Sarath Kumar Kothimbakkam Sai, Mungara Jayanthi, Venumbaka Nilaya Reddy, Vijayakumar Poornima, Karunakaran Deebiga
Department of Pedodontics and Preventive Dentistry, Ragas Dental College and Hospital, Chennai, Tamil Nadu, India.
J Indian Soc Pedod Prev Dent. 2018 Apr-Jun;36(2):125-129. doi: 10.4103/JISPPD.JISPPD_1182_17.
This study aimed to document the prevalence of oral manifestations seen among pediatric gastroesophageal reflux disease (GERD) patients in Chennai, Tamil Nadu, India.
This study was performed at various children's hospitals in Chennai. Fifty-one GERD patients who were assessed by endoscopy and 24 h pH-metry, 31 (60.78%) males and 20 (39.21%) females, aged 2-12 years (mean age, 7.43 years), comprised the study group. All patients answered a detailed frequency questionnaire related to regurgitation and acidic foods and participated in a clinical dental examination.
Data were analyzed using the SPSS statistical software package version 19.
Among the GERD patients, 42 (82.35%) had dental erosion. A total of 668 (57.98%) deciduous teeth and 484 (42.02%) permanent teeth were examined, of which dental erosion was detected in 248 (21.52%) and 171 (14.84%) teeth, respectively. The most commonly affected primary tooth was the occlusal surface of the maxillary posteriors and commonly affected permanent tooth was occlusal surface of the mandibular molars.
There may be a positive correlation between GERD and dental erosion. According to this study, presence of erosion, especially in posterior teeth, could be a key to diagnose GERD and refer the child to the gastroenterologist.
本研究旨在记录印度泰米尔纳德邦金奈市小儿胃食管反流病（GERD）患者口腔表现的患病率。
本研究在金奈市的多家儿童医院进行。通过内镜检查和24小时pH值测定评估的51例GERD患者组成了研究组，其中男性31例（60.78%），女性20例（39.21%），年龄2至12岁（平均年龄7.43岁）。所有患者均回答了一份与反流和酸性食物相关的详细频率问卷，并参与了临床牙科检查。
使用SPSS统计软件包版本19对数据进行分析。
在GERD患者中，42例（82.35%）有牙齿侵蚀。共检查了668颗乳牙（57.98%）和484颗恒牙（42.02%），其中分别在248颗（21.52%）和171颗（14.84%）牙齿中检测到牙齿侵蚀。最常受影响的乳牙是上颌后牙的咬合面，最常受影响的恒牙是下颌磨牙的咬合面。
GERD与牙齿侵蚀之间可能存在正相关。根据本研究，侵蚀的存在，尤其是在后牙，可能是诊断GERD并将儿童转诊给胃肠病学家的关键。
