ABSTRACT

Introduction: Dental erosion occurs by dissolving dental apatite when exposed to non-bacterial acids. One of the factors that predispose to dental erosion is gastroesophageal reflux disease (GERD) due to chronic regurgitation of gastric contents to the oropharynx. Thus, in addition to other extraesophageal symptoms, individuals with GERD may have erosive dental lesions.

Areas covered: The objective of this systematic review was to evaluate the association and prevalence of erosive wear in patients with GERD. The bibliographic search was performed in the Pubmed and Web of Science databases, using the descriptors ‘gastroesophageal reflux disease’ AND ‘dental erosion’, considering clinical studies recently published from 2012 to 2020.

Expert opinion: GERD can be considered a risk factor for the development of erosive dental lesions, whose prevalence was significantly higher in this group. However, several other factors can be commonly associated with the prevalence and severity of dental erosion among the world population, such as dietary habits, lifestyle, abrasion and bruxism. Thus, the prevalence and distribution of erosive lesions among healthy and GERD subjects varied widely among studies, which denotes the etiological complexity of dental erosion and reinforces the importance of careful and detailed anamnesis in order to establish an accurate diagnosis.

摘要

简介: 当暴露于非细菌酸时，牙齿腐蚀是通过溶解牙齿磷灰石而发生的。导致牙齿腐蚀的因素之一是胃食管反流病（GERD），这是由于胃内容物慢性反流到口咽部所致。因此，除了其他食管外症状外，GERD 患者还可能有侵蚀性牙齿病变。

涵盖的领域：本系统评价的目的是评估胃食管反流病患者糜烂磨损的相关性和患病率。考虑到最近从 2012 年到 2020 年发表的临床研究，在 Pubmed 和 Web of Science 数据库中进行了书目搜索，使用了“胃食管反流病”和“牙齿侵蚀”的描述词。

专家意见：GERD可被认为是口腔糜烂性病变发展的危险因素，其患病率在该组中明显较高。然而，其他几个因素通常与世界人口中牙齿侵蚀的流行和严重程度有关，例如饮食习惯、生活方式、磨损和磨牙症。因此，在健康和 GERD 受试者中，侵蚀性病变的发生率和分布在不同研究中差异很大，这表明了牙齿侵蚀的病因复杂性，并强调了仔细和详细的病史对于建立准确诊断的重要性。