活动性胃食管反流病患者的口腔健康状况、唾液因素和微生物分析。
Oral health status, salivary factors and microbial analysis in patients with active gastro-oesophageal reflux disease.
机构信息
Department of Conservative Dentistry, St Anna's Faculty Hospital, and Faculty of Medicine, Masaryk University, Brno, Czech Republic.
出版信息
Int Dent J. 2011 Aug;61(4):231-7. doi: 10.1111/j.1875-595X.2011.00063.x.
AIM
To present a complex oral health status including salivary factors, microbial analysis and periodontal and hygiene indices in patients with active gastro-oesophageal reflux disease (GORD). Return of stomach contents is quite common in cases of gastro-oesophageal reflux. Pathological acid movement from the stomach into the oesophagus and oral cavity may lead to a development of dental erosion. Long-lasting untreated GORD may damage hard dental and periodontal tissues and alter the oral microbial environment. The quality and amount of the saliva play an important role in hard and soft oral tissues changes.
METHOD
Fifty patients with diagnosed GORD using 24-hour pH manometry underwent dental examination; 24 patients had active GORD and had been waiting for surgical therapy. In this patient group oral health status and salivary analysis were evaluated.
RESULTS
Indicated low salivary flow rates and buffering capacity with a low caries risk but a high risk for dental erosion progression.
目的
介绍口腔健康状况复杂，包括唾液因素、微生物分析以及牙周和卫生指数，这些都存在于患有活动性胃食管反流病（GORD）的患者中。胃内容物反流在胃食管反流病例中很常见。胃酸从胃反流到食管和口腔可能导致牙齿侵蚀。长期未经治疗的 GORD 可能会损害硬牙和牙周组织，并改变口腔微生物环境。唾液的质量和数量在硬组织和软组织变化中起着重要作用。
方法
使用 24 小时 pH 监测仪对 50 名确诊 GORD 的患者进行了牙科检查；24 名患者患有活动性 GORD，正在等待手术治疗。在这个患者群体中，评估了口腔健康状况和唾液分析。
结果
表明唾液流量和缓冲能力低，患龋齿风险低，但牙齿侵蚀进展风险高。
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