Vidal Cristina de Mattos Pimenta, Catelan Anderson, Briso André Luiz Fraga, dos Santos Paulo Henrique
Department of Restorative Dentistry, Araçatuba School of Dentistry-UNESP, São Paulo, Brazil.
Compend Contin Educ Dent. 2011 Sep;32(7):E110-4.
Gastroesophageal reflux disease (GERD) is a gastrointestinal disorder in which stomach acids are chronically regurgitated into the esophagus and oral cavity. Continual exposure of the teeth to these acids can cause severe tooth wear. Dentists are often the first healthcare professionals to diagnose dental erosion in patients with GERD. This article presents a case report of a 27-year-old male smoker with tooth wear and dentin sensitivity caused by GERD associated with bruxism. After diagnosis, a multidisciplinary treatment plan was established. The initial treatment approach consisted of medical follow-up with counseling on dietary and smoking habits, as well as management of the gastric disorders with medication. GERD management and the dental treatment performed for the eroded dentition are described, including diagnosis, treatment planning, and restorative therapy.
胃食管反流病（GERD）是一种胃肠道疾病，其中胃酸会长期反流至食管和口腔。牙齿持续暴露于这些酸中会导致严重的牙齿磨损。牙医通常是诊断胃食管反流病患者牙齿侵蚀的首批医疗保健专业人员。本文介绍了一例27岁男性吸烟者的病例报告，该患者因与磨牙症相关的胃食管反流病导致牙齿磨损和牙本质敏感。诊断后，制定了多学科治疗计划。初始治疗方法包括医学随访、饮食和吸烟习惯咨询，以及药物治疗胃部疾病。文中描述了胃食管反流病的管理以及针对侵蚀牙列进行的牙科治疗，包括诊断、治疗计划和修复治疗。
