Su Jo-Mei, Tsamtsouris Anthi, Laskou Meletia
Department of Pediatric Dentistry, Tufts University School of Dental Medicine, USA.
J Mass Dent Soc. 2003 Summer;52(2):20-4.
Patients with cerebral palsy are known to have a high incidence of feeding difficulties, including problems with swallowing, vomiting, recurrent chest infections, and irritability. Gastroesophageal reflux (GER) is an involuntary passage of the gastric contents into the esophagus. It has been found in a higher prevalence (up to 75 percent) in cerebral palsy patients. Long-term gastric acid attacks teeth and can cause dental erosion. Bargen and Austin first discovered the relationship between GER and dental erosion in 1937 when they concluded that the loss of dental hard tissue could be an indicator and the predominant oral manifestation of GER. The purpose of this study is to investigate the correlation between GER and dental erosion in primary and permanent teeth in cerebral palsy patients. Twenty-one patients participated in this study. Results showed that out of the 21 patients, 15 had erosion and 11 of them had GER history. The chi-square analysis with the p value of less than or equal to 0.025 showed the distribution to be significant. The severity of the erosion was correlated to the duration of the disease, frequency of vomiting, pH of the acid, type of acid, and quantity and quality of saliva. The study revealed that children with cerebral palsy have an increased prevalence of tooth erosion, which may be attributed to the existing gastroesophageal reflux.
已知脑瘫患者出现喂养困难的发生率很高,包括吞咽问题、呕吐、反复肺部感染和易怒。胃食管反流(GER)是胃内容物不自主地进入食管。在脑瘫患者中发现其患病率较高(高达75%)。长期胃酸侵蚀牙齿会导致牙齿腐蚀。1937年,巴根和奥斯汀首次发现了胃食管反流与牙齿腐蚀之间的关系,当时他们得出结论,牙齿硬组织的丧失可能是胃食管反流的一个指标和主要口腔表现。本研究的目的是调查脑瘫患者乳牙和恒牙中胃食管反流与牙齿腐蚀之间的相关性。21名患者参与了本研究。结果显示,在这21名患者中,15人有牙齿腐蚀,其中11人有胃食管反流病史。p值小于或等于0.025的卡方分析表明分布具有显著性。牙齿腐蚀的严重程度与疾病持续时间、呕吐频率、酸的pH值、酸的类型以及唾液的量和质量相关。该研究表明,脑瘫儿童牙齿腐蚀的患病率增加,这可能归因于现有的胃食管反流。