
Beta Subunit

scholarly journals Gastroesophageal reflux disease: new approaches to optimizing pharmacotherapy

2021 ◽  
pp. 30-37
Author(s):  
D. N. Andreev ◽  
A. V. Zaborovsky ◽  
E. G. Lobanova
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Barrier Properties ◽  
Nerve Fibers ◽  
Esophageal Mucosa ◽  
Mucosal Permeability ◽  
Other Substances ◽  
Maintenance Of Remission

Proton pump inhibitors (PPIs) are baseline drugs for induction and maintenance of remission in gastroesophageal reflux disease (GERD). PPIs have proven to be highly effective in healing esophageal mucosal lesions and relieving the symptoms of the disease in most cases. However, according to the literature data, the incidence rate of clinical ineffectiveness of PPIs in the form of partial or complete persistence of current symptoms during administration of standard doses of PPIs ranges from 10 to 40%. Optimization of GERD therapy in PPI refractory patients is a significant challenge. In most cases, experts advise to increase a dose / dosage frequency of PPIs, switch to CYP2C19-independent PPIs (rabeprazole, esomeprazole, dexlansoprazole), add an esophagoprotective or promotility agents to therapy. At the same time, these recommendations have a limited effect in some patients, which opens up opportunities for looking for new solutions related to the optimization of GERD therapy. Today there is growing evidence of the relevance of the role of disruption of the cytoprotective and barrier properties of the esophageal mucosa in the genesis of GERD and the formation of refractoriness. Intercellular contacts ensure the integrity of the barrier function of the esophageal mucosa to protect it from various exogenous intraluminal substances with detergent properties. Acid-peptic attack in patients with GERD leads to alteration of the expression of some tight junction proteins in epithelial cells of the esophageal mucosa. The latter leads to increased mucosal permeability, which facilitates the penetration of hydrogen ions and other substances into the submucosal layer, where they stimulate the terminals of nerve fibers playing a role in the induction and persistence of the symptoms of the disease. The above evidence brought up to date the effectiveness study of the cytoprotective drugs with tropism to the gastrointestinal tract, as part of the combination therapy of GERD.

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