Corrêa Maria Carolina Canteras Scarillo Falotico, Lerco Mauro Masson, Henry Maria Aparecida Coelho de Arruda
Curso de Pós-graduação em Bases Gerais da Cirurgia, Universidade Estadual Paulista, Botucatu, SP.
Arq Gastroenterol. 2008 Apr-Jun;45(2):132-6. doi: 10.1590/s0004-28032008000200008.
The gastroesophageal reflux disease, which has become highly and increasingly incident, may be manifested by typical (pyrosis and regurgitation) and atypical (pulmonary, otorhinolaryngological and buccal) symptoms.
To analyze alterations in the oral cavity patients with gastroesophageal reflux disease.
One hundred patients were studied being 50 gastroesophageal reflux disease patients (group 1) and 50 controls (group 2). All patients were submitted to an oral clinical exam and specific survey. Patients in group 1 were submitted to upper endoscopy, manometry and esophageal pH monitoring.
The upper endoscopy revealed esophagitis in all patients, 20 erosive esophagitis, 30 no-erosive esophagitis and 38 hiatal hernia. Average pressure of the lower esophageal sphincter was 11 +/- 4,8 mm Hg and of the upper esophageal sphincter 75 +/- 26,5 mm Hg. In 42 patients of group 1 (84%) pathological gastroesophageal reflux was observed. Clinical exams revealed: dental erosions in group 1: 273 faces and in group 2: 5 tooth decays in group 1: 23 and 115 in group 2; abrasion in group 1: 58 and in group 2: 95; attrition wear: 408 in group 1 and 224 in group 2. The most damages was the palatine face. In group 1, 21 patients complained about frequent episodes of canker sores, 35 of tooth sensibility, 26 of burning mouth and 42 of sour taste in the mouth. In group 2 the complaints were observed in lower number of patients.
Patients with gastroesophageal reflux disease present higher incidence of dental erosion, canker sores, mouth burning sensation, sensitivity and sour taste than controls. Patients with gastroesophageal reflux disease show lower incidence of tooth decays as compared to controls.
胃食管反流病的发病率已居高不下且日益上升，其症状可能表现为典型症状（烧心和反流）和非典型症状（肺部、耳鼻喉科和口腔症状）。
分析胃食管反流病患者口腔的改变情况。
对100例患者进行研究，其中50例胃食管反流病患者（第1组）和50例对照组（第2组）。所有患者均接受口腔临床检查和特定调查。第1组患者接受了上消化道内镜检查、测压和食管pH监测。
上消化道内镜检查显示所有患者均有食管炎，其中20例为糜烂性食管炎，30例为非糜烂性食管炎，38例有食管裂孔疝。食管下括约肌平均压力为11±4.8 mmHg，食管上括约肌平均压力为75±26.5 mmHg。第1组42例患者（84%）观察到病理性胃食管反流。临床检查发现：第1组牙齿侵蚀：273颗牙面；第2组5颗龋齿；第1组蛀牙：23颗，第2组115颗；磨损：第1组58例，第2组95例；磨耗：第1组408例，第2组224例。受损最严重的是腭面。第1组中，21例患者抱怨经常出现口腔溃疡，35例有牙齿敏感，26例有口腔烧灼感，42例有口腔酸味。第2组患者出现这些症状的人数较少。
与对照组相比，胃食管反流病患者牙齿侵蚀、口腔溃疡、口腔烧灼感、敏感和酸味的发生率更高。与对照组相比，胃食管反流病患者龋齿的发生率较低。
