CLINICAL PRESENTATION FEATURES IN THE ORAL CAVITY PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE

  • O.P. Kerzyuk Ivano-Frankivsk national medical University, Ivano-Frankivsk, Ukraine
  • N.M. Rozhko Ivano-Frankivsk national medical University, Ivano-Frankivsk, Ukraine
  • A.V. Kindrat Ivano-Frankivsk national medical University, Ivano-Frankivsk, Ukraine
Keywords: mucosa, tongue, periodontal tissues, gastroesophageal reflux disease.

Abstract

Nowadays, gastroesophageal reflux disease (GERD) is particularly relevant because it concerns many health and social issues. According to international and national statistics, the number of GERD patients is constantly increasing, especially among the socially active segments of the population.

GERD is one of the most important problems of modern gastroenterology due to the increase in the number of patients with this pathology, the presence of both typical and atypical symptoms significantly impair the quality of patients’ life. Atypical symptoms of GERD may lead to overdiagnosis of some diseases and worsen their course; sometimes patients run the risk of developing serious complications with the need of long-term medical treatment in case of insufficient awareness of physicians about GERD.

Increased attention should be given to issues of concomitant pathology of the oral cavity and diseases of the esophagus taking into account the anatomical proximity, the commonness of the blood supply, innervation and humoral regulation, because the mouth is the first division of the alimentary canal. Therefore, all GERD-associated changes in the oral cavity can be divided into change in soft tissues (the vermilion border, mucosa, tongue, periodontal tissues) and hard tissues of teeth and a deterioration of the content and quality of oral fluid.

Our study aimed at examining the prevalence and variation of pathological changes in the oral mucosa of GERD patients.

We examined 90 patients aged 25–35 years and 45–55 years. Patients were divided into 3 groups of 30 patients in each group: 1 group – patients with diagnosed GERD with high acidity; 2 group – patients with low acidity, 3 group – control.

The patients have been examined by a gastroenterologist based on generally accepted criteria, esophageal pH monitoring data as well as fibrogastroduodenoscopy of esophagus and stomach. Dental assessment included evaluating the state of oral hygiene (index Green-Vermilion), and oral mucosa condition; the periodontal status was assessed by the index Rassel.

In conclusion, the findings indicate a variety of changes in oral cavity in patients with GERD, both with high and with low acidity. The prospect of our further research will be to develop an algorithm for diagnosis and treatment of oral GERD manifestations and secondary dental disease prevention.

Downloads

Download data is not yet available.

References

1. Babak OYa, Fadeenko GD. Gastroesophageal reflux disease. K.: SP ZAO INTERFORMA-Kiev", 2000.
2. Sheptulin AA, Ciprians VA. "Extraesophageal" manifestations of gastroesophageal reflux disease. Russian journal of gastroenterology, Hepatology, Coloproctology. 2005; 5:10-5.
3. Roschina TV. Supraesophageal manifestations of gastroesophageal reflux disease. Clinical prospects of gastroenterology, Hepatology. 2003; 1: 27-30.
4. Maev IV. Extraesophageal manifestations of gastroesophageal reflux disease. Experimental and clinical gastroenterology. 2005; 5: 56-7.
5. Ivanova OV. Extraesophageal manifestations of gastroesophageal reflux disease. Diseases of the digestive system. 2004; 2: 15-21.
6. Barer G, Maev IV, Busarova GI et al. Manifestations of gastroesophageal refluxes disease in the mouth. "Cathedra". 2004; 9.: 58-61.
Published
2020-09-23
How to Cite
Kerzyuk, O., Rozhko, N., & Kindrat, A. (2020). CLINICAL PRESENTATION FEATURES IN THE ORAL CAVITY PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE. Ukrainian Dental Almanac, (3), 5-8. https://doi.org/10.31718/2409-0255.3.2020.01
Section
THERAPEUTIC DENTISTRY