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Dental Problem &  Reflux

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There are many complictions of acid reflux. Sore are coughing, pneumonia, sore throat, hoarseness, tilting of the head,   One of the complications of acid reflux (Gastroesophageal Reflux, GER) that is not commonly appreciated is early tooth decay. Enclosed is an abstract that illustrate tooth caries and cavaties can be complication of acid reflux.


Aust Dent J. 2002 Jun;47(2):156-62.


      
Oral health of children with gastro-esophageal reflux disease: a controlled study.

Linnett V, Seow WK, Connor F, Shepherd R.

The University of Queensland, School of Dentistry, Brisbane, Australia. k.seow@mailbox.uq.edu.au

BACKGROUND: The aim of this study was  to compare the dental health of children with gastro-esophageal reflux disease (GERD) with a healthy control group. METHODS: Dental examinations were conducted  for 52 children (31 boys and 21 girls) with a definitive history of GERD. For every subject enrolled in the study, a healthy control sibling without the condition was recruited. Medical histories were obtained from medical records, and dental and dietary histories were obtained from parents. The teeth were examined for erosion, dental caries, and enamel hypoplasia, and sampled for  Streptococcus mutans. RESULTS: The prevalence of erosion by teeth was found to  be statistically significant between GERD patients (14 per cent) and controls  (10 per cent) (p<0.05). GERD patients had erosion in more permanent teeth compared to controls (4 per cent vs 0.8 per cent, p<0.05), and more severe erosion (p<0.05). Caries experience was also higher in GERD patients compared  to controls (p<0.05). Although there were more subjects with Streptococcus  mutans in the GERD group compared to the control group (42 per cent vs 25 per  cent), the difference was not statistically significant. CONCLUSIONS: Children with GERD have more erosion and dental caries compared to healthy controls and should be targeted for increased preventive and restorative care.

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