当前位置： SCI文献检索 > BMC GASTROENTEROLOGY期刊下所有文献 > Longitudinal study of gastroesophageal reflux and erosive tooth wear.

Longitudinal study of gastroesophageal reflux and erosive tooth wear.

Abstract：

BACKGROUND:Approximately 60% of patients presenting to dentists with erosive tooth wear have significant gastroesophageal reflux (GERD), despite minor reflux symptoms. No longitudinal studies of reflux-associated erosive tooth wear and of reflux characteristics have been reported to date. The aim of this study was to characterize the longitudinal course of GERD and of associated erosive tooth wear, as well as factors predictive of its progression, in a large group of patients. METHODS:Seventy-two patients presenting to dentists with clinically significant erosive tooth wear and increased esophageal acid exposure by 24-h multichannel intraluminal pH-impedance measurement (MII-pH) were re-assessed clinically and by MII-pH after 1 year treatment with esomeprazole 20 mg twice-daily. Predictive factors for erosive tooth wear were assessed by logistic regression. RESULTS:At follow-up, no further progression in erosive tooth wear was observed in 53 (74%) of patients. The percentage of time with a pH < 4, the number of acid reflux episodes and the percentage of proximal esophageal reflux off-PPI did not change significantly after one year, but the number of weakly acidic reflux episodes decreased significantly in the large subgroup without progression. None of the baseline demographic, clinical, endoscopic or esophageal acid exposure characteristics were significantly associated with progression of erosive tooth wear at follow-up. CONCLUSIONS:In this longitudinal study in patients with erosive tooth wear and oligosymptomatic GERD receiving esomeprazole for one year, erosive tooth wear did not progress further in the majority of patients. Background acidic esophageal reflux exposure appeared stable over time, whereas weakly acidic exposure decreased significantly in patients without erosion progression. MII-pH measurements on-PPI and with healthy controls will be useful in the further elucidation of the causal role of reflux in erosive tooth wear. TRIAL REGISTRATION:ClinicalTrials.gov , retrospectively registered: NCT02087345 .

journal_name

BMC Gastroenterol

journal_title

BMC gastroenterology

authors

Wilder-Smith CH,Materna A,Martig L,Lussi A

doi

10.1186/s12876-017-0670-1

subject

Has Abstract

pub_date

2017-10-25 00:00:00

pages

113

issue

issn

1471-230X

pii

10.1186/s12876-017-0670-1

journal_volume

pub_type

杂志文章

在线工具

Longitudinal study of gastroesophageal reflux and erosive tooth wear.