Is histologic esophagitis associated with dental erosion: a cross-sectional observational study?

BMC Oral Health

Research Article

Karen B. Williams¹  Robin Onikul²  Eileen L. Cocjin³  Brenda Bohaty⁴  Lynn Roosa Friesen⁵  Mary P. Walker⁶  Craig A. Friesen⁷  Jose T. Cocjin⁷  Caren Abraham⁸ 

[1] Department of Biomedical and Health Informatics, University of Missouri – Kansas City School Medicine, 1000 E. 24th St, 64108, Kansas City, MO, USA;Department of Dentistry, Children’s Mercy Kansas City, 2401 Gillham Road, 64108, Kansas City, MO, USA;Department of Pediatric Dentistry, University of Missouri – Kansas City School of Dentistry, 650 E 25th Street, 64108, Kansas City, MO, USA;Department of Pediatric Dentistry, University of Missouri – Kansas City School of Dentistry, Department of Dentistry – Children’s Mercy Kansas City, 2401 Gillham Road, 64108, Kansas City, MO, USA;Department of Research and Graduate Programs, University of Missouri - Kansas City School of Dentistry, 650 E 25th Street, Room 101-O, 64108, Kansas City, MO, USA;Departments of Oral & Craniofacial Sciences and Restorative Clinical Sciences, University of Missouri - Kansas City School of Dentistry, 650 E 25th Street, 64108, Kansas City, MO, USA;Division of Gastroenterology, Hepatology, and Nutrition – Children’s Mercy Kansas City, 2401 Gillham Road, 64108, Kansas City, MO, USA;University of Missouri – Kansas City School of Dentistry, 650 E 25th Street, 64108, Kansas City, MO, USA;

关键词: Tooth erosion;    GERD;    Gastro-oesophageal reflux disease;    Esophagitis;   

DOI  :  10.1186/s12903-017-0408-z

 received in 2016-12-13, accepted in 2017-08-02,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundGastroesophageal reflux disease (GERD) affects 15–25% of children and adolescents in the United States. The diagnosis of GERD in children is complex as reported symptoms or symptom profiles have been found to be unreliable. Frequently, the diagnosis must be confirmed by objective tests such as pH monitoring or histological evidence of esophagitis on an esophageal biopsy. Dental erosion has been shown to be associated with GERD as an atypical complication and has the potential to be a marker of GERD. The purposes of this study were to compare the frequency and patterns of dental erosion in children and adolescents with and without histologic esophagitis.MethodsTwenty-five subjects were recruited from patients scheduled for an upper gastrointestinal endoscopy. Information regarding potential GERD symptoms, food habits, and dental hygiene habits were obtained. Intra-oral photographs were taken, and a dental exam for erosion was performed. The results of a standard biopsy taken from the lower third of the esophagus during an endoscopy were used to divide subjects into either the control group or the GERD group (i.e. those with histologic esophagitis).ResultsTwenty-two subjects yielded 586 evaluable teeth. No significant difference was found between frequency or erosion patterns of those with and without histologic esophagitis. Dental erosions were more frequent in primary teeth.ConclusionsDental erosions do not appear to be associated with histologic esophagitis indicative of GERD.

【 授权许可】

CC BY   
© The Author(s). 2017