Moazzez R, Austin R
King's College London Dental Institute, Prosthodontics, London, United Kingdom.
Br Dent J. 2018 Mar 9;224(5):326-332. doi: 10.1038/sj.bdj.2018.166. Epub 2018 Mar 2.
There are many reasons why it is vital that dental professionals identify signs and symptoms that suggest that an individual's erosive tooth wear (ETW) may be linked to a broader medical problem than just poor diet. Primarily, spotting an underlying medical cause for ETW increases the likelihood that further deterioration in the individual's oral health will be prevented. However, perhaps more importantly, many of the medical conditions which are commonly related to ETW can have serious and even possibly fatal consequences if left untreated or not diagnosed. This paper reviews the nature of the most common and serious medical conditions related to ETW, such as gastro-oesophageal reflux disease (GORD), laryngo-pharyngeal reflux (LPR) and eating disorders. This article also covers the role of the dental team in the diagnoses, prevention and management of these conditions.
牙科专业人员识别出表明个体的侵蚀性牙齿磨损（ETW）可能与比单纯不良饮食更广泛的医学问题相关的体征和症状至关重要，原因有很多。首先，发现ETW的潜在医学原因增加了预防个体口腔健康进一步恶化的可能性。然而，也许更重要的是，如果不治疗或不诊断，许多通常与ETW相关的医学病症可能会产生严重甚至可能致命的后果。本文综述了与ETW相关的最常见和最严重的医学病症的性质，如胃食管反流病（GORD）、喉咽反流（LPR）和饮食失调。本文还介绍了牙科团队在这些病症的诊断、预防和管理中的作用。
