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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Oral Health 1/2015

Erosive esophageal reflux vs. non erosive esophageal reflux: oral findings in 71 patients

Zeitschrift:
BMC Oral Health > Ausgabe 1/2015
Autoren:
Herbert Deppe, Thomas Mücke, Stefan Wagenpfeil, Marco Kesting, Anna Rozej, Monther Bajbouj, Anton Sculean
Wichtige Hinweise

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

HD and TM: conception and design; acquisition of data; drafting and revising the manuscript. SW, MK, AR and MB: analysis and interpretation of data; drafting and revising the manuscript. AS: conception and design; acquisition of data; drafting and revising the manuscript. All authors read and approved the final manuscript and agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Abstract

Background

The purpose of this clinical study was to assess the prevalence of acidic oral mucosal lesions and periodontal conditions in patients suffering from erosive esophageal reflux disease (ERD) compared with non erosive esophageal reflux disease (NERD) patients, both treated with long term proton pump inhibitors (PPI).

Methods

Seventy-one patients with diagnosed GERD were studied: i.e. 29 ERD and 42 NERD patients. Thorough visual examination of the oral mucosa and a periodontal evaluation was performed. The primary outcome was defined as a statistically significant difference, between the two groups, in the presence of acidic lesions of the oral mucosa and specific periodontal parameters.

Results

This study failed to demonstrate statistically significant differences between ERD and NERD patients with respect to the prevalence of oral mucosal lesions. However, significantly more ERD patients suffered from severe periodontitis (CAL ≥ 5 mm) as compared to NERD patients. Accordingly, it may be assumed that PPI-use had no adverse effects on the prevalence of acidic oral mucosal lesions and on periodontal destruction.

Conclusions

Within the limitations of this study it may be concluded that ERD and NERD patients need separate evaluation with respect to periodontal destruction. Moreover, long term PPI medication had no adverse clinical impact on acidic oral mucosal lesions and periodontal destruction. Further studies are necessary to elucidate the role of reflux in the periodontal destruction of ERD individuals.
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