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胃食管反流病中的牙齿侵蚀

Dental erosion in gastroesophageal reflux disease.

作者信息

Barron Robert P, Carmichael Robert P, Marcon Margaret A, Sàndor George K B

机构信息

Coordinator of Prosthodontics, Hospital for Sick Children and Bloorview MacMillan Children's Centre, Toronto, Ontario, Canada.

出版信息

J Can Dent Assoc. 2003 Feb;69(2):84-9.

Abstract

Dentists are often the first health care professionals to diagnose dental erosion in patients with gastroesophageal reflux disease (GERD). Gastroesophageal reflux (GER) is the passage of gastric contents into the esophagus, and GERD is defined as symptoms or complications of GER. Twenty-four-hour monitoring of esophageal pH is helpful in diagnosing GERD. Treatment of dental erosion resulting from GERD involves a multidisciplinary approach among family physician, dentist, prosthodontist, orthodontist and gastroenterologist. When possible, dental erosion should be treated with minimal intervention, and such treatment should include control of microflora, remineralization, adhesive restorations and use of biomimetic materials.

摘要

牙医通常是诊断胃食管反流病(GERD)患者牙齿侵蚀的首批医疗保健专业人员。胃食管反流(GER)是指胃内容物进入食管,而GERD被定义为GER的症状或并发症。食管pH值的24小时监测有助于诊断GERD。GERD导致的牙齿侵蚀的治疗需要家庭医生、牙医、口腔修复医生、正畸医生和胃肠病学家采取多学科方法。在可能的情况下,牙齿侵蚀应采用最小干预进行治疗,这种治疗应包括微生物控制、再矿化、粘结修复以及使用仿生材料。

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