Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1996-11-1
pubmed:abstractText
Thirty-six patients aged 15-74 with palatal dental erosion where the aetiology was unclear were investigated for gastro-oesophageal reflux. Ten subjects without symptoms of reflux or palatal erosion acted as controls. Distal and proximal oesophageal reflux were measured over 24 hours by dual channel antimony electrodes. Oral pH was measured simultaneously over the same period by a radio-telemetry capsule held palatally in a vacuum formed splint. Data were logged onto two portable digitable recorders. Twenty-three patients (64%) with palatal erosion had pathological gastro-oesophageal reflux compared with standard criteria. More than 4% of the total percentage time that the pH is less than 4 in the distal oesophagus is internationally recognised by gastroenterologists as representing a pathological level of reflux. The median percentage time < pH 4 in the distal oesophagus for these patients was 5.7%, in the proximal oesophagus, pH 4 was 0.5% and pH < 5 was 3.1%. In the mouth, the results for the percentage time that the pH < 5.5 was 0.3% and < 6 was 4.4%. A relationship was observed between the pH < 4 in the distal oesophagus and the mouth pH < 5.5 (r = 0.47, P = 0.002) and pH < 6 (r = 0.34, p = 0.02). There was a relationship between oral acid exposure time pH < 6 and the tooth wear index (r = 0.37, P = 0.01). These results show that gastro-oesophageal reflux is strongly associated with palatal erosion and that some patients presenting with palatal dental erosion should be assessed for gastro-oesophageal reflux as a possible cause, even in the absence of clinical symptoms of reflux.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
D
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0007-0610
pubmed:author
pubmed:issnType
Print
pubmed:day
24
pubmed:volume
181
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
125-31
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1996
pubmed:articleTitle
A study of the association between gastro-oesophageal reflux and palatal dental erosion.
pubmed:affiliation
Department of Conservative Dental Surgery, UMDS, Guy's Hospital, London.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't