成人喉咽反流、胃食管反流病与牙侵蚀之间的关系:一项系统评价
Relationship Between Laryngopharyngeal Reflux, Gastroesophageal Reflux Disease, and Dental Erosion in Adult Populations: A Systematic Review.
作者信息
Wang Jialong, Zhou Yuan, Lei Dapeng
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery, Affiliated Sixth People's Hospital South Campus, Shanghai Jiaotong University, Shanghai, China.
Shanghai Xuhui District Dental Center, Shanghai, China.
出版信息
Dig Dis Sci. 2025 Mar;70(3):1078-1090. doi: 10.1007/s10620-024-08824-9. Epub 2025 Jan 18.
OBJECTIVES
As one of the most common complications of laryngopharyngeal reflux or gastroesophageal reflux disease, dental erosion presents a significant association with laryngopharyngeal reflux. This study aimed to elucidate the role of laryngopharyngeal reflux and gastroesophageal reflux disease on the severity and occurrence of dental erosion in adult populations.
METHODS
A comprehensive search was performed in the databases of PubMed/MEDLINE, Web of Science, Cochrane Library, and Scopus for English literature published from July 1999 to June 2024. Peer-reviewed publications evaluating the relationship between gastroesophageal reflux disease, laryngopharyngeal reflux, and dental erosion in adult populations were retrieved. Opensigle and the International Clinical Trials Registry Platform database were used to search the potential gray literature. A manual search was also performed to uncover further relevant studies from the reference lists.
RESULTS
The electronic literature search yielded 1382 studies, with 22 researches in line with the inclusion criteria. Results of included publications indicated a significantly higher prevalence of dental erosion in adult populations with gastroesophageal reflux disease or laryngopharyngeal reflux compared to healthy populations. Subjects with dental erosion demonstrate a greater prevalence of laryngopharyngeal reflux or gastroesophageal reflux disease as well. The heterogeneity of the evaluation of clinical outcomes, diagnostic methods, and the definition of diseases need to be considered. Future studies should define reflux disease according to a universal guideline to better enhance treatment in adult populations.
CONCLUSION
Gastroesophageal reflux disease or laryngopharyngeal reflux presents a significant association with dental erosion in adult populations. Clinicians should emphasize timely detection and management of the underlying factors of dental erosion in patients with laryngopharyngeal reflux or gastroesophageal reflux disease.
目的
作为喉咽反流或胃食管反流病最常见的并发症之一,牙侵蚀与喉咽反流存在显著关联。本研究旨在阐明喉咽反流和胃食管反流病在成年人群牙侵蚀严重程度和发生率方面所起的作用。
方法
在PubMed/MEDLINE、科学网、考克兰图书馆和Scopus数据库中进行全面检索,以查找1999年7月至2024年6月发表的英文文献。检索了评估成年人群胃食管反流病、喉咽反流与牙侵蚀之间关系的同行评审出版物。使用OpenSigle和国际临床试验注册平台数据库搜索潜在的灰色文献。还进行了手动检索,从参考文献列表中发现更多相关研究。
结果
电子文献检索得到1382项研究,其中22项研究符合纳入标准。纳入出版物的结果表明,与健康人群相比,患有胃食管反流病或喉咽反流的成年人群中牙侵蚀的患病率显著更高。有牙侵蚀的受试者中喉咽反流或胃食管反流病的患病率也更高。需要考虑临床结局评估、诊断方法和疾病定义方面的异质性。未来的研究应根据通用指南定义反流病,以更好地加强对成年人群的治疗。
结论
胃食管反流病或喉咽反流与成年人群的牙侵蚀存在显著关联。临床医生应重视对喉咽反流或胃食管反流病患者牙侵蚀潜在因素的及时检测和管理。